Is it normal for a surgeon to charge a high fee before you've been scheduled or pre-approved for surgery?

I have yet to be scheduled or pre-approved for vein surgery, but I've been asked to asked to pay a fee of $295 to cover injections used during the procedure. This does not sound right. Is this normal? The fee they are seeking to charge falls outside of my insurance cost.

Answers from doctors (8)


West Coast Vein & Aesthetic Center

Published on Jan 12, 2018

It is difficult for me to comment on this since I don't know the details. Every circumstance is different. Every insurance provider covers different things. Sometimes sclerotherapy injections fall outside of medical coverage and are considered cosmetic. Sometimes they cover the endovenous ablation but don't cover the injections. You should speak to the billing department of that Surgeons's practice.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8558_1514999255.jpg
Answered by West Coast Vein & Aesthetic Center

It is difficult for me to comment on this since I don't know the details. Every circumstance is different. Every insurance provider covers different things. Sometimes sclerotherapy injections fall outside of medical coverage and are considered cosmetic. Sometimes they cover the endovenous ablation but don't cover the injections. You should speak to the billing department of that Surgeons's practice.

Published on Jul 11, 2012


The Vein & Aesthetic Center of Boston

Published on Jan 12, 2018

Some insurance companies are hard to work with and they may not cover certain codes that are submitted by your doctor's office. I would talk with your insurance company and your physician's office to get a better understanding about what you are actually paying for and how many treatments you will need.

You might also want to get a second opinion. We give our patients various options for treatment, and you might find that there is another way to treat you without paying $295. You might also need more than one treatment and you should find out if you will need to pay $295 with each of those treatments.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/511_1408044070.jpg
Answered by The Vein & Aesthetic Center of Boston

Some insurance companies are hard to work with and they may not cover certain codes that are submitted by your doctor's office. I would talk with your insurance company and your physician's office to get a better understanding about what you are actually paying for and how many treatments you will need.

You might also want to get a second opinion. We give our patients various options for treatment, and you might find that there is another way to treat you without paying $295. You might also need more than one treatment and you should find out if you will need to pay $295 with each of those treatments.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Aug 12, 2013

That would probably fall into the realm of asking the insurance company directly to find out why something was not covered. If the injections were for spider veins, then they would not be covered. Or, if there was an I.V. used for sedation, that is not covered as well. But any other medication used or other injections should be covered.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1153_1408044089.jpg
Answered by Intermountain Vein Center

That would probably fall into the realm of asking the insurance company directly to find out why something was not covered. If the injections were for spider veins, then they would not be covered. Or, if there was an I.V. used for sedation, that is not covered as well. But any other medication used or other injections should be covered.

Published on Jul 11, 2012


Chuback Vein Center

Published on Aug 01, 2013

This is not something that would happen in our office. However, I would suggest contacting the billing manager of the office for more information as to why you may be stuck with this charge.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1060_1423009623.jpg
Answered by Chuback Vein Center

This is not something that would happen in our office. However, I would suggest contacting the billing manager of the office for more information as to why you may be stuck with this charge.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Jul 31, 2013

The average fee for phlebectomy runs between $500-$1,200. If your doctor is within your insurance company's network, then it would seem unusual to make you repay. A second opinion is another option.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1365_1408044094.jpg
Answered by Arizona Vein Specialists

The average fee for phlebectomy runs between $500-$1,200. If your doctor is within your insurance company's network, then it would seem unusual to make you repay. A second opinion is another option.

Published on Jul 11, 2012


VeinSolutions - Edina

Published on Jul 31, 2013

It is not unusual to ask the patient to pay in advance for the non-medically necessary portion of the procedure. In fact, we require our patients to pay for this portion of the procedure two weeks in advance. It is unusual, however, to be asked to pay anything in advance if your procedure has not been pre-approved by your insurance company and the procedure itself has not been scheduled.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/861_1409954875.jpg
Answered by VeinSolutions - Edina

It is not unusual to ask the patient to pay in advance for the non-medically necessary portion of the procedure. In fact, we require our patients to pay for this portion of the procedure two weeks in advance. It is unusual, however, to be asked to pay anything in advance if your procedure has not been pre-approved by your insurance company and the procedure itself has not been scheduled.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Jul 31, 2013

The fee may be part of your deductible on your insurance plan. Anesthesia costs are included in the insurance payments and should not be charged separately.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/554_1447800116.jpg
Answered by Cosmetic Vein Centers of Texas

The fee may be part of your deductible on your insurance plan. Anesthesia costs are included in the insurance payments and should not be charged separately.

