All on 4 Dental Implants Cost: Prices With & Without Insurance

All-on-4 is a full-arch approach: a set of replacement teeth is attached to four implants placed in one jaw. Because the price covers a whole arch of teeth plus the implants, the numbers are much larger than for a single implant, and they are usually quoted one jaw at a time.

Every figure on this page is per arch, not per mouth. If you need both the upper and lower jaw treated, both arches cost more than one, so ask the practice for a written total instead of doubling a number from a guide. Prices below come from published guides and carry a check date of Oct 12, 2026.

Guides do not agree, and the gaps are wide. The differences may come from how each source defines the treatment, which material the replacement teeth are made of, whether imaging, extractions, and sedation are counted, and which regions the data covers.

These are ranges. A practice in a high-cost metro area may sit near the top of a range, and one that bundles extractions or a temporary set of teeth into a single fee will look pricier than one that lists them separately.

A quote for an all-on-4 arch can include several separate pieces. Ask for each one by name so you can compare offers fairly:

• The implants themselves, typically four per arch in this approach.
• The surgery fee and the facility fee.
• Anesthesia or sedation, if it is billed separately.
• Extractions of remaining teeth, when they are needed.
• A temporary set of teeth worn during healing, followed by the final set.
• Imaging and the initial consultation.
• Follow-up visits and any adjustments.

Whether a bone graft is needed, and whether it is included, is a clinical decision for a licensed dentist or oral surgeon. If one is recommended, ask how it changes the quote.

• Final teeth material. Acrylic, hybrid, and zirconia options are priced differently. Your dentist can explain what each is made of.
• Location. Fees vary by region and by the cost of running a practice.
• Who does the work. An oral surgeon, a periodontist, and a general dentist with implant training may set different fees.
• Preparation work. Extractions, grafting, or treating other dental problems first adds to the total.
• Sedation choice. Local anesthesia, oral sedation, and IV sedation are billed differently.
• Lab and materials. The dental lab that makes your teeth and the implant brand used both affect price.

All-on-4 is one of several ways to replace a full arch. The prices below are also per arch. Which option fits your mouth is a question for a licensed dentist; this section only shows how the costs compare.

The wide ranges here, especially for implant-retained dentures, reflect how different the designs are. Removable options generally cost less than fixed ones, but they are a different product. Compare what you would actually receive, not just the price.

Dental insurance often treats implants differently from fillings or cleanings, and many plans cover little or none of an implant procedure. Some plans pay a portion of related services such as extractions, exams, or X-rays, and most plans cap what they pay in a year. Medical insurance rarely covers all-on-4 on its own, though a few cases tied to an injury or a medical condition may be reviewed.

Before you schedule, ask the practice to submit a pre-treatment estimate to your insurer. That gives you a written answer on what the plan pays, instead of an assumption.

Most practices that offer full-arch treatment also offer ways to spread the cost:

• In-office payment plans. Some practices offer their own installment plans, with or without interest.
• Third-party healthcare financing. Lenders such as CareCredit offer healthcare credit; read the rate and any deferred-interest terms carefully.
• HSA or FSA funds. Pre-tax health accounts can often be used for dental care. Check your plan rules.
• Dental school clinics. Some university programs offer treatment under faculty supervision, sometimes at lower fees, with longer timelines.

1. Is the price per arch, and what is the total for both arches?
2. What does it include: implants, surgery, sedation, temporary teeth, final teeth, follow-ups?
3. Are extractions or grafting priced separately?
4. What material is the final set made of?
5. What happens if a part fails, and what does the warranty cover?
6. Who performs the surgery, and where is it done?
7. Is there a fee if you cancel after the consultation or imaging?

Getting two or three written quotes in the same format makes the differences easy to see.