All-on-4 Dental Implants Cost (2026)
Quick answer: All-on-4 typically costs $18,000–$42,000 per arch, with a typical price around $26,000. Both arches usually run $36,000–$84,000. The quote should include four implants, abutments, a provisional prosthesis, and the final teeth — not just the implants.
What All-on-4 includes
| Line item | Included in a complete quote? |
|---|---|
| Four implants | Yes |
| Abutments | Yes |
| Provisional fixed prosthesis | Usually |
| Final prosthesis | Yes, but material varies |
| CBCT and surgical planning | Usually |
| Sedation | Often extra |
| Extractions | Often extra |
| Bone grafting | Sometimes needed; often extra |
The final prosthesis material is the biggest swing. An acrylic hybrid denture costs far less than a milled zirconia bridge. Ask which one is included.
All-on-4 vs All-on-6 vs denture
| All-on-4 | All-on-6 | Implant-supported denture | |
|---|---|---|---|
| Implants per arch | 4 | 6 | 2–4 |
| Cost per arch | $18,000–$42,000 | $24,000–$52,000 | $4,500–$11,000 |
| Fixed or removable | Fixed | Fixed | Removable |
| Bone requirements | Moderate; tilting avoids grafting in many cases | Higher | Lower |
| Best for | Full-arch replacement with limited bone | More bite force, more bone | Budget, or as a stepping stone |
All-on-4 was designed to avoid grafting by tilting the rear implants. That is why it can be cheaper than All-on-6 — and why bone quality still decides whether it is appropriate.
Why quotes vary so much
- Final prosthesis material. Acrylic vs zirconia can change the price by $8,000.
- Extractions and grafting. Removing remaining teeth or adding bone is often billed separately.
- Sedation. IV sedation for a longer surgical day adds cost.
- Implant brand. Premium vs value brands.
- Number of surgical visits. Some clinics do surgery and provisional in one day; others stage treatment.
- City. The same All-on-4 varies by more than $2,150 across our state sample.
Who is a candidate?
All-on-4 works best when:
- You are missing most or all teeth in one arch.
- You have enough bone, or the clinic can tilt implants to avoid grafting.
- You are healthy enough for surgery.
- You want a fixed prosthesis rather than a removable denture.
It is not a universal solution. Severe bone loss, uncontrolled diabetes, smoking, and certain medications can change the plan.
Cost by state and city
All-on-4 pricing is local. See median prices, Medicaid rules, and dental schools:
Want teeth on surgery day? See same-day implants.
Insurance and financing
Most dental plans treat All-on-4 as a major service and cap benefits at the annual maximum. Implants are often excluded. See does insurance cover implants? and full-mouth cost.
Financing is common: 0% healthcare cards, in-house plans, and personal loans. Compare APR, not the monthly payment: dental implant financing.
FAQ
How much does All-on-4 cost per arch?
$18,000–$42,000, with a typical price around $26,000.
Is All-on-4 cheaper than individual implants?
Usually yes for a full arch, because it uses four implants instead of one per tooth.
Does All-on-4 include the final teeth?
A complete quote does. Some low advertised prices include only the implants and provisional.
Is All-on-4 better than a denture?
It is fixed and restores more bite force, but it costs more and requires surgery. See implant vs denture.
How long does All-on-4 take?
Surgery is often one surgical day; final teeth are usually delivered after healing, around 4–6 months.
Can I get All-on-4 with minimal bone?
Sometimes, because the rear implants are tilted. Severe bone loss may require grafting or a different approach.
Sources
- Clinic quotes and published All-on-4 price lists collected 2026-10-20–2026-11-08.
- State Medicaid dental fee schedules.
- Our methodology.
Medical review
Reviewed by Dr. Li Wei, BDS, Attending Dentist on 2026-11-06.
Cost education only; not dental advice. Ask a licensed dentist whether All-on-4 fits your bone and health.
Last updated: 2026-11-08. Next update: 2027-02-08.
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