Fitness & Wellness

Wellness spending has expanded from a gym membership into a complex multi-vendor ecosystem for many high-income households. Personal training, boutique fitness studios, functional medicine practitioners, recovery services, wellness retreats, and the growing biohacking market each carry their own cost structure — and for households committed to optimizing health and performance, the total can rival a significant vacation budget.

Personal training in major cities runs $100–$300 per session. Three sessions per week at the midpoint of that range — $200 per session — represents $31,200 annually before any gym or studio membership. Specialized coaches — strength and conditioning coaches, Pilates instructors, private yoga teachers — charge similarly. Households with multiple family members each working with their own trainer can easily reach $50,000–$80,000 in personal training spend alone.

Boutique studio memberships layer on top. Premium cycling studios (Equinox, SoulCycle unlimited), high-end Pilates reformer studios, and private yoga memberships run $300–$600 per month each. Equinox’s luxury gym membership costs $300–$500 per month in major markets. Stacked memberships for a household with two active adults can add $15,000–$25,000 annually.

Wellness retreats are a growing line item. A week at a destination wellness resort — Canyon Ranch, SHA Wellness Clinic in Spain, Six Senses — runs $5,000–$20,000 per person. Biohacking services (IV therapy, cryotherapy, hyperbaric oxygen, CGM monitoring programs) have become mainstream in affluent markets, with dedicated clinics offering membership programs at $3,000–$15,000 annually. For the medical dimension of health spending, see healthcare. The Affluent Living pillar covers the full picture.