Dental & oral health
What All-on-4 Implants Cost, State by State
SaveA full arch of fixed teeth on four implants is a five-figure decision made almost entirely out of pocket. This guide explains what a complete quote includes, what moves it up and down, and what each state's own range looked like.
Last updated: August 2026History
What a full-arch quote actually covers
Most of an All-on-4 fee is not the four titanium fixtures. It is the surgical day, the sedation, the healing period, and the engineered bridge built on top — which is why a quote well below a state's range almost always describes a stripped package (one arch, an acrylic bridge, extractions and sedation billed separately) and a quote well above it usually reflects a zirconia final bridge, extensive grafting, or both.
Ask for the quote in writing, itemized into five lines: imaging and surgical planning, extractions, implant placement, the provisional bridge worn during healing, and the definitive bridge. Two quotes are only comparable once both are broken out that way.
What All-on-4 costs by state
Each row is that state's own published summary, consolidated here rather than kept on a separate page. These are market ranges for sanity-checking a quote, not price lists — every practice sets its own fee.
| State | What the state's own guide reported |
|---|---|
| Alabama | All-on-4 treatment in Alabama most often runs $16,000 to $28,000 per arch, and $32,000 to $52,000 for both jaws — toward the lower end of national ranges, reflecting Alabama's overall cost of living. |
| Alaska | All-on-4 treatment in Alaska most often runs $20,000 to $34,000 per arch, and $40,000 to $62,000 for both jaws — above the national range, driven by the state's remoteness and higher costs for labor, shipping, and lab work. |
| Arizona | All-on-4 treatment in Arizona most often runs $17,000 to $29,000 per arch, and $34,000 to $56,000 for both jaws, in line with national ranges. AHCCCS, Arizona's Medicaid program, covers dental for adults only in a true emergency — extractions or infection care, capped at $1,000 per year — so a planned All-on-4 case gets no contribution from it at all. |
| Arkansas | All-on-4 treatment in Arkansas most often runs $15,000 to $27,000 per arch, and $30,000 to $50,000 for both jaws — toward the low end nationally. Arkansas Medicaid caps adult dental coverage at $500 per year, an amount that covers routine care but contributes essentially nothing toward a full-arch implant case, so the whole bill falls to insurance, savings, or financing. |
| California | All-on-4 treatment across California most often runs $18,000 to $34,000 per arch, and $36,000 to $64,000 for both jaws — a wider spread than almost any other state, since coastal metro fees sit far above Central Valley or Inland Empire fees for the identical procedure. Medi-Cal Dental covers a broader range of adult dental care than most states, but still excludes an elective full-arch implant prosthesis. |
| Colorado | All-on-4 treatment in Colorado most often runs $18,000 to $32,000 per arch, and $36,000 to $58,000 for both jaws, with Front Range metro fees running higher than mountain and rural counties. Health First Colorado, the state's Medicaid program, added a $3,000 annual dental benefit cap in mid-2026 — an amount that barely dents a full-arch case priced in the tens of thousands. |
| Connecticut | Full-arch All-on-4 treatment in Connecticut most often prices between $16,000 and $32,000 per arch — roughly $32,000 to $60,000 for both jaws — with Connecticut's high cost of living and its position between the New York and Boston healthcare markets pushing many quotes toward the upper half of that national range. |
| Delaware | In Delaware, a fixed All-on-4 arch typically prices between about $15,000 and $28,000, with both jaws commonly totaling $30,000 to $55,000. Delaware is one of the smallest and least populous states, which means fewer full-arch practices to compare locally — many residents weigh a Delaware quote against an offer from nearby Philadelphia or Baltimore before deciding where to have the surgery done. |
| Florida | In Florida, a fixed All-on-4 arch typically prices between about $14,000 and $27,000, with both jaws commonly totaling $28,000 to $52,000 — a range that runs slightly below several coastal states, driven down by heavy competition among the large number of practices that market full-arch treatment to Florida's outsized retiree population. |
| Georgia | In Georgia, a fixed All-on-4 arch typically prices between about $14,000 and $26,000, with both jaws commonly totaling $28,000 to $50,000 — a range shaped heavily by where in the state the surgery happens, since metro Atlanta concentrates most of Georgia's oral and maxillofacial surgeons and prosthodontists while large rural stretches of the state have very few. |
