All-on-4 Dental Implants Cost: 2026 U.S. Prices, Full Mouth and by State

All-on-4 cost: one arch vs. a full mouth

All-on-4 replaces every tooth in one jaw with a fixed bridge held by four implants. The bridge is held permanently in place, unlike a removable denture (CareCredit). Synchrony's cost study, run in all 50 states and D.C., puts the national average at $15,176, with prices from $11,640 to $27,500 (CareCredit).

All-on-4 is done one arch at a time: the upper jaw, the lower jaw, or both. A quote for "full mouth dental implants" may mean one arch or both jaws, so it is the first thing to check. If you need new teeth top and bottom, you are paying for two arches, and two sets of implants and bridges.

Another full-arch option, 3-on-6, averages $12,474 in Synchrony's implant data (CareCredit). For prices of single implants, crowns and implant bridges, see our separate guide to dental implant costs.

Acrylic vs. zirconia teeth

The material of the final bridge is one of the biggest choices in an All-on-4 quote. CareCredit describes the main options (CareCredit):

• Acrylic on a titanium bar. Comfortable while the gums heal, but it wears faster. It is often used for the temporary bridge you wear for the first months.
• Zirconia. Strong, resists stains and looks natural. Some providers prefer it for its durability, and a bridge is less likely to fracture with zirconia.
• Nano-ceramics. Light and natural-looking, but less strong than zirconia.
• Porcelain fused to metal. Once common, but heavier, costlier and hard to repair when chipped.

We could not find a reliable national source that gives separate U.S. prices for acrylic and zirconia arches, so ask each dentist to price both in writing.

All-on-4 cost by state

The table above gives Synchrony's average for every state. The highest are Hawaii ($22,989), Washington, D.C. ($19,271), California ($19,260) and Alaska ($18,349). The lowest are Mississippi ($12,642), Oklahoma ($12,901) and Alabama ($13,014). Texas averages $13,720, Florida $15,132 and New York $16,264 (CareCredit).

What else can be on the bill

An All-on-4 price often depends on what has to happen before the implants go in. Synchrony's 2026 dental survey gives these average prices for common extras (CareCredit):

Any teeth left in the jaw have to be extracted first, which may be done on the day of surgery (CareCredit), and each extraction adds to the bill. The final bridge goes on only after the jaw has healed around the implants, which takes a few months (CareCredit). Ask whether the temporary teeth and the final bridge are both in the price.

Does insurance cover All-on-4?

Usually not in full. Most plans treat All-on-4 as cosmetic or elective. A dental plan that covers major restorative work may pay for part of it, and health insurance may help if your dentist shows the treatment is medically necessary (CareCredit).

Even then, the numbers are small next to the price. Most dental plans pay about 50% of major procedures such as crowns, bridges and implants (Delta Dental), but stop at an annual maximum that usually ranges from $1,000 to $2,000 (Delta Dental). Major work often has a waiting period of 6, 12 or 24 months on a new plan (Delta Dental).

Original Medicare does not cover dentures or implants in most cases (Medicare.gov). Some Medicare Advantage plans include dental benefits, so check yours.

HSA, FSA and financing

The IRS lists dental treatment and artificial teeth as medical expenses (IRS Publication 502), so All-on-4 to replace missing teeth can generally be paid from an HSA or FSA. Confirm with your plan administrator, especially if any part of the work is cosmetic. A medical credit card such as CareCredit is another option (CareCredit); read the interest terms before you sign.

Cheaper alternatives in the U.S.

If a fixed arch is out of reach, a removable option on fewer implants may cost less. In Synchrony's 2026 dental survey, snap-on, implant-retained dentures average $2,540, removable overdentures $3,205, and full traditional dentures $2,022; implant-supported dentures average $4,093 per implant (CareCredit). Removable options come out for cleaning, while an All-on-4 bridge stays in place (CareCredit). Compare the options in snap-on dentures vs. All-on-4 and All-on-4 vs. individual implants.

What changes if you get All-on-4 abroad

The table above shows what clinics listed on xcuro quote for All-on-4 abroad. Before you compare, plan for:

• Two trips. Implants and temporary teeth often go in on the first visit; the final bridge comes months later, once the bone has healed (CareCredit). Ask whether the second trip is in the price.
• Problems after you get home. Infections can show up soon after surgery or years later, and implants can break, especially if you grind your teeth (CareCredit). Find a U.S. dentist willing to see you before you go; care for complications at home can be expensive and might not be covered (CDC).
• Records. Get copies of all your records before you leave (CDC), including the CT scan, X-rays and the implant brand and sizes, so another dentist can repair or adjust the bridge later.

Read our All-on-4 in Mexico guide and is it safe to get dental implants in Mexico?.

How to compare All-on-4 quotes

1. Ask whether the price is per arch or for both jaws.
2. Ask what the final bridge is made of (acrylic, zirconia or other) and whether the temporary bridge is included.
3. Ask whether extractions, the CT scan, anesthesia and bone grafting are included.
4. Ask which implant brand is used and for how many implants per arch.
5. Ask about the warranty for implants and the bridge, and what a broken bridge costs to fix.
6. Check what your dental plan, HSA or FSA will pay, and read the terms of any financing.