The full first-year set: 3 rounds of DA2PP plus rabies, usually bundled with exams.
| City | Typical range | Index |
|---|---|---|
| San Francisco CA | $300–$535 | |
| New York NY | $285–$515 | |
| San Jose CA | $275–$495 | |
| Los Angeles CA | $265–$480 | |
| Boston MA | $265–$480 | |
| Washington, DC DC | $265–$480 | |
| San Diego CA | $255–$460 | |
| Seattle WA | $255–$460 | |
| Sacramento CA | $250–$450 | |
| Chicago IL | $235–$420 | |
| Miami FL | $235–$420 | |
| Portland OR | $235–$420 | |
| Denver CO | $230–$415 | |
| Philadelphia PA | $225–$400 | |
| Tampa FL | $220–$395 | |
| Austin TX | $215–$390 | |
| Minneapolis MN | $215–$390 | |
| Salt Lake City UT | $215–$390 | |
| Raleigh NC | $215–$390 | |
| Atlanta GA | $210–$380 | |
| Richmond VA | $210–$380 | |
| Las Vegas NV | $210–$375 | |
| Milwaukee WI | $210–$375 | |
| Boise ID | $210–$375 | |
| Dallas TX | $205–$370 | |
| Pittsburgh PA | $205–$370 | |
| New Orleans LA | $205–$370 | |
| Kansas City MO | $205–$365 | |
| Buffalo NY | $205–$365 | |
| Houston TX | $200–$365 | |
| Phoenix AZ | $200–$365 | |
| Nashville TN | $200–$365 | |
| Cleveland OH | $200–$360 | |
| Charlotte NC | $200–$355 | |
| Albuquerque NM | $200–$355 | |
| Oklahoma City OK | $195–$350 | |
| Detroit MI | $190–$345 | |
| Columbus OH | $190–$345 | |
| San Antonio TX | $185–$335 |
Nationally $210–$380 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.
Usually not, unless you add a wellness/routine-care rider.
One email when American vet prices move or a recall hits. No spam.