| Hawaii | In Hawaii, a fixed All-on-4 arch typically prices between about $19,000 and $36,000, with both jaws commonly totaling $38,000 to $65,000 — among the highest ranges in the country, driven by Hawaii's cost of living and by a market small enough that neighbor-island patients often fly to Oahu for the surgery itself. |
| Idaho | All-on-4 in Idaho lands in the same broad national range as full-arch implants everywhere else, but where you fall in that range depends on how many teeth need extracting, whether the jawbone needs grafting, and whether you're treated in Boise or travel in from a rural county. |
| Illinois | All-on-4 in Illinois costs about what it costs anywhere in the country — the total is driven by extractions, bone grafting, sedation, and prosthesis material far more than by state lines. |
| Indiana | All-on-4 in Indiana sits in the same national range as full-arch implants anywhere, driven mainly by how many teeth need extracting, whether bone grafting is required, and what the final prosthesis is made of. |
| Iowa | All-on-4 in Iowa falls in the same national range as full-arch implants anywhere, set mainly by extractions, bone grafting, sedation, and prosthesis material, not by state lines. |
| Kansas | All-on-4 in Kansas sits in the same national range as full-arch implants anywhere, set mainly by extractions, bone grafting, sedation, and prosthesis material rather than by state lines. |
| Kentucky | All-on-4 in Kentucky falls in the same national range as full-arch implants anywhere, set mainly by extractions, bone grafting, sedation, and prosthesis material, not by state lines. |
| Louisiana | All-on-4 treatment in Louisiana most often lands in the same broad national range — commonly $20,000 to $35,000 per arch — with Gulf South markets in New Orleans, Baton Rouge, and Shreveport typically pricing near or below coastal metros. |
| Maine | In Maine, All-on-4 treatment usually falls within the same national range seen elsewhere — commonly $20,000 to $35,000 per arch — but the number that actually reaches a patient depends heavily on distance: most oral surgeons and prosthodontists who do full-arch work practice in or near Portland, and residents of Aroostook County or Washington County may be quoted travel time as much as they are quoted a fee. |
| Maryland | In Maryland, All-on-4 treatment tends to sit at or above the commonly cited national range of $20,000 to $35,000 per arch, largely because the Baltimore-Washington corridor carries some of the highest healthcare wage and overhead costs in the country. |
| Massachusetts | Massachusetts All-on-4 quotes typically run at or above the commonly cited national range of $20,000 to $35,000 per arch, since Boston-area healthcare costs sit among the highest in the country. |
| Michigan | In Michigan, All-on-4 quotes generally fall within the commonly cited national range of $20,000 to $35,000 per arch, with Detroit-area and Grand Rapids-area practices typically pricing near the middle of that range. |
| Minnesota | Minnesota All-on-4 quotes generally fall within the commonly cited national range of $20,000 to $35,000 per arch, with the Minneapolis-St. Paul metro typically pricing near or slightly above the middle of that range and Greater Minnesota often running lower. |
| Mississippi | All-on-4 treatment in Mississippi is commonly quoted between about $19,000 and $45,000 per arch, with most quotes landing closer to the middle. Bone grafting, the final bridge material, and sedation move that number more than geography does. |
| Missouri | All-on-4 treatment in Missouri is commonly quoted between about $18,000 and $42,000 per arch, with most completed cases landing in the middle third of that range. |
| Montana | All-on-4 treatment in Montana is commonly quoted between about $20,000 and $46,000 per arch, tracking the national range with a modest premium tied to the state's remoteness. |
| Nebraska | All-on-4 treatment in Nebraska is commonly quoted between about $19,000 and $44,000 per arch, close to the national range. Nebraska's population, and its oral surgeons and prosthodontists, concentrate heavily in the Omaha-Lincoln corridor in the state's east, while the Panhandle and Sandhills to the west have very few specialists, so a patient's starting price often has as much to do with which side of the state they live on as with the treatment itself. |
| Nevada | All-on-4 treatment in Nevada is commonly quoted between about $18,000 and $46,000 per arch, tracking the national range with an unusually heavy amount of advertising around the low end. |
| New Hampshire | All-on-4 treatment in New Hampshire is commonly quoted between about $21,000 and $48,000 per arch, running a bit above the national average because so much of the state's dental market sits inside the high-cost Boston metro's orbit. |
