Private gynaecology consultation costs in London vary widely between clinics — typically from around £180 at independent practices to £400+ at large Harley Street clinics. This guide breaks down what you can expect to pay, what’s typically included, and how to budget for private gynaecology care in London. All AristoGp pricing reflects our 2026 rates.
London Private Gynaecology — Typical Cost Ranges
Based on publicly listed prices at central London private gynaecology clinics in 2026:
| Service | Typical London range | AristoGp |
|---|---|---|
| Initial gynaecology consultation | £250 – £400 | £180 |
| Consultation + pelvic ultrasound | £430 – £610 | £270 |
| Follow-up consultation | £150 – £250 | £100 |
| Cervical smear test | £150 – £270 | £150 |
| Menopause consultation | £250 – £350 | £200 |
| Well Woman Check | £400 – £600 | £340 |
Prices at the higher end of these ranges typically reflect Harley Street and Marylebone-based practices. Mid-range pricing is common in Chelsea, Knightsbridge, and the City. AristoGp is at the lower end of the central London range — not because the care is less thorough, but because we operate as an independent clinic with a single consultant gynaecologist and contained overheads.
What’s Typically Included in a Consultation Fee
A standard private gynaecology consultation in London usually includes:
- Time with the consultant (typically 30–45 minutes for an initial appointment)
- Detailed history-taking
- Examination if clinically appropriate
- Discussion of likely diagnosis and management options
- Written summary or letter to your NHS GP if requested
What is often not included in the consultation fee — and worth clarifying before booking:
- Pelvic ultrasound (often charged separately at £180–£300)
- Smear tests or HPV testing
- Blood tests (charged separately by the lab)
- Prescriptions or coil fittings
- Follow-up appointments
At AristoGp, the £270 Consultation + Pelvic Ultrasound package combines the consultation, examination, and same-day scan into one fee — which is why many patients with diagnostic concerns choose this option.
Why Prices Vary So Much
Several factors drive the wide range of London gynaecology prices:
- Location overheads — Harley Street rents are among the highest in the world, and this is reflected in consultation fees
- Consultant seniority — Professors and specialists in particular sub-fields (e.g. fertility, oncology, fetal medicine) typically charge more
- Sub-specialty focus — fertility specialists, urogynaecologists, and endometriosis surgeons are usually at the higher end of pricing
- Hospital affiliation — clinics within HCA, Bupa Cromwell, King Edward VII’s, or The London Clinic tend to charge premium rates
- Time allocated — some consultations are 20 minutes; others (like AristoGp) are 45 minutes
- What’s bundled — clinics that include ultrasound or follow-up appear cheaper per service
Common Procedures and Their Costs
Beyond the standard consultation, here are typical costs for procedures patients commonly ask about:
Cervical Screening (Smear Test)
Private smear tests in London cost £150–£270, with HPV testing usually included. The NHS provides free cervical screening every 3–5 years depending on age, but private testing is faster and gives same-day discussion of results. AristoGp pricing: £150 (test only) or £210 (with consultation). See our smear test page.
Pelvic Ultrasound
Standalone pelvic ultrasound in London is typically £180–£350. The wide range reflects whether the scan is performed by a sonographer or a consultant. AristoGp pricing for consultation + scan: £270, with the scan performed and interpreted by Dr Mermigka herself.
Coil (IUD/IUS) Fitting
Private coil fittings range from £300–£600 across London, including the device. Coil fittings are not currently a routine service at AristoGp — please contact us if you have a specific request.
Menopause Consultation and HRT Discussion
Menopause consultations in London are typically £250–£400. AristoGp menopause consultation: £200. This includes symptom assessment, discussion of HRT options where appropriate, and a written summary. See our menopause page.
Well Woman Check
A comprehensive Well Woman assessment in London costs £400–£800 depending on inclusions. AristoGp Well Woman Check: £340 — includes consultation, examination, baseline blood tests, and pelvic ultrasound. See our Well Woman page.
Insurance vs Self-Pay
If you have private medical insurance (Bupa, AXA, Aviva, Vitality, WPA, etc.), your gynaecology consultation may be covered. Things to check before booking:
- Does your policy cover outpatient consultations?
- Is there an excess on your policy?
- Is the consultant recognised by your insurer?
- Do you need a GP referral letter to claim?
- Is pre-authorisation required?
Self-paying is straightforward: pay at the time of booking or at the end of your consultation. No paperwork, no pre-authorisation, no referral. For many patients, the time saved on insurance admin makes self-pay the simpler option, particularly for one-off consultations.
Hidden Fees to Watch For
When comparing private clinic prices, ask these questions to avoid surprises:
- Is ultrasound charged separately from the consultation?
- Is there a fee for prescriptions or written letters?
- Are blood tests billed by the clinic or directly by the lab?
- Is there a follow-up fee, and how soon does it apply?
- Are there cancellation fees?
At AristoGp, our pricing is fully transparent and listed on the pricing page. There are no hidden booking fees, no separate radiologist charges, and no pressure to add unnecessary services.
How to Budget for Private Gynaecology Care
For a typical pathway from initial concern to diagnosis and management, expect to spend around:
- One-off consultation only: £180 (AristoGp)
- Consultation + diagnostic ultrasound: £270 (AristoGp)
- Consultation + ultrasound + follow-up: £370 (AristoGp)
- Comprehensive Well Woman assessment: £340 (AristoGp)
Most patients with a single concern (heavy periods, suspected fibroid, pelvic pain, abnormal smear) can complete their assessment for £270–£370. Complex or recurring conditions may require ongoing care, and we discuss the cost of any planned follow-up clearly at each appointment.
About AristoGp: Private GP & Gynaecology Clinic in Central London
AristoGp is a private gynaecology and GP clinic in Central London EC1, run by Dr Anastasia Mermigka (Consultant Gynaecologist, GMC 7640566) and Dr Georgios Schoinas (GP MRCGP, GMC 7632510). Located at 1-5 Portpool Lane, EC1N 7UU — five minutes from Chancery Lane Underground station. Multilingual care: English, Greek, Italian, Bulgarian. Online booking 24/7, same-week availability.
Frequently Asked Questions
How much is a private gynaecologist consultation in London?
Private gynaecology consultations in London typically range from £180 to £400. Higher prices reflect Harley Street locations, hospital-based clinics, or sub-specialist consultants. AristoGp consultation fee is £180 for an initial 45-minute appointment, or £270 with same-day pelvic ultrasound.
Is private gynaecology covered by health insurance?
Most UK private medical insurance policies (Bupa, AXA, Aviva, Vitality) cover gynaecology consultations. You will usually need a GP referral letter and pre-authorisation. Self-paying avoids the paperwork and is often simpler for one-off consultations.
Why is AristoGp cheaper than Harley Street?
AristoGp is an independent clinic with one consultant gynaecologist and contained overheads, located in Central London but not on a premium-rent street. The pricing reflects this rather than a difference in clinical standards. Dr Mermigka is GMC-registered and CQC-regulated, with the same training as consultants at large Harley Street clinics.
Are there hidden fees?
No. AristoGp pricing is fully transparent. The consultation fee covers the consultation; the package fee for consultation + ultrasound is a single price. There are no separate radiologist fees, no booking fees, and no pressure to add services. Blood tests, if needed, are charged at lab cost.
Can I pay by card or do I need cash?
All major credit and debit cards are accepted. Payment is taken at the time of booking through the secure online booking system, or at the end of your consultation if you prefer to pay in person.
Book a Consultation at AristoGp
Book online with Dr Mermigka — transparent pricing, no GP referral required, same-week appointments available.

