How Much Does Spider Vein Treatment Cost? A Vein Doctor in NJ answers - Princeton Vascular Center

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How Much Does Spider Vein Treatment Cost? A Vein Doctor in NJ answers


Spider Veins are the most common reason patients visit vein treatment centers acound the nation.  These are the tiny, damaged veins that have a web-like appearance that gives them their name. If you are like many other patients, you don’t like how they make you feel or look.  However, you wonder “what is the average spider vein treatment costs in NJ?”

The costs of vein treatments can have a wide range depending on what treatments are needed. The most important determining factors are: medical necessity, complexity of spider and varicose veins, how many veins need to be treated, whether it involves one or both legs, and of course what treatment modalities will be used.

Excluding is venous insufficiency is quite important before embarking on spider vein treatment.  This includes laser treatment or sclerotherapy, as spider veins resulting from chronic venous insufficiency is best managed with the expertise of a vein doctor and may require treating the underying cause first.

What causes veins in legs to show?

As we alluded to above, chronic venous insufficiency is an important determinant of spider veins and will impact treatment choices.  Venous insufficiency is when the normal mechanisms within your superfical veins stop doing their job effectively.  This is often the result of placing a large deal of pressure on your legs when you are standing or sitting for long periods of time.  Naturally, your work or day-to-day activities will be the main determinant of how you spend the day on your legs. Interestingly, your family history is the most important cause of developing syptomatic varicose veins.    Over time, these vein walls can become weakened from the constant pressure and resulting in vein injury. The size of the veins will gradually increase and lead to valve dysfunction and venous reflux. The visual presentation of this is commonly seen as spider and varicose veins on the legs.

If you have underlying venous insufficiency, it’s similar to a pipe leaking behind your walls.  Just having the wallpaper or paint corrected will only be a cosmetic improvement and may not last very long.  Similarly, if we treat spider veins without addressing the underlying cause, the impact on spider vein elimination may be limited.

Sclerotherapy Spider Vein Treatment

Sclerotherapy is a minimally-invasive procedure and is not surgical in nature.  However, we still recommend only seeing a vein specialist wtth formal vascular training to perform these procedures.

For sclerotherapy, your vein doctor will use very fine needles to inject a medical solution into your damaged veins.  The injected medication will act on the lining of the abnormal blood vessels, disrupt them and gradually eliminate them.  At first, you may notice the treated areas to be red or inflammed and this is normal. In the first 2 weeks, this will resolve and the veins will then begin to fade.  Sclerotherapy is very effective in eliminating spider veins, however you will likely need 2 or 3 sessions for a greater than 80% resolution. We do not recommend any re-treatment before 6-8 weeks to allow sufficient time for the veins to fade.

What is the average cost of Sclerotherapy for Spider Veins?

Sclerotherapy has indications in both cosmetic treatments and those that are medically necessary. At your initial consultation, the vein specialist will assess for underlying venous insufficiency and the likelihood of insurance coverage. Cosmetic treatments are not covered through insurance.

Most procedures run between 15 minutes and 1 hour for cosmetic sclerotherapy with most treatment costs between $300-$1200.

What is the cost of Varicose Vein Removal?

Varicose veins are more likely to be caused by underlying venous insufficiency.  Symptomatic varicose veins cause sore legs, leg swelling, leg cramps, and even more serious concerns.  Such symptoms should be reported to your vein doctor for a complete assessment and consideration of additional testing..

If underlying venous insufficiency is noted by ultrasound, spider vein treatment alone may not be sufficient.  With medical necessity, more effective treatments such as laser vein treatment or endovenous ablation will likely be recommended.  These treatments are still minimally-invasive and will improve your underlying circulation.

Cost of EVLT (Endovenous Laser Vein Treatment) for Varicose Veins

EVLT is a minimally-invasive outpatient procedure performed by vein doctors to cure the underlying cause of varicose veins.

Cost: Generally well covered by insurance. Out of pocket cost dependent upon insurance plan and deductible.

Cost of Radiofrequency Venous ablation for Varicose Veins

Radiofrequency ablation is our preferred vein treatment modality and is also a minimally-invasive procedure with phenomenal success rates (>95%).  The procedure is endovenous and requires a vascular specialist.

Cost: Generally well covered by insurance. Out of pocket cost dependent upon insurance plan and deductible.

Cost of Ambulatory Phlebectomy

For large, protuberant varicose veins, ambulatory phlebectomy (or microphlebectomy) is a valuable option.  In this time-intensive outpatient surgical procedure, vein doctors use tiny incisions under local anesthesia to pull varicose veins that protrude from the skin.   Remarkably, even the most unsighly veins can be immediately improved and permanently eliminated from the skin using ambulatory phlebectomy. The procedure can range from 30 minutes to 2 hours depending on the severity of veins.

Cost: Can be covered by insurance with medical necessity. Without insurance or when cosmetic, the price varies by complexity and can sometimes need to be staged. The treatment generally ranges $1500-$3500.

Cost of Varithena Chemical Ablation

Varithena is a patented formulation of polidocanol utilized to collapse tortuous varicose veins of the upper and lower legs. This treatment can be an alternative to phlebectomy in ideal candidates and is similar to sclerotherapy.

Cost: Generally covered by insurance. Out of pocket cost dependent upon insurance plan and deductible. 

Cost of Vein Glue

The most recent technological advancement in the treatment of varicose vein disease has been VenaSeal™. This closure system is the only non-thermal, non-tumescent, non-sclerosant procedure approved for use in the U.S. that uses an advanced medical adhesive that closes the diseased vein.

Cost: This is a premium service in New Jersey with insurance coverage currently provided only by Horizon BC/BS of NJ and Medicare.


Princeton Vascular Center is a premier spider vein and varicose vein treatment center with a dedicated team of board-certified vascular specialists. For more information, please schedule your spider vein and varicose vein consultation today.


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