| New Jersey | All-on-4 treatment in New Jersey most often runs $19,000 to $32,000 per arch, and $38,000 to $60,000 for both jaws — among the higher state ranges nationally, since overhead tracks the New York and Philadelphia metro markets that bracket the state. |
| New Mexico | All-on-4 treatment in New Mexico typically costs $15,000 to $26,000 per arch, and $30,000 to $50,000 for both jaws — below the national middle, in line with the state's lower overall cost of living. |
| New York | All-on-4 treatment in New York City most often runs $21,000 to $36,000 per arch, among the highest prices in the country, while upstate cities like Buffalo, Rochester, and Syracuse typically run $15,000 to $25,000 — a spread wider than almost any other state carries within its own borders. |
| North Carolina | All-on-4 treatment in North Carolina most often runs $16,500 to $27,500 per arch, and $33,000 to $54,000 for both jaws — near the middle of the national range. |
| North Dakota | In North Dakota, a full arch of All-on-4 dental implants commonly runs about $20,000 to $35,000, and a full mouth — both arches — often reaches $40,000 to $60,000 or more. |
| Ohio | All-on-4 treatment in Ohio typically costs $15,500 to $27,000 per arch, and $31,000 to $53,000 for both jaws — below the national middle, helped by genuine competition among several major metro areas. |
| Oklahoma | All-on-4 in Oklahoma follows the same national cost structure as everywhere else — a full-arch implant bridge most often quoted in the $16,000 to $30,000 per-arch range — but Oklahoma's below-average cost of living tends to pull quotes toward the lower half of that range in Oklahoma City and Tulsa, and lower still outside those two metro areas. |
| Oregon | All-on-4 in Oregon tends to price above the national middle: the cost of living in the Portland metro area pushes most quotes toward the upper half of the commonly cited $16,000-to-$30,000-per-arch range, while eastern Oregon's frontier counties have fewer providers and less price competition. |
| Pennsylvania | All-on-4 in Pennsylvania spans an unusually wide range because the state itself does: fees in Philadelphia and Pittsburgh sit well above the commonly cited $16,000-to-$30,000-per-arch national figure, while large stretches of rural Pennsylvania price closer to the bottom of it. |
| Rhode Island | All-on-4 in Rhode Island tends to price in the upper half of the commonly cited $16,000-to-$30,000-per-arch national range, since the whole state sits inside the costly Providence-to-Boston corridor with no lower-cost rural pocket to pull the average down. |
| South Carolina | All-on-4 in South Carolina tends to price in the lower half of the commonly cited $16,000-to-$30,000-per-arch national range around Columbia and the Upstate, though Charleston's growing coastal market runs closer to the middle. |
| South Dakota | All-on-4 in South Dakota often lands close to the national middle of the commonly cited $16,000-to-$30,000-per-arch range: the state's low cost of living pulls fees down, but a genuinely rural, frontier provider network with little competition pulls them back up. |
| Tennessee | All-on-4 implants in Tennessee typically run from the high five figures to well over $60,000 for a full mouth, split roughly evenly between the upper and lower arch. |
| Texas | All-on-4 implants in Texas generally cost $17,000 to $28,000 per arch, so a full mouth runs roughly $34,000 to $56,000 before financing, with the total driven mainly by bone-graft need, implant material, and whether an oral surgeon and prosthodontist are working together. |
| Utah | What an All-on-4 restoration costs in Utah depends mostly on three things: how many remaining teeth need extracting, whether the jawbone needs a bone graft before implants can be placed, and whether the final bridge is acrylic or zirconia. Utah Medicaid's 2025 adult dental expansion still excludes implants, so most Utahns pay for All-on-4 privately, and the only way to get a number specific to a single case is a written treatment plan from the surgeon and prosthodontist doing the work. |
| Vermont | What an All-on-4 restoration costs in Vermont depends mostly on how many teeth need extracting, whether the jawbone needs a bone graft before implants can be placed, and whether the final bridge is acrylic or zirconia — the same factors that drive the price everywhere. |
| Virginia | What an All-on-4 restoration costs in Virginia depends mostly on how many teeth need extracting, whether the jawbone needs a bone graft before implants can be placed, and whether the final bridge is acrylic or zirconia. |
| Washington | What an All-on-4 restoration costs in Washington depends mostly on how many teeth need extracting, whether the jawbone needs a bone graft before implants can be placed, and whether the final bridge is acrylic or zirconia. |
