Licensed acupuncturists run solo practices, share treatment rooms in wellness clinics, or work inside chiropractic and physical therapy offices. They bill for initial consultations, follow-up treatments, and add-on services such as cupping, moxibustion, electro-acupuncture, and herbal formulas. Many patients pay out of pocket, while others need a receipt they can submit to their insurance or HSA.
Create an invoice for payment collection
Upload logo
PDF will be generated with filename:
Invoice_1001_Client_2026-10-14.pdf
Most acupuncturists charge per session, with a higher fee for the first visit because it includes intake, health history, and diagnosis. Follow-up sessions are priced at a flat rate, often 45 to 60 minutes. Community acupuncture clinics use a sliding scale, usually $20-60 per treatment. Packages of 5 or 10 sessions are common and are typically discounted 5 to 15 percent and paid upfront. Add-ons like cupping, gua sha, or electro-stim are either folded into the session fee or billed as a small separate line. Herbal formulas and supplements are billed at retail with a markup over wholesale cost. Practices that accept insurance bill the carrier using CPT codes and collect copays or deductibles from the patient, which are separate from cash fees.
| Service | Priced | Typical range |
|---|---|---|
| Initial consultation and treatment | per visit (60-90 min) | $100-200 |
| Follow-up acupuncture treatment | per visit (45-60 min) | $70-140 |
| Community acupuncture session | per visit (sliding scale) | $20-60 |
| Cupping or moxibustion add-on | per session | $10-40 |
| Electro-acupuncture add-on | per session | $10-30 |
| Herbal formula | per bottle or 1-2 week supply | $25-80 |
| Package of 5 or 10 treatments | per package | $330-1,200 |
| Cosmetic acupuncture facial | per session | $125-250 |
Typical US ranges. Rates vary by region, experience, and job size.
| Description | Qty | Rate | Amount |
|---|---|---|---|
| Initial consultation and acupuncture treatment (lower back pain), 90 min | 1 visit | $150.00 | $150.00 |
| Follow-up acupuncture treatment with electro-stim, 60 min | 2 visit | $100.00 | $200.00 |
| Cupping add-on | 2 session | $20.00 | $40.00 |
| Herbal formula, 2-week supply (Du Huo Ji Sheng Tang) | 1 bottle | $45.00 | $45.00 |
| Total | $435.00 | ||
Notes: Dates of service: May 2, May 9, and May 16. Payment is due at time of visit or within 14 days of invoice date. This invoice can be submitted to your insurance for out-of-network reimbursement. Please give 24 hours notice to cancel or reschedule; late cancellations are charged 50 percent of the session fee.
Insurers and HSA/FSA administrators require dates of service on every receipt, and it prevents disputes about how many sessions were used from a package.
Out-of-network reimbursement claims usually require the provider's state license number and NPI to be listed.
Patients submitting superbills need codes like 97810, 97811, 97813, or 97814 for acupuncture and the diagnosis that supports medical necessity.
Cupping, electro-stim, and herbs are billed differently, and supplements may not be eligible for reimbursement, so they should be on separate lines.
Showing sessions purchased, used, and remaining avoids confusion and records when prepaid revenue is being applied.
Timed codes depend on whether the session involved face-to-face time in 15-minute increments, and patients like to see what they paid for.
Listing a late-cancel fee as its own line, with the date, keeps it distinct from treatment charges, which are not billable to insurance.
Most acupuncture practices collect payment at the end of each visit by card, cash, check, or HSA/FSA card. Packages are paid in full upfront and are often valid for 6 to 12 months. For insurance patients, collect the copay at the visit and bill the carrier for the rest, with the patient responsible for any denied amounts under your signed financial policy. When you do send an invoice or superbill, due on receipt or net 14 is typical. Late cancellation and no-show fees of 50 to 100 percent of the session are common if stated in writing at intake. Some states or insurers restrict what you can charge, so check your rules before setting a no-show fee for insured patients.
Because sessions are short and recurring, the simplest approach is to charge the card on file at the end of each visit. This avoids chasing small balances later and keeps your accounts receivable near zero.
Put the number of sessions, price per session, expiration date, and refund policy in writing. Track used sessions on each invoice so patients can see the balance and you know your outstanding obligation.
Many patients are reimbursed for 50 to 80 percent of the cost by their plan. A clean superbill with codes, license number, and NPI makes you easier to choose and cuts down on follow-up questions.
Herbs and supplements may be taxable as retail goods in your state while treatments are not. Keep them on separate lines so your sales tax reporting is accurate.
Have patients agree to the policy when they schedule or complete intake forms. A signed policy makes it much easier to enforce a late fee without conflict.
The common codes are 97810 and 97811 for acupuncture without electrical stimulation (first 15 minutes and each additional 15 minutes) and 97813 and 97814 for acupuncture with electrical stimulation. Use only codes that match the services you performed and check each payer's rules.
Yes, most acupuncturists do. The initial visit includes intake, health history, diagnosis, and treatment planning, so it runs longer. A premium of $30-70 over a follow-up is typical.
In most states, health care services such as acupuncture are not taxed, but retail items like herbs, supplements, or cupping sets often are. Rules vary by state, so confirm with your state tax agency or an accountant.
In general, acupuncture is an eligible expense for HSA and FSA accounts when it treats a medical condition. Provide an itemized receipt with dates, services, and amounts. Some plans may request a letter of medical necessity.
State an expiration date and your refund policy in writing when selling the package. If there is no policy, many practices refund unused sessions at the regular per-visit rate, minus any discount already received.
Send a Acupuncturist estimate for approval, then turn it into an invoice when the work is done.
Acupuncturist estimate template