Exam, skin scrapes/cytology and initial treatment (Apoquel/Cytopoint). Ongoing meds are $60-$150/month.
Typical plans reimburse 80–90% after the deductible, for about $40–$85/month for a young dog.
| City | Typical range | Index |
|---|---|---|
| San Francisco CA | $355–$1,070 | |
| New York NY | $345–$1,035 | |
| San Jose CA | $330–$995 | |
| Los Angeles CA | $320–$955 | |
| Boston MA | $320–$955 | |
| Washington, DC DC | $320–$955 | |
| San Diego CA | $305–$920 | |
| Seattle WA | $305–$920 | |
| Chicago IL | $280–$840 | |
| Miami FL | $280–$840 | |
| Portland OR | $280–$840 | |
| Denver CO | $275–$825 | |
| Philadelphia PA | $270–$805 | |
| Austin TX | $260–$780 | |
| Minneapolis MN | $260–$780 | |
| Atlanta GA | $255–$765 | |
| Las Vegas NV | $250–$750 | |
| Dallas TX | $245–$740 | |
| Houston TX | $240–$725 | |
| Phoenix AZ | $240–$725 | |
| Nashville TN | $240–$725 | |
| Charlotte NC | $235–$710 | |
| Detroit MI | $230–$690 | |
| Columbus OH | $230–$690 | |
| San Antonio TX | $225–$675 |
Nationally $255–$765 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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