I have just started this process. I had my initial meeting with the doctor on Tueday.. I had a co-pay, but no other charges. The Nutrician/Dietician is $75 for the first vist, $40 for the next two months....as I have to show a three month supervised attempt with them. There is/was no $1000 fee though. My insurance cover on 85% of the cost, but I would assume I would pay that prior to the surgery.