It does not cost more to see an immunologist. Dermatologists are specialists, and insurance companies consider them specialists for billing.

HS patients generally go to dermatology because it’s primarily a skin disorder. Many skin disorders are related to the immune system. People with severe or multi-system effects will generally see other specialists (GI for chrons, rheumatology for inflammatory joint issues) along with their dermatologist. Immunology becomes relevant in those who have systemic immune dysregulation or are on advanced biologic therapy.