| West Virginia | All-on-4 treatment in West Virginia most often runs $17,000 to $28,000 per arch, and roughly $32,000 to $50,000 for a full mouth — toward the low end of the national range, tracking the state's cost of living, among the lowest in the country. |
| Wisconsin | All-on-4 treatment in Wisconsin most often runs $19,000 to $33,000 per arch, and $36,000 to $58,000 for both jaws — close to the national middle, with Milwaukee and Madison-area practices pricing near or above that range and much of rural Wisconsin below it. |
| Wyoming | All-on-4 treatment in Wyoming most often runs $20,000 to $36,000 per arch, and $38,000 to $62,000 for both jaws — near the national range, with a modest premium in some cases tied to the state's remoteness rather than its cost of living. |
Every figure above is carried across from the state guide it came from, unchanged — the $18,000 in the California row is California's own published figure. Where a row quotes a national range or median instead of a figure of its own, that is the state page's own wording carried across with it — no state has a state-specific survey figure invented for it here. The sources behind these numbers are listed at the end of this guide 1Ref 1American Association of Oral and Maxillofacial Surgeons (2024).How Do Dental Implants Work?.Source carried forward from the state pages consolidated here; it is cited by 50 of them..
Why the number changes at a state line
Dental fees track overhead: commercial rent, staff wages, and how many surgical practices compete inside a drive. States with several large metros tend to sit lower than their cost of living alone would predict, because competition is real there; rural states often price higher than expected because the nearest oral surgeon is a long drive and there is no second quote to get.
Medicaid is a near-constant across the table: adult dental benefits vary enormously by state, but a full-arch implant prosthesis is outside all of them as routine care.
Testing a quote against the band
Find your state, then treat its range as the band a fair quote should land inside. If your quote sits outside it, the difference is usually scope, not gouging — ask which of the five line items above is in or out. Getting a second opinion in the nearest large metro is often worth the drive on a five-figure case.
Related: what one implant costs · what a full denture set costs.
Common questions
Related
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Say it back
How would you explain this to someone you love?
Two or three sentences, just as you’d say it. Gale reflects back what you focused on — a mirror, not a quiz.
When a Dental Implant Problem Needs Prompt Attention
- —Facial swelling that spreads toward the eye or under the jaw, especially with fever
- —Numbness of the lip or chin that persists after surgery
- —An implant site that drains pus, or a bridge that becomes loose or shifts
Spreading facial swelling with fever, or any trouble breathing or swallowing, is a medical emergency: call 911 or go to the nearest emergency department.
This article covers typical All-on-4 price ranges and coverage patterns. It is general information, not dental advice; prices and Medicaid rules change, so confirm current details with a licensed dentist or oral surgeon and with your own plan.
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References
- 1.American Association of Oral and Maxillofacial Surgeons (2024). How Do Dental Implants Work?. AAOMS (MyOMS). link ✓Source carried forward from the state pages consolidated here; it is cited by 50 of them.
- 2.American College of Prosthodontists (2024). Position Statement: Dental Implants. American College of Prosthodontists. link ✓Source carried forward from the state pages consolidated here; it is cited by 50 of them.
- 3.American Association of Oral and Maxillofacial Surgeons (2024). Dental Implant Surgery. AAOMS (MyOMS). link ✓Source carried forward from the state pages consolidated here; it is cited by 49 of them.
- 4.American Dental Association, Health Policy Institute (2024). Coverage, Access & Outcomes. ADA Health Policy Institute. link ✓Source carried forward from the state pages consolidated here; it is cited by 44 of them.
- 5.Health Resources and Services Administration (2024). Find a Health Center. HRSA. link ✓Source carried forward from the state pages consolidated here; it is cited by 44 of them.
- 6.FAIR Health (2024). FAIR Health Consumer Cost Lookup. FAIR Health (independent nonprofit). link ✓Source carried forward from the state pages consolidated here; it is cited by 43 of them.
6 sources, numbered by first appearance. General health information, not medical advice. AI-assisted editorial content — every citation independently verified. Editorial policy