The Longevity Registry

Costs · 8 min read · Updated October 2026

What a longevity check-up costs in the U.S. — and what's worth paying for

Prices range from a few hundred dollars to five figures a year. The difference is rarely the quality of care. It's mostly how much imaging is included and how long the physician stays with you.

By The Longevity Registry editorial team

In this article

Why prices vary so much

Longevity medicine in the U.S. is almost entirely direct-pay. Clinics set their own prices, bundle tests differently and call similar things by different names. Comparing them gets easier once you split a quote into three parts: the tests, the physician time and the follow-up.

Typical cash prices for individual tests

These are rough orientation ranges for self-pay patients. Prices vary by region and provider, so always ask for a written quote.

  • Advanced blood panel (ApoB, Lp(a), HbA1c, fasting insulin, hs-CRP, hormones): from about $150 to over $1,000, depending on scope
  • DEXA body composition: often about $75–$300
  • VO2 max test: often about $150–$350
  • Coronary calcium score: often about $75–$200
  • Whole-body MRI: often about $1,000–$2,500 or more
  • Multi-cancer early detection blood test: around $950 at list price for the best-known test

Three ways to buy longevity care

1. One-off workup. You pay once for a baseline and a results review. Good for orientation, weak on follow-through.

2. Structured program. A set period, often 12 weeks, with testing, a plan and regular physician contact. Breaux Medical, for example, publishes its prices: $300 or $500 for the initial assessment, credited toward a program, $3,000 for a 12-week program in its Complete tier, and $8,000 a year for ongoing care. → Read our review

3. Membership with extensive diagnostics. Imaging-heavy workups with year-round access to a clinical team. Biograph's Core and Black tiers are a well-known example; Biograph does not publish its prices. → Read our review

What is worth paying for

If your budget is limited, put it in this order:

  1. Physician time. A clinician who interprets your results and sets priorities is worth more than any single test.
  2. Fundamentals done well. ApoB, Lp(a), glucose markers, blood pressure, body composition and fitness.
  3. Targeted imaging. A calcium score is cheap and informative for many adults over 40.
  4. Extensive imaging and novel blood tests. Valuable for some, but the evidence for screening people without symptoms is still developing.

What to ask before you book

  • Which tests are included, by name?
  • Who reviews the results, and how long is the appointment?
  • What happens after the first visit, and what does that cost?
  • How are incidental findings handled?
  • Can I use HSA or FSA funds?

Key takeaways

  • Split every quote into tests, physician time and follow-up.
  • Fundamentals and physician time give the best value per dollar.
  • Extensive imaging can make sense, but ask how findings are followed up.
  • Ask for prices in writing before you book.

Questions

How much does a longevity check-up cost?

In the U.S., a basic workup with advanced labs and a physician review often costs several hundred to a few thousand dollars. Imaging-heavy memberships can reach the high four figures or more per year.

Does insurance pay for longevity testing?

Rarely. Some individual tests may be covered with a medical indication, but most longevity care is self-paid. HSA or FSA funds sometimes apply.

Is a whole-body MRI worth the money?

It can find conditions early, but also harmless findings that lead to further tests. Ask how results are followed up before you decide.

What is the cheapest useful longevity test?

An advanced lipid panel with ApoB and Lp(a), plus a fitness assessment, gives a lot of actionable information for relatively little money.

Sources

  1. Program and pricing information as published by Breaux Medical and Biograph, data check October 2026.
  2. Greenland P et al. Coronary calcium score and cardiovascular risk. Journal of the American College of Cardiology, 2018.
  3. Cost guide of The Longevity Registry → /cost

Editorial — not advertising. Reviews and articles are independent assessments by The Longevity Registry, based on published information — not medical advice.

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