Free Interactive Tool

What does longevity actually cost?

From free to tens of thousands of dollars a year: what each budget adds, priced with the same estimates as our cost calculator and labelled with the evidence behind each item.

6
budget levels
28
items, each with an evidence label
0
medications in any level

What the evidence shows: The items with the most support on this page cost nothing: national activity guidelines, a large diet trial and decades of data on smoking. Spending more mostly buys supplements whose evidence in our database is early, negative or absent and tests that guidelines reserve for specific groups or advise against.

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What does each budget add?

Each level includes everything before it. Items show their yearly cost and the kind of evidence behind them.

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Answer 7 questions in the protocol builder.

Frequently Asked Questions

Is the free level enough?▾
It covers the items with the most support: the US activity guidelines,[1] the sleep recommendation of 7 or more hours,[2] a Mediterranean-style diet[3] and not smoking.[4] Whether you need more depends on your health and risks, which is a conversation for your clinician.
Which paid items have the best evidence?▾
Among the supplements here, creatine is rated Supported in our database for muscle strength with resistance training, and magnesium for blood pressure (a small effect). Among tests, the guideline-backed ones are colorectal cancer screening from 45 to 75,[5] bone density for women 65 and older,[6] a one-time Lp(a) test[7] and a calcium scan when a statin decision is uncertain.[8]
Do I need a longevity doctor?▾
Not to follow the guidelines on this page: a primary care physician can order the recommended screening, which insurance often covers. A prevention-focused physician is a self-paid option, and costs vary widely.
Where do the prices come from?▾
From the same price list as our cost calculator: rough U.S. estimates entered in early 2026 and not checked against current retailers. Use the calculator to change them to what you pay.

Method, limits and how to read your result

How it works

Each spending level adds items to the one before it, priced from the same list as our cost calculator, with each item labelled by the kind of evidence behind it.

Limits

Prices are rough US estimates and change over time. Higher spending does not buy stronger evidence: the cheapest level includes the best-supported habits, such as meeting the physical activity guidelines (reference 1).

How to read your result

Compare what each extra level adds with the evidence label beside it. Many people get most of the benefit from the first level.

How this page is built

Each level adds items to the one before it. Prices come from the same price list as our cost calculator: rough U.S. estimates entered in early 2026 and not checked against current retailers.

Evidence labels. Supplements show their rating from our Supplement Evidence Database. Other items show the kind of evidence behind them: "US guideline", "Expert consensus" or "Consensus" for formal recommendations, "Trial" for randomized trials, "Observational" for cohort studies that show links but not cause, and "Measurement", "Preventive care" or "Service" for items that measure or deliver something without a health claim of their own.

Sources. US guidelines advise 150 to 300 minutes of moderate activity a week, muscle strengthening on 2 or more days and, for older adults, balance training.[1] More daily steps were linked to lower mortality, up to about 6,000–8,000 steps a day at 60 and older and 8,000–10,000 below 60.[9] Adults should sleep 7 or more hours a night.[2] A Mediterranean diet with olive oil or nuts lowered major cardiovascular events in people at high risk.[3] Men who kept smoking died about 10 years younger than lifelong non-smokers.[4] Stronger social relationships were linked to a 50% higher likelihood of survival.[10] The screening items follow recommendations for colorectal cancer screening from 45 to 75,[5] testing Lp(a) at least once in adulthood,[7] a calcium scan when a statin decision is uncertain[8] and bone density for women 65 and older.[6] Higher cardiorespiratory fitness was linked to lower long-term mortality.[11] Vitamin D and magnesium are priced at or below their upper limits.[12,13] The American College of Radiology does not recommend whole-body screening for people without symptoms.[14]

References

  1. 1Piercy KL, et al. "The Physical Activity Guidelines for Americans." JAMA. 2018;320(19):2020-2028. PubMed · DOI
  2. 2Watson NF, et al. "Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society." J Clin Sleep Med. 2015;11(6):591-2. PubMed · DOI
  3. 3Estruch R, et al. "Primary Prevention of Cardiovascular Disease with a Mediterranean Diet Supplemented with Extra-Virgin Olive Oil or Nuts." N Engl J Med. 2018;378(25):e34. PubMed · DOI
  4. 4Doll R, et al. "Mortality in relation to smoking: 50 years' observations on male British doctors." BMJ. 2004;328(7455):1519. PubMed · DOI
  5. 5Davidson KW, et al. "Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement." JAMA. 2021;325(19):1965-1977. PubMed · DOI
  6. 6Nicholson WK, et al. "Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Statement." JAMA. 2025;333(6):498-508. PubMed · DOI
  7. 7Kronenberg F, et al. "Lipoprotein(a) in atherosclerotic cardiovascular disease and aortic stenosis: a European Atherosclerosis Society consensus statement." Eur Heart J. 2022;43(39):3925-3946. PubMed · DOI
  8. 8Arnett DK, et al. "2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines." Circulation. 2019;140(11):e596-e646. PubMed · DOI
  9. 9Paluch AE, et al. "Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts." Lancet Public Health. 2022;7(3):e219-e228. PubMed · DOI
  10. 10Holt-Lunstad J, et al. "Social relationships and mortality risk: a meta-analytic review." PLoS Med. 2010;7(7):e1000316. PubMed · DOI
  11. 11Mandsager K, et al. "Association of Cardiorespiratory Fitness With Long-term Mortality Among Adults Undergoing Exercise Treadmill Testing." JAMA Netw Open. 2018;1(6):e183605. PubMed · DOI
  12. 12NIH Office of Dietary Supplements. "Vitamin D: Fact Sheet for Health Professionals." Accessed October 2, 2026. Source
  13. 13NIH Office of Dietary Supplements. "Magnesium: Fact Sheet for Health Professionals." Accessed October 2, 2026. Source
  14. 14American College of Radiology. "ACR Statement on Screening Total Body MRI (April 17, 2023)." Accessed October 2, 2026. Source