
As an FCA-authorised expert broker that has helped arrange over 800,000 policies, WeCovr understands that navigating the UK’s private healthcare landscape can be daunting. One of the first steps, a private consultation, is a key consideration, and its cost is a primary concern for many. With private medical insurance, these fees can be managed effectively.
Facing a long NHS waiting list or simply wanting a second opinion can lead many of us to consider private healthcare. The gateway to this world is the private specialist consultation. But how much does it actually cost?
The truth is, there isn't a single fixed price. The fee you'll pay for a private consultation in the UK varies widely, typically ranging from a modest £120 for a routine follow-up to over £500 for an initial meeting with a top-tier consultant in London.
This guide will break down all the factors that influence these costs, explain what you get for your money, and show how a comprehensive private medical insurance policy can cover these expenses, giving you peace of mind and swift access to the care you need.
Think of a private consultation as a dedicated, one-on-one meeting with a specialist doctor, conducted outside the NHS system. These doctors are experts in specific fields of medicine, such as cardiology (heart), dermatology (skin), or orthopaedics (bones and joints).
The journey to a private consultation usually follows these steps:
The key benefits of going private for a consultation include:
Several key factors determine the final bill for your consultation. Understanding these will help you budget and make informed choices.
Just like in any profession, experience and demand dictate price. A highly-renowned professor of cardiology with 30 years of experience will naturally charge more than a newly qualified consultant.
Furthermore, different specialisms command different fees. Complex fields requiring extensive training and expensive equipment tend to be at the higher end.
Here’s a table showing typical estimated costs for an initial private consultation in the UK for 2025.
| Medical Specialism | Typical Initial Consultation Fee Range | Typical Follow-Up Fee Range |
|---|---|---|
| Dermatology (Skin conditions) | £200 - £350 | £150 - £250 |
| Cardiology (Heart conditions) | £250 - £450 | £175 - £300 |
| Orthopaedics (Bones & Joints) | £220 - £400 | £150 - £250 |
| Gastroenterology (Digestive system) | £220 - £380 | £160 - £240 |
| Psychiatry (Mental health) | £300 - £500+ | £180 - £350 |
| ENT (Ear, Nose & Throat) | £200 - £350 | £150 - £220 |
| Gynaecology | £220 - £400 | £160 - £250 |
| Rheumatology (Joints, muscles, ligaments) | £230 - £380 | £170 - £250 |
Please note: These are estimated figures for 2025 and can vary significantly.
Where you have your consultation has a major impact on the price. Clinics in Central London, particularly in the prestigious Harley Street medical district, are the most expensive in the country. Costs tend to decrease as you move away from the capital.
| Location | Estimated Initial Consultation Cost (General) | Why the Difference? |
|---|---|---|
| Central London (e.g., Harley Street) | £300 - £500+ | Higher overheads (rent, staff), concentration of top specialists. |
| Major UK Cities (Manchester, Birmingham) | £220 - £350 | Competitive market but lower operating costs than London. |
| Smaller Towns & Rural Areas | £180 - £280 | Lower overheads, less competition among private providers. |
Your first appointment with a specialist will always be the most expensive. This is because it is longer and more in-depth. The consultant needs to:
Follow-up appointments are shorter, as the specialist is simply reviewing test results, checking your progress, or adjusting your treatment plan. Consequently, they are cheaper.
| Consultation Type | Average Duration | Typical Cost | Purpose |
|---|---|---|---|
| Initial Consultation | 30 - 60 minutes | £250 - £400 | Full assessment, history taking, diagnosis planning. |
| Follow-Up Consultation | 15 - 30 minutes | £150 - £250 | Reviewing results, monitoring progress, treatment adjustment. |
This is where having the right private health cover becomes invaluable. Most comprehensive private medical insurance UK policies are designed specifically to cover the costs of private consultations and subsequent treatments for acute conditions.
Here’s how it works:
Navigating these options can be complex, which is why working with an expert PMI broker like WeCovr is so beneficial. We can compare policies from across the market to find one with the right level of out-patient cover for your needs and budget, all at no extra cost to you.
It is essential to understand a fundamental principle of standard UK private medical insurance: PMI is designed to cover acute conditions that arise after you take out the policy.
Standard PMI policies do not cover the ongoing management of chronic conditions or treatment for pre-existing conditions. This is a key reason why the NHS remains a vital part of UK healthcare for everyone.
The consultant's fee is just one part of the potential cost. If your condition requires further investigation, you will face additional charges. A good private health cover policy will also provide cover for these.
| Service | Typical Private Cost Range (UK 2025) | Is it Covered by PMI? |
|---|---|---|
| MRI Scan (per body part) | £400 - £1,500 | Yes, usually covered under diagnostics. |
| CT Scan (per body part) | £500 - £900 | Yes, usually covered under diagnostics. |
| Ultrasound Scan | £300 - £600 | Yes, usually covered under diagnostics. |
| X-Ray | £100 - £250 | Yes, usually covered under diagnostics. |
| Blood Tests (per panel) | £50 - £500+ | Yes, usually covered under diagnostics. |
| Private Prescriptions | Full cost of the drug (no NHS cap) | Varies by policy, often an optional benefit. |
Without insurance, the cost of diagnostics can quickly add up. An initial consultation (£300) followed by an MRI scan (£700) and a follow-up (£200) could result in a bill of £1,200 before any treatment even begins.
While private medical insurance is a fantastic tool for when things go wrong, the best strategy is to proactively manage your health to reduce the need for specialist care in the first place. A healthy lifestyle can prevent many of the acute and chronic conditions that lead people to seek medical advice.
By investing in your wellbeing, you not only feel better day-to-day but also reduce your long-term healthcare needs. Furthermore, customers who purchase PMI or Life Insurance through WeCovr can benefit from exclusive discounts on other types of cover, making it easier to protect all aspects of your life.
The cost of a private consultation is a manageable expense, especially when protected by the right private medical insurance policy. It unlocks rapid access to specialist opinions, faster diagnoses, and quicker treatment, putting you back in control of your health.
At WeCovr, we make finding the best PMI provider straightforward. As an independent, FCA-authorised broker with high customer satisfaction ratings, our expert advisors provide impartial advice to help you compare quotes from the UK's leading insurers. We'll help you find a plan that fits your budget and covers the things that matter most to you.
[Get Your Free, No-Obligation Private Health Insurance Quote Today! →]






