Exam, ear cytology and medicated drops or a single-dose in-clinic treatment.
Typical plans reimburse 80–90% after the deductible, for about $40–$85/month for a young dog.
| City | Typical range | Index |
|---|---|---|
| San Francisco CA | $180–$415 | |
| New York NY | $170–$400 | |
| San Jose CA | $165–$385 | |
| Los Angeles CA | $160–$370 | |
| Boston MA | $160–$370 | |
| Washington, DC DC | $160–$370 | |
| San Diego CA | $155–$355 | |
| Seattle WA | $155–$355 | |
| Chicago IL | $140–$325 | |
| Miami FL | $140–$325 | |
| Portland OR | $140–$325 | |
| Denver CO | $140–$320 | |
| Philadelphia PA | $135–$310 | |
| Austin TX | $130–$305 | |
| Minneapolis MN | $130–$305 | |
| Atlanta GA | $130–$300 | |
| Las Vegas NV | $125–$290 | |
| Dallas TX | $125–$290 | |
| Houston TX | $120–$285 | |
| Phoenix AZ | $120–$285 | |
| Nashville TN | $120–$285 | |
| Charlotte NC | $120–$275 | |
| Detroit MI | $115–$270 | |
| Columbus OH | $115–$270 | |
| San Antonio TX | $110–$260 |
Nationally $130–$300 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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