Published on Jul 11, 2012


More About Doctor Advanced Vein Center

Published on Jul 30, 2013

That is not normal

Answered by Advanced Vein Center (View Profile)

That is not normal

Published on Jul 11, 2012


Related Questions for Ambulatory Phlebectomy

Ambulatory Phlebectomy -4 answers
I had ambulatory phlebectomy performed on my leg two weeks ago. How long will it take for the incisions to heal? Right now the incisions look like little red scabs.
See More
Ambulatory Phlebectomy -10 answers
I am scheduled for ambulatory phlebectomy and laser ablation in a week. I also have several 5K runs soon and a two-week beach vacation in June. How soon before I would be able to exercise and run again after these procedures? How long to stay out of the sun?
See More
Ambulatory Phlebectomy -3 answers
I had ambulatory phlebectomy with ligation 6 weeks ago and my leg still has shooting pains at times and I've got this painful bump on my inner thigh that won't go away. Sometimes the swelling (maybe a vein) spreads up the thigh (painful). Any ideas?
See More
Ambulatory Phlebectomy -6 answers
I just had a phlebectomy done at 3pm, and have increasing pain and throbbing.Norco and Ibuprofen are not doing much! I have been elevating my leg and icing it to help with the pain, but it's not getting better. I walked around for short periods, with no relief. Is something wrong?
See More
Ambulatory Phlebectomy -8 answers
I had my microphlebectomy procedure 12 days ago, and I've had minimal pain since the initial 48 hours post surgery. However, I stopped wearing my compression stocking 2 days ago and now have pain when I walk and darker bruising. Should I be overly concerned?
See More
Ambulatory Phlebectomy -3 answers
A friend of mine had ambulatory phlebectomy and now her leg is scarred from about 50 little incisions that never really healed. Everything online says "minimal" scarring, but is that really true? It wasn't in her case and I don't know why. Do you have any idea?
See More
Ambulatory Phlebectomy -6 answers
I have varicose veins and spider veins and one burst in back of knee. The bruise has doubled in size in a 24 hour time period. What should I do? Do I need a consult and, if so, which type of specialist?
See More
Ambulatory Phlebectomy -7 answers
I had a microphlebectomy below my knee and radiofrequency ablation above on the same leg on the same day. Now, I have neuropathy in that leg from mid-calf to nearly my groin. It's been one month. Are stockings contraindicated with neuropathy?
See More
Ambulatory Phlebectomy -8 answers
I'm 25 and have had varicose veins since I was 17. I have started to get more noticeable varicose veins with more discomfort. I used to be a runner, but now I fatigue quite easily. What options could I look at to help me minimize them or get rid of them?
See More
Get answers from our experienced doctors.
How it works
Ambulatory Phlebectomy -6 answers
I had ambulatory phlebectomy 7 weeks ago to remove some veins under my foot. I have a small pea-sized hard lump under one scar. It doesn't seem to hurt. Is this something to be concerned about? I will have a follow-up with my doctor next month.
See More
Ambulatory Phlebectomy -14 answers
I underwent ambulatory phlebectomy for my right leg. No visible veins on left. I'm always standing at work (8-12 hrs).
See More
Ambulatory Phlebectomy -5 answers
I experienced severe bruising and intense pain 8 days after ambulatory phlebectomy and EVLT. I could not even touch the area from my right groin all the way down to my knee. I followed all of the doctor's orders given post-op. Upon a recheck yesterday, no infection was found, but during the ultrasound the pain upon the docs pressing the area was excruciating and I felt a burning sensation go all the way up leg. What's going on? Could I have a hematoma?
See More
Ambulatory Phlebectomy -3 answers
I have some hyper pigmentation on one of my legs after having ambulatory phlebectomy and endovenous laser ablation. What topical treatment can I use to help fade this hyperpigmentation? Or should I just give it time to fade?
See More
Ambulatory Phlebectomy -5 answers
I had an ablation and microphlebectomy done on my right leg Friday. I put compression hose on Sunday. I still have swelling in my foot. The swelling is where the ace wrap stopped about an inch from my toes. I've been walking as much as possible and elevating it when I sit. Is that normal?
See More
Ambulatory Phlebectomy -4 answers
I had a surgery to remove varicose veins in my thigh and now two months later, I feel a pain in my calf and I see a lump. It hurts so much. Is this normal? What should I do?
See More
Ambulatory Phlebectomy -6 answers
The first night I slept with my leg wrapped with bandage. The next day I took them off and I have been wearing compression stockings, but I'm not sure if I have to sleep with them. It is a little uncomfortable to sleep with them.
See More
Ambulatory Phlebectomy -8 answers
Over the past 3 years I was diagnosed with insufficient circulation due to weakened veins. The doctors told me there was no medicine and that the only alternatives are compression stockings or an ambulatory phlebectomy. Is an ambulatory phlebectomy necessary or would compression stockings work just as well?
See More
Ambulatory Phlebectomy -4 answers
My Dr discussed EVLA and Sclerotherapy. Now, my paperwork mentions EVLA, Deep Sclerotherapy, and Phlebectomy are approved by insurance. I was told that this is just a back up procedure, but I am uncomfortable with the seemly casual addition of taking out veins.
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR