A chin implant, known clinically as mentoplasty, places a small silicone or porous polyethylene wedge over the chin bone through an incision either under the chin or inside the lower lip. It is quick, it is usually outpatient, and it is one of the least expensive structural changes you can make to a face.
It is also one of the least standardized purchases in cosmetic surgery. Chin augmentation is a low-volume operation: the American Society of Plastic Surgeons does not break it out at all in its 2025 Procedural Statistics Report, which tracks chin liposuction and 43,116 rhinoplasties but no chin implant line. Thin volume means thin price competition, and the quotes you collect will swing on three choices: an implant versus moving the bone, an off-the-shelf implant versus a custom one, and local anesthesia in an office versus general anesthesia in an operating room.
What Does a Chin Implant Cost Without Insurance?
Across the published prices below, budget $4,000 to $9,500 all-in at a typical U.S. practice as of August 2026, with premium urban practices running two to three times that.
| Service / Type | Low | Average | High |
|---|---|---|---|
| Chin augmentation, surgeon fee only (ASPS national average) | n/a | $3,641 | n/a |
| Chin implant surgery, national all-in (CareCredit) | $2,000 | $4,272 | $11,000 |
| Chin implant under local anesthesia (Seattle) | n/a | $4,500 | n/a |
| Chin implant under general anesthesia (Seattle) | n/a | $4,995 | n/a |
| Chin implant, published practice fee (Richmond VA) | n/a | $6,500 | n/a |
| Chin augmentation with custom implant (Dallas) | $7,500 | n/a | $9,500 |
| Chin implant, top of market (Manhattan) | n/a | $12,500 | n/a |
| Sliding genioplasty, all-in with hardware and general anesthesia (San Antonio) | $6,000 | n/a | $9,000 |
| Silicone implant procedure, priced by implant type (Atlanta) | $2,500 | n/a | $5,000 |
| Custom-fit implant, starting price (Atlanta) | n/a | $3,400 | n/a |
| Filler per syringe, the non-surgical alternative (Richmond VA) | $600 | n/a | $750 |
| Chin implant removal (Manhattan) | n/a | $10,000 | n/a |
| Rhinoplasty with chin implant, bundled starting price (Atlanta) | n/a | $15,700 | n/a |
| Anesthesia, per hour (Richmond VA) | n/a | $400 | n/a |
| Surgery center facility fee (Richmond VA) | $500 | n/a | $2,500 |
The national anchor comes from the American Society of Plastic Surgeons. Its chin surgery cost page, re-checked on September 2 2026, puts the national average surgeon fee for chin augmentation (mentoplasty) at $3,641 from the society’s latest statistics. That is a single average rather than a range, and it is a surgeon fee only. ASPS states plainly that the figure excludes anesthesia, operating room facilities, and other related expenses, which is why every published practice price below sits above it.
CareCredit’s national average for the finished procedure is $4,272, with a $2,000 to $11,000 spread that tracks geography more than technique. Its state averages run from $3,123 in Rhode Island to $5,667 in Oregon, a range narrow enough that where you live matters less here than which surgeon you pick.
Published practice prices are the more useful signal, and they cluster higher than the national averages: $4,500 to $4,995 in Seattle depending on anesthesia, $6,500 in suburban Richmond, $7,500 to $9,500 for a custom implant in Dallas, and $12,500 at a Manhattan practice. Treat $4,000 to $9,500 as the working all-in range and anything above $12,000 as a premium-brand quote rather than the market rate.
What Drives the Price
Implant versus moving the bone
These are two different operations sold under the same “chin augmentation” heading. An implant adds a device on top of the existing bone. A sliding genioplasty cuts the lower jaw’s chin segment and repositions it, then fixes it with titanium plates and screws.
The bone version costs more because it needs general anesthesia, an operating room, and hardware. Dr. Jose Barrera’s San Antonio practice quotes $6,000 to $9,000 for a sliding genioplasty