Ketamine Providers in Texas

Ketamine Therapy in Texas

Texas is home to a growing network of ketamine therapy providers offering innovative treatments for depression, PTSD, anxiety, and chronic pain. With 92 providers listed across the state — from Houston and Dallas to Austin, San Antonio, and beyond — Texans have increasing access to IV ketamine infusions and Spravato treatments. Despite being one of the strictest states for ketamine regulation, Texas continues to expand options for patients seeking relief from treatment-resistant mental health conditions.

Texas ranks 3rd nationally with 85 ketamine therapy providers, averaging 3.5 providers per city. The largest provider category is ketamine infusion clinic (44.7% of providers). Austin leads the state with 21 providers.

State Regulations

In January 2026, the Texas Medical Board proposed sweeping new rules under Chapter 173 for Psychotropic Ketamine Therapy. The proposed rules require mandatory clinic registration, onsite physician presence during every infusion, continuous patient monitoring, and restrict PKT to documented psychiatric diagnoses like treatment-resistant depression and PTSD. All home use of parenteral ketamine is explicitly prohibited. Texas is among the strictest states for ketamine clinic oversight.

Insurance & Medicaid Coverage

Texas Medicaid covers Spravato (esketamine) as a benefit, effective since October 2019. Prior authorization is required. As of May 2025, updated criteria allow Spravato as monotherapy for adults 18+ with treatment-resistant depression. An October 2025 update added diagnosis code F323 to eligible prior authorization criteria. Patients must be enrolled in the Spravato REMS program.

Telehealth Options

Ketamine can currently be prescribed via telehealth in Texas under extended federal DEA flexibilities through December 2026. However, proposed TMB rules would prohibit home use of parenteral ketamine entirely, effectively banning telehealth-to-home injectable ketamine models. Oral and sublingual forms are not covered by those restrictions.

Cost of Ketamine Therapy

IV ketamine infusions in Texas typically cost $250–$800 per session. Prices vary widely across Texas's major metros. San Antonio clinics can start as low as $250, while Houston and Dallas clinics often charge $500-$650 per session. Package discounts are common. A standard initial series of 6 infusions runs $1500–$4800. Spravato (esketamine) may be partially or fully covered by insurance.

Mental Health Access

246 of Texas's 254 counties (97%) are designated as Mental Health Professional Shortage Areas. Rural, border, and frontier counties are most affected, with some having zero mental health providers. This severe shortage underscores the need for accessible treatment options. Texas has approximately 0.32 ketamine providers per 100,000 residents.

Frequently Asked Questions

Is ketamine therapy legal in Texas?

Yes, ketamine therapy is legal in Texas when administered by licensed physicians for off-label psychiatric use. The Texas Medical Board proposed strict new regulations in January 2026 requiring clinic registration, onsite physician supervision, and continuous patient monitoring. Home use of injectable ketamine is prohibited under the proposed rules.

Does Texas Medicaid cover ketamine or Spravato treatments?

Texas Medicaid covers FDA-approved Spravato (esketamine nasal spray) with prior authorization. Coverage requires enrollment in the Spravato REMS program. Standard IV ketamine infusions are typically not covered by Medicaid or most insurance plans, as they remain an off-label use, leaving most patients to pay out-of-pocket.

How much does ketamine therapy cost in Texas?

IV ketamine infusions in Texas typically cost $250-$800 per session, with a standard series of six infusions ranging from $1,500 to $4,800. Prices vary by city — San Antonio offers some of the lowest rates around $250, while Houston and Dallas clinics often charge $500-$650 per session. Most clinics offer package discounts.

Learn More About Ketamine Therapy

• How Much Does Ketamine Therapy Cost?
• What Does Ketamine Therapy Feel Like?
• Does Insurance Cover Ketamine Therapy?