Virtual-first specialty care across Washington In-person procedure days in Lacey, WA

Services

Get the treatments you need

Visit Types for Headache & Migraine Care:

Discovery Call

10-15 minutes

$30

  • Meet your provider
  • Determine if we're a good fit
  • Not required before booking
  • No medical advice or prescriptions provided
Book your call →

Initial Visit

60-90 minutes

$300

  • Complete headache history
  • Virtual neuro exam
  • Medication review and optimization
  • Personalized treatment plan
  • Education & follow-up care coordination
Ready to book? →

Follow-up Visit

30-45 minutes

$180

  • Treatment response evaluation
  • Medication adjustments and monitoring
  • Ongoing migraine optimization
  • Education and support
  • Care plan updates
Let's talk! →

Botox Injections

15-30 minutes

$350

  • PREEMPT protocol injection pattern
  • 31 injection sites, 155-200 units total
  • (medication not included in fee)
  • Quick check-in pre-injection
  • 3-month treatment cycle
Learn more about Botox for Chronic Migraine →

Additional Services

Enhance your care with these additional services tailored to your specific needs.

Botox Extras
Market price of Botox
  • Masseters (TMJ pain relief)
  • Orbicularis oculi (if eye squinting or smiling is a trigger)
Rescue Injections
Price varies
  • Toradol (ketorolac)
  • Zofran (ondansetron)
  • Phenergan (promethazine)
  • Compazine (prochlorperazine)
  • Benadryl (diphenhydramine)
  • Vitamin B12
  • IM Steroid
  • IV “migraine cocktail”

Pricing & Insurance

Cascade Headache is currently an out-of-network provider, which means we don't bill insurance directly.

However, many patients receive partial or full reimbursement by submitting superbills to their insurance company.

How it works:

  • You pay at the time of your visit
  • Cascade Headache provides a detailed superbill (itemized receipt with diagnosis codes)
  • You submit this to your insurance for out-of-network reimbursement
  • Your insurance reimburses you directly based on your plan's benefits

Before your visit:

We recommend calling your insurance to ask about out-of-network specialist benefits. Key questions to ask:

  • “What is my out-of-network deductible?”
  • “What percentage do you reimburse for out-of-network specialists after my deductible is met?”
  • How do I submit a claim for out-of-network care for reimbursement?

Making Care Accessible

We understand that paying out-of-pocket can be challenging.

To help make care more accessible, we offer sliding scale pricing based on demonstrated financial need

If cost is a concern, please reach out. We are committed to finding a solution that works for both of us so you can get the care you need.

Not sure where to start?

Book a visit, or start with a discovery call to see if we’re a good fit.

Let's chat!