Diagnosis, insulin, glucose curves and monitoring across the first year.
Typical plans reimburse 80–90% after the deductible, for about $38–$80/month for a young cat.
| City | Typical range | Index |
|---|---|---|
| San Francisco CA | $1,430–$3,570 | |
| New York NY | $1,375–$3,440 | |
| San Jose CA | $1,325–$3,315 | |
| Los Angeles CA | $1,275–$3,190 | |
| Boston MA | $1,275–$3,190 | |
| Washington, DC DC | $1,275–$3,190 | |
| San Diego CA | $1,225–$3,060 | |
| Seattle WA | $1,225–$3,060 | |
| Sacramento CA | $1,205–$3,010 | |
| Chicago IL | $1,120–$2,805 | |
| Miami FL | $1,120–$2,805 | |
| Portland OR | $1,120–$2,805 | |
| Denver CO | $1,100–$2,755 | |
| Philadelphia PA | $1,070–$2,680 | |
| Tampa FL | $1,050–$2,625 | |
| Austin TX | $1,040–$2,600 | |
| Minneapolis MN | $1,040–$2,600 | |
| Salt Lake City UT | $1,040–$2,600 | |
| Raleigh NC | $1,040–$2,600 | |
| Atlanta GA | $1,020–$2,550 | |
| Richmond VA | $1,020–$2,550 | |
| Las Vegas NV | $1,000–$2,500 | |
| Milwaukee WI | $1,000–$2,500 | |
| Boise ID | $1,000–$2,500 | |
| Dallas TX | $990–$2,475 | |
| Pittsburgh PA | $990–$2,475 | |
| New Orleans LA | $990–$2,475 | |
| Kansas City MO | $980–$2,450 | |
| Buffalo NY | $980–$2,450 | |
| Houston TX | $970–$2,420 | |
| Phoenix AZ | $970–$2,420 | |
| Nashville TN | $970–$2,420 | |
| Cleveland OH | $960–$2,395 | |
| Charlotte NC | $950–$2,370 | |
| Albuquerque NM | $950–$2,370 | |
| Oklahoma City OK | $940–$2,345 | |
| Detroit MI | $920–$2,295 | |
| Columbus OH | $920–$2,295 | |
| San Antonio TX | $900–$2,245 |
Nationally $1,020–$2,550 in 2026. San Francisco is the most expensive city we track; San Antonio the least.
Rent, staff wages, equipment and competition. Big-city specialty hospitals can charge double what a rural clinic does for the same procedure.
Yes, on most accident-and-illness plans after the deductible.
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