Tuesday, 8 September 2026 Independent · Evidence graded Index Q3 2026
Baseline
Preventive medicine, examined.
Outpatient day programme · Berlin, DE

YEARS

€1,900 to €16,900, per visit. Serving DE.

Price published Figures checked 2026-09-07 Index Q3 2026 Provider website

What it is

Three published tiers on one Berlin site, each delivered as a single supervised day. The tiers gate modalities rather than only depth, and the structure is worth reading closely: Core at €1,900 is a functional and laboratory workup with no imaging, no liquid biopsy and no genetics, built around spiroergometry, echocardiography, vascular ultrasound, cognition and lung function. Whole-body MRI and the multi-cancer liquid biopsy both arrive at Evolve, €7,600. Genome sequencing, epigenetic clocks and microbiome analysis arrive at Ultimate, €16,900. Two observations follow. Core is the most evidence-aligned entry tier in the Index, because it leads with the modality we grade highest and omits the one we grade C. And Evolve is the cheapest programme anywhere in the Index that includes whole-body MRI and an MCED test together, against $15,000 for the equivalent US tier at Biograph.

Published tiers

Core €1,900
Spiroergometry, ECG, echocardiogram, vascular ultrasound, cognition test, lung function, body composition scan, physician review. 87 biomarkers. No imaging, no liquid biopsy, no genetics. B Cardiopulmonary exercise test
Evolve €7,600
Everything in Core, plus 3T whole-body MRI and a multi-cancer liquid biopsy (MCED). 120+ biomarkers. One annual check-in. No full genome sequencing. B Cardiopulmonary exercise test C Whole-body MRI B- Multi-cancer early detection blood test
Ultimate €16,900
Everything in Evolve, plus genome sequencing, epigenetic clocks (DunedinPACE and GrimAge), microbiome analysis. 230+ biomarkers. Three annual check-ins. B Cardiopulmonary exercise test C Whole-body MRI B- Multi-cancer early detection blood test C Genomics and gene panels

The evidence behind what it offers

We grade tests, not companies. These are our standing assessments of the modalities this provider offers, and they apply identically to everyone offering them.

Baseline evidence grade C: Mechanistically plausible and widely used, but no trial evidence of net benefit in the screened population.
Whole-body MRI

No randomised trial has shown a mortality benefit in asymptomatic adults, and roughly a third of scanned people receive a critical or unresolved incidental finding.

Baseline evidence grade B-: Promising trial evidence that does not yet reach a hard outcome, or a single registrational study without independent replication.
Multi-cancer early detection blood test

Episode sensitivity of 39.3% across all cancers with 99.6% specificity in PATHFINDER 2. The most defensible blood-based addition available, with mortality benefit still unproven.

Baseline evidence grade B: Consistent evidence of benefit, but from trials with surrogate endpoints, single trials, or strong longitudinal cohorts.
Cardiopulmonary exercise test

Cardiorespiratory fitness carries one of the strongest mortality associations of anything measurable, with no observed upper limit of benefit. The best-evidenced measurement in the category.

Baseline evidence grade C: Mechanistically plausible and widely used, but no trial evidence of net benefit in the screened population.
Genomics and gene panels

Plausible and widely sold, with no trial evidence of net benefit from untargeted sequencing in asymptomatic adults. Best value as a once-in-a-lifetime measurement rather than a recurring one.

How to read the price

Every private programme sells an addition to something you already have. In Germany that something is Check-up 35, free every three years from age 35, covering blood pressure, fasting glucose, a full lipid panel, urinalysis and a consultation. Those are the cheapest high-yield measurements in medicine and a meaningful share of people buying private programmes have never used them.

So the question is never whether YEARS beats nothing. It is what the increment buys. At €1,900 that increment is: Spiroergometry, ECG, echocardiogram, vascular ultrasound, cognition test, lung function, body composition scan, physician review. 87 biomarkers. The modalities in the higher tiers are a different purchase again, and worth separating: Evolve at €7,600, Ultimate at €16,900.

One detail is worth pulling out, because it is unusual and easy to miss on a price list. The entry tier leads with the measurement we grade highest of anything in this field, and omits the one we grade C. Most of the category is arranged the other way round, putting the photogenic unproven modality at the front door and the well-evidenced exercise test behind an upsell, if it appears at all. On price per evidenced modality that ordering is the right way up.

Against the free baseline
Check-up 35 €0
Core€1,900
Evolve€7,600
Ultimate€16,900

1 of 4 comparable entries cost less to enter.

What to ask before booking

  1. Which tier am I being quoted, and does it contain the modality I am booking for? YEARS publishes per-tier contents, so you can check the answer against its own price page before the consultation.
  2. What proportion of your patients receive an imaging finding that requires further investigation, and who owns the follow-up if mine does? Roughly a third of scanned people leave with something critical or unresolved, and the apparatus around the scan matters more than the scan.
  3. Will I get a full ergospirometry report with a ventilatory threshold, and will it be repeated so I can see whether training changed it? Fitness is the rare measurement that is both strongly prognostic and reliably modifiable, which makes the second test as valuable as the first.
  4. What happens after the report: is there a named physician who owns the follow-up, or does the responsibility return to my own doctor?
  5. What is the median total invoice, as opposed to the advertised programme price? Additional recommendations after the initial consultation are normal in this category and are not usually in the headline figure.

Profile

Nine attributes across three axes, recorded and not scored. We grade tests, never companies, so there is no total here and no winner: the axes pull against each other, and no provider in the Index holds all nine. A programme priced for annual repetition will not publish deep tier structures, and one that declines routine imaging cannot lead on imaging volume. Read it as a description of what this provider is.

What you can verify before contact

Checkable from the provider’s own site without medical knowledge, and without speaking to anybody.

  • Price published before contact : yes
  • Per-tier contents published : yes

    3 tiers itemised

  • Procedure volume published : no

Clinical structure

How the medicine is organised. These are descriptions rather than merits: a conservative imaging policy and a comprehensive one are both defensible positions.

  • Physician-led throughout : yes
  • Diagnosis independent of treatment : yes
  • Cardiopulmonary exercise testing : yes

    The measurement we grade highest, grade B

  • No routine whole-body imaging : no

    Routine imaging offered, which we grade C

Access

Whether the programme is realistically repeatable, and where you can get it.

  • Priced for annual repetition : no

    A baseline purchase rather than an annual habit

  • Available in more than one market : no

    DE only

Nearest comparable programmes
Everlab Melbourne, AU A$3,500
Preventicum Essen, DE ~€1,400
Q Bio San Francisco, US not published

Same model, closest entry prices. Compare within kind before across it: a per-visit fee and a per-week residential rate are not the same number. The full table →

Questions this article answers

How much does YEARS cost?
YEARS charges €1,900 per visit, rising to €16,900 for its highest published tier. The published tiers are Core at €1,900, Evolve at €7,600 and Ultimate at €16,900. Taken from the provider's own price page, checked 2026-09-07.
What is included in a YEARS programme?
Core, €1,900: Spiroergometry, ECG, echocardiogram, vascular ultrasound, cognition test, lung function, body composition scan, physician review. 87 biomarkers. No imaging, no liquid biopsy, no genetics. Evolve, €7,600: Everything in Core, plus 3T whole-body MRI and a multi-cancer liquid biopsy (MCED). 120+ biomarkers. One annual check-in. No full genome sequencing. Ultimate, €16,900: Everything in Evolve, plus genome sequencing, epigenetic clocks (DunedinPACE and GrimAge), microbiome analysis. 230+ biomarkers. Three annual check-ins. Biomarker count: 87 / 120+ / 230+. Delivered as a single day.
Is YEARS worth it compared with a free statutory check?
Check-up 35 (statutory, Germany) is free and covers the cheap high-yield basics: Physical examination, blood pressure, fasting glucose, total cholesterol with LDL, HDL and triglycerides, urinalysis, a one-off hepatitis B and C screen, and a consultation. What YEARS adds at €1,900 is the layer the statutory system does not fund at all. Its Core tier at €1,900 buys Spiroergometry, ECG, echocardiogram, vascular ultrasound, cognition test, lung function, body composition scan, physician review. 87 biomarkers. The significant addition is a cardiopulmonary exercise test, which carries the highest standing grade we award to anything in preventive screening: cardiorespiratory fitness has one of the strongest mortality associations of any measurable variable, with no observed upper limit of benefit, and it appears in fewer than half the programmes we catalogue. Whole-body MRI, Multi-cancer early detection blood test and Genomics and gene panels sit in the higher tiers rather than the entry one, so read the tier rather than the range. Our standing grade for each of these is on this page, so you can see which part of the increment the evidence supports before you decide.
Does YEARS include a whole-body MRI?
Yes, from the Evolve tier at €7,600 upward. The tiers below it do not include imaging. Our assessment of whole-body MRI screening is grade C: no randomised trial has shown a mortality benefit in asymptomatic adults, and roughly a third of scanned people receive a critical or unresolved incidental finding. A programme that reads the scan alongside bloods, function testing and a physician review on the same day handles that better than an imaging centre working alone.
Who is YEARS best for?
Somebody who wants one comprehensive baseline read by a physician in a single sitting, rather than a sequence of separate appointments. That structure matters most around the point in life where family history stops being abstract, and for anyone who has avoided medical contact for a decade. Whoever you are, use your statutory entitlement first: it is free, it covers the measurements with the longest outcome record, and a meaningful share of people buying private programmes have never had it.
How long does a YEARS appointment take?
It is delivered as a single day. Duration varies by tier, and the tier list on this page states what each one contains. A single-day format means the imaging, laboratory work and functional testing are read together rather than across separate appointments, which is the main practical argument for this model.
Will German health insurance cover YEARS?
Privately insured patients and those with supplementary cover can often recover part of the cost, depending on the policy and on whether individual items are billable under the GOÄ fee schedule. Statutory insurees pay out of pocket for anything beyond the Check-up 35 entitlement, because those items are individuelle Gesundheitsleistungen, or IGeL. Ask the provider for an itemised GOÄ estimate before booking rather than after, since that is the document your insurer will want.
What are the alternatives to YEARS?
On the same model and at the nearest prices: Everlab in Melbourne, AU from A$3,500, Preventicum in Essen, DE from ~€1,400 and Q Bio in San Francisco, US from not published. Compare within kind before across it, because a per-visit fee and a per-week residential rate are not the same number. The full comparison across all 16 providers we catalogue is in the Baseline Index.
Where is YEARS located?
YEARS is based in Berlin, DE. It operates as outpatient day programme, delivered in a single day.

This is a factual record rather than a review. We do not score or rank providers. If a figure here is wrong, send the published page that contradicts it and we will correct it and log the correction. Corrections policy.