Dental Cost Index logo Dental Cost Index

How much does a dental night guard cost?

The typical night guard cost is $336 (the median negotiated price), with the middle half of practices charging $285 to $382.

Hard night guard for grinding. A hard custom guard worn to protect teeth from grinding, made from an impression of your mouth.

Median negotiated
$336
observed midpoint
Middle half
$285 – $382
25th to 75th percentile
Practices
22,543
in the sample
Est. self-pay
$336 – $416
estimate, not observed

Night guard cost nationally

Prices cluster fairly tightly, from $285 to $382 across the middle half of the market, so shopping around saves less here than on larger treatments.

Observed dataObserved negotiated rates. Every figure here is a real negotiated amount taken from payer files published under the federal Transparency in Coverage rule. These are what a dental plan pays a contracted practice - not a cash price.
Estimated self-payEstimated self-pay range, not an observation. We do not have observed cash prices, and we will not present a modelled number as though we did. This range is the upper half of the same observed negotiated distribution, shown because an uninsured patient generally pays at or above the highest negotiated tier. Treat it as a budgeting aid and ask any practice for a written quote.

What it covers

A hard custom guard worn to protect teeth from grinding, made from an impression of your mouth.

What moves the price

Material, whether it is laboratory-made or in-house, and adjustment visits.

Normally included

The guard and initial fitting.

Usually billed separately

Replacements, and adjustments after the first visit.

How plans treat it

Coverage is inconsistent; some plans cover it, others classify it as excluded.

Night guard cost by state

Each bar is one state's observed distribution: the block is the middle half of the market, the vertical rule is the median, and the line reaching right runs out to the 90th percentile. The dashed line is the national median, so you can see at a glance which states sit above or below it.

Hard night guard for grinding: observed negotiated price by state

$0$100$200$300$400Arkansasn=168Nebraskan=151Iowan=176Indianan=404Michigann=559Louisianan=316District of Column=117Ohion=777Missourin=427Tennesseen=478Coloradon=507West Virginian=160Idahon=127Pennsylvanian=1,134
Middle half (25th–75th)MedianNational median

The same figures as a table, lowest median first. Only states with at least 15 practices are listed.

Negotiated columns are observed. The self-pay column is an estimate derived from the upper half of the same distribution — see methodology. Column headings sort the table.
State Negotiated range Observed MedianSpread Practices (n) Est. self-pay Estimated
Arkansas$240 – $350$283168$283 – $401
Nebraska$246 – $350$289151$289 – $394
Iowa$245 – $339$290176$290 – $386
Indiana$249 – $346$296404$296 – $395
Michigan$255 – $356$300559$300 – $396
Louisiana$262 – $374$305316$305 – $399
District of Columbia$265 – $351$306117$306 – $409
Ohio$246 – $372$308777$308 – $402
Missouri$268 – $366$310427$310 – $397
Tennessee$256 – $378$312478$312 – $394
Colorado$283 – $351$313507$313 – $387
West Virginia$257 – $384$315160$315 – $439
Idaho$254 – $353$316127$316 – $399
Pennsylvania$266 – $370$3171,134$317 – $407
Kansas$263 – $356$317219$317 – $393
North Dakota$255 – $395$31929$319 – $457
Alabama$240 – $378$322288$322 – $393
Georgia$285 – $372$322576$322 – $416
South Carolina$285 – $392$327265$327 – $436
Texas$285 – $373$3311,957$331 – $406
Massachusetts$286 – $376$331687$331 – $408
Illinois$285 – $372$332856$332 – $406
Maryland$285 – $372$333481$333 – $421
New York$288 – $379$3341,484$334 – $408
Hawaii$297 – $386$33550$335 – $414
New Jersey$293 – $386$336853$336 – $420
New Mexico$270 – $377$337136$337 – $413
Utah$294 – $401$338282$338 – $443
Florida$289 – $372$3381,443$338 – $410
Wisconsin$294 – $380$338317$338 – $417
Virginia$285 – $381$338620$338 – $413
Kentucky$250 – $386$339419$339 – $420
Nevada$294 – $388$341281$341 – $440
Vermont$310 – $391$34117$341 – $402
Arizona$297 – $390$342530$342 – $430
Mississippi$248 – $386$342163$342 – $438
Rhode Island$305 – $392$34252$342 – $419
Minnesota$276 – $378$346264$346 – $416
Wyoming$312 – $364$34838$348 – $394
Washington$319 – $396$349565$349 – $425
Oklahoma$274 – $378$350295$350 – $402
North Carolina$297 – $386$352640$352 – $430
Connecticut$294 – $408$354329$354 – $446
Delaware$312 – $398$35448$354 – $416
New Hampshire$315 – $409$35650$356 – $431
Oregon$315 – $391$364235$364 – $425
South Dakota$322 – $436$36628$366 – $444
California$328 – $409$3742,366$374 – $440
Montana$342 – $391$37447$374 – $444
Maine$320 – $452$38245$382 – $468
Alaska$360 – $415$38442$384 – $476
Puerto Rico$307 – $456$43923$439 – $461

Related treatments

Other treatments guide · All treatments · How this was measured

Common questions

What should I ask the practice before agreeing?

How long should this last, and what does a replacement cost?

Is this the price I will pay without insurance?

No. The $285 to $382 range above is what dental plans have negotiated with contracted practices. If you are uninsured you will generally be quoted at or above the top of that range. We show an estimated self-pay range, clearly marked as an estimate, because we do not observe cash prices — see the methodology.

What is not included in this price?

Replacements, and adjustments after the first visit.

How do dental plans usually treat this?

Coverage is inconsistent; some plans cover it, others classify it as excluded.

How many practices is this based on?

This national figure comes from 22,543 separate dental practices. Each practice contributes one observation, which is the median of every rate it holds for this treatment.