As an FCA-authorised broker that has arranged over 900,000 policies, WeCovr provides expert insight into the UK’s private medical insurance market. This guide breaks down the expected costs of private specialist consultations for 2026, helping you navigate your healthcare choices with confidence.
WeCovr explains typical consultation fees across the UK
Waiting lists and the pressure on NHS services have led many people in the UK to consider private healthcare. One of the first steps on this journey is a consultation with a specialist. But how much does this actually cost?
The price can vary significantly depending on the specialty, the consultant's experience, and where you are in the country. In this guide, we'll demystify the costs you can expect in 2026, explain how private medical insurance can cover these fees, and offer practical advice for managing your health.
What is a Private Consultation and Why Would I Need One?
A private consultation is a medical appointment with a specialist consultant outside of the NHS. You might be referred to one by your GP for a specific health concern that needs expert diagnosis or a treatment plan.
People choose private consultations for several key reasons:
- Speed: The most common reason is to bypass long NHS waiting times. According to NHS England data, millions of people are waiting for consultant-led elective care, with many waiting several months for an initial appointment. Privately, you can often see a specialist within days or weeks.
- Choice: The private sector gives you more control over who you see. You can research and choose a specific consultant based on their reputation, experience, and patient reviews.
- Convenience: Private appointments often offer more flexibility, including evening or weekend slots, making it easier to fit around work and family commitments.
- Time and Attention: Private consultations are often longer than their NHS counterparts, giving you more time to discuss your concerns in-depth and ask questions without feeling rushed.
How Much Will a Private Consultation Cost in 2026?
Predicting exact costs two years in advance involves projecting current trends, but based on recent healthcare inflation, we can provide a reliable estimate. Prices are expected to be highest in London and other major city centres.
There are two main types of consultation fees:
- Initial Consultation: This is your first meeting with the specialist. It's typically longer and more expensive as it involves taking a detailed medical history, conducting an examination, and forming an initial diagnosis or plan.
- Follow-up Consultation: These are shorter, subsequent appointments to review test results, monitor your progress, or adjust your treatment. They are usually less expensive than the initial meeting.
Estimated Private Consultation Fees by Speciality (2026)
The table below shows our projected cost ranges for an initial private consultation across popular medical specialities in 2026. Follow-up appointments are typically 30-50% cheaper.
| Medical Speciality | Estimated Initial Consultation Cost (UK Average) | Estimated Initial Consultation Cost (London) | What it Covers |
|---|
| Dermatology | £250 – £350 | £300 – £450 | Skin conditions like eczema, psoriasis, acne, mole checks. |
| Cardiology | £280 – £400 | £350 – £500 | Heart-related concerns, blood pressure, cholesterol. |
| Orthopaedics | £270 – £380 | £320 – £480 | Joint pain (knee, hip, shoulder), sports injuries, back issues. |
| Gastroenterology | £270 – £380 | £320 – £480 | Digestive issues like IBS, acid reflux, coeliac disease. |
| Gynaecology | £260 – £360 | £300 – £460 | Women's health issues, pelvic pain, menstrual disorders. |
| Psychiatry | £350 – £550 | £450 – £700 | Mental health diagnosis and management (ADHD, depression). |
| Paediatrics | £250 – £400 | £300 – £500 | Specialist care for children's health conditions. |
| ENT (Ear, Nose & Throat) | £250 – £350 | £290 – £420 | Hearing problems, sinus issues, tonsillitis, allergies. |
Disclaimer: These figures are estimates for 2026, based on 2024-2025 data and projected annual inflation of 3-5%. Actual prices will vary.
Key Factors That Influence the Cost
The price you pay isn't arbitrary. Several factors determine a consultant's fee:
- The Consultant's Profile: A highly experienced professor with a worldwide reputation will naturally charge more than a newly qualified consultant.
- Location: Clinics in Central London, particularly around the prestigious Harley Street area, have higher overheads and therefore charge the highest fees in the country. Costs tend to be lower in the North of England, Scotland, and Wales.
- The Clinic or Hospital: Appointments at large, modern private hospitals with extensive facilities may cost more than at a smaller, independent clinic.
- Complexity: If your initial consultation is expected to be particularly complex and long, the fee may be higher.
Paying for Your Consultation: Self-Pay vs. Private Medical Insurance
You have two main options for funding your private healthcare journey.
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Self-Pay: This means you pay for the consultation and any subsequent tests or treatment directly from your own funds.
- Pros: It's straightforward, and you don't need an insurance policy. You can book an appointment immediately.
- Cons: The costs can be unpredictable and add up quickly. A simple consultation is manageable, but if you need diagnostic scans (£500-£2,000) or surgery (which can run into tens of thousands of pounds), it can become unaffordable.
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Private Medical Insurance (PMI): This is the most common way to fund private treatment. You pay a monthly premium to an insurer, and they cover the costs of eligible treatment, including consultations.
- Pros: Provides peace of mind and protection against large, unexpected medical bills. It makes private healthcare accessible and affordable.
- Cons: It requires planning ahead. You must have a policy in place before you become unwell.
As an expert PMI broker, WeCovr can help you find a policy that fits your budget and covers the services you're most likely to need.
How Private Medical Insurance Covers Your Consultation Fees
Understanding how your private medical insurance UK policy works is key to using it effectively.
The Critical Rule: Acute, Pre-existing, and Chronic Conditions
This is the single most important concept to understand about UK PMI.
- PMI is for Acute Conditions: It is designed to cover conditions that are short-term, curable, and arise after you take out the policy. Examples include joint pain needing a replacement, cataracts, or hernias.
- PMI Does NOT Cover Pre-existing Conditions: Any illness, injury, or symptom you have had in the years before your policy starts will be excluded from cover, usually for the first two years.
- PMI Does NOT Cover Chronic Conditions: Long-term conditions that cannot be cured but can be managed, such as diabetes, asthma, or high blood pressure, are not covered. Management for these remains with the NHS.
The Process for Using Your Insurance
- Visit Your GP: Your journey almost always starts with your NHS or private GP. If they feel you need to see a specialist, they will write you a referral letter.
- Contact Your Insurer: Before booking anything, you must call your insurance provider to get the claim authorised. They will check your cover and give you an authorisation number.
- Choose a Specialist: Your insurer will provide a list of approved specialists. Many top-tier policies offer an open choice, as long as the consultant's fees are within the insurer's accepted limits.
- Book Your Appointment: You can then contact the specialist's secretary, provide your authorisation number, and book the consultation. The bill is usually sent directly to your insurer.
Understanding Outpatient Cover Limits
Consultations, diagnostic tests, and therapies fall under the 'outpatient' section of your policy. Insurers offer different levels of outpatient cover, which directly impacts your premium.
| Level of Outpatient Cover | What It Typically Means | Who It's Good For |
|---|
| Full / Unlimited Cover | All eligible consultations and diagnostic tests are covered in full. | Those who want comprehensive peace of mind and don't want to worry about hitting a limit. |
| Capped Cover (e.g., £1,000) | The insurer will pay for outpatient services up to a set monetary limit per policy year. | A good middle ground, balancing cost and cover. £1,000 covers several consultations and some tests. |
| Limited / Basic Cover | May only cover a few consultations post-surgery or have a very low cap (e.g., £500). Some policies have no outpatient cover at all. | Those on a tight budget primarily concerned with covering the high cost of surgery (inpatient treatment). |
The initial consultation fee is just the starting point. Your specialist will likely recommend further steps, each with its own cost. A good private health cover policy will also cover these.
| Service | Estimated Self-Pay Cost (2026) | How PMI Helps |
|---|
| Blood Tests | £50 – £400+ | Usually covered under your outpatient limit. |
| MRI Scan | £600 – £1,200 | Covered if deemed medically necessary. |
| CT Scan | £500 – £900 | Covered if deemed medically necessary. |
| Ultrasound Scan | £300 – £600 | Covered if deemed medically necessary. |
| Minor Procedure | £200 – £1,000+ | Procedures done during the consultation (e.g., a skin biopsy) are often covered. |
| Private Prescriptions | £10 – £100+ | PMI policies typically do not cover the cost of take-home drugs. |
The WeCovr Advantage: A Smarter Way to Get Covered
Choosing the right private medical insurance can feel overwhelming. That's where an independent broker like WeCovr comes in.
- Expert, Unbiased Advice: We are not tied to any single insurer. Our experts work for you, comparing policies from the UK's leading providers to find the best fit for your needs and budget.
- No Extra Cost: Our service is completely free to you. We earn a commission from the insurer you choose, but the premium you pay is the same as going direct.
- Value-Added Benefits: When you arrange cover through us, you get more than just a policy. We provide complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app, to help you stay on top of your health goals. Plus, clients who purchase PMI or Life Insurance often receive exclusive discounts on other types of cover.
- High Customer Satisfaction: Our focus on clear, human-centered advice has earned us consistently high ratings on major customer review platforms.
Proactive Health: Tips to Keep You Out of the Doctor's Office
While insurance is there for when things go wrong, the best strategy is to stay healthy. Small, consistent lifestyle choices can have a huge impact.
- Nourish Your Body: Aim for a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. Staying hydrated is equally important—aim for 6-8 glasses of water a day.
- Move Every Day: The NHS recommends at least 150 minutes of moderate-intensity activity a week. This could be a brisk walk, a cycle ride, dancing, or gardening. Find something you enjoy!
- Prioritise Sleep: Most adults need 7-9 hours of quality sleep per night. It's crucial for mental health, immune function, and physical recovery.
- Manage Stress: Chronic stress can contribute to a host of health problems. Make time for relaxation, whether it's through mindfulness, yoga, reading, or spending time in nature.
By taking a proactive approach to your well-being, you can reduce your risk of developing acute conditions that require specialist intervention.
Frequently Asked Questions (FAQs)
Do I need a GP referral for a private consultation?
Generally, yes. Almost all UK private medical insurance providers require a GP referral before they will authorise a claim for a specialist consultation. This ensures that you are seeing the right type of specialist for your symptoms. Some modern policies and self-pay clinics are starting to offer self-referral, but the GP-led route remains the standard and most reliable pathway.
Can I use private medical insurance for a condition I already have?
No, standard UK private medical insurance does not cover pre-existing conditions. A pre-existing condition is any disease, illness, or injury for which you have had symptoms, medication, or advice in the years before your policy began (typically the last 5 years). PMI is designed to cover new, acute conditions that arise after your policy start date.
How does an excess on my PMI policy affect my consultation claim?
An excess is a fixed amount you agree to pay towards a claim each policy year. For example, if you have a £250 excess and your first claim of the year is for a £300 consultation, you would pay the first £250 and your insurer would pay the remaining £50. For any subsequent claims in that same policy year, the insurer would pay the full cost (up to your policy limits) because your excess has already been paid. Choosing a higher excess is a common way to reduce your monthly premium.
Take the Next Step Towards Peace of Mind
Navigating private healthcare costs and insurance options doesn't have to be complicated. With the right information and expert guidance, you can make choices that protect both your health and your finances. The cost of a single consultation can be manageable, but the total cost of private treatment for a serious condition can be substantial.
Let us help you find the right private health cover for your needs. Get a free, no-obligation quote from a WeCovr expert today and gain the peace of mind that comes with knowing you're prepared for whatever comes next.