Full dental with X-rays and multiple extractions, typical for older small breeds.
Typical plans reimburse 80–90% after the deductible, for about $38–$80/month for a young dog.
| City | Typical range | Index |
|---|---|---|
| San Francisco CA | $1,785–$4,165 | |
| New York NY | $1,720–$4,015 | |
| San Jose CA | $1,660–$3,870 | |
| Los Angeles CA | $1,595–$3,720 | |
| Boston MA | $1,595–$3,720 | |
| Washington, DC DC | $1,595–$3,720 | |
| San Diego CA | $1,530–$3,570 | |
| Seattle WA | $1,530–$3,570 | |
| Sacramento CA | $1,505–$3,510 | |
| Chicago IL | $1,400–$3,275 | |
| Miami FL | $1,400–$3,275 | |
| Portland OR | $1,400–$3,275 | |
| Denver CO | $1,375–$3,215 | |
| Philadelphia PA | $1,340–$3,125 | |
| Tampa FL | $1,315–$3,065 | |
| Austin TX | $1,300–$3,035 | |
| Minneapolis MN | $1,300–$3,035 | |
| Salt Lake City UT | $1,300–$3,035 | |
| Raleigh NC | $1,300–$3,035 | |
| Atlanta GA | $1,275–$2,975 | |
| Richmond VA | $1,275–$2,975 | |
| Las Vegas NV | $1,250–$2,915 | |
| Milwaukee WI | $1,250–$2,915 | |
| Boise ID | $1,250–$2,915 | |
| Dallas TX | $1,235–$2,885 | |
| Pittsburgh PA | $1,235–$2,885 | |
| New Orleans LA | $1,235–$2,885 | |
| Kansas City MO | $1,225–$2,855 | |
| Buffalo NY | $1,225–$2,855 | |
| Houston TX | $1,210–$2,825 | |
| Phoenix AZ | $1,210–$2,825 | |
| Nashville TN | $1,210–$2,825 | |
| Cleveland OH | $1,200–$2,795 | |
| Charlotte NC | $1,185–$2,765 | |
| Albuquerque NM | $1,185–$2,765 | |
| Oklahoma City OK | $1,175–$2,735 | |
| Detroit MI | $1,150–$2,680 | |
| Columbus OH | $1,150–$2,680 | |
| San Antonio TX | $1,120–$2,620 |
Nationally $1,275–$2,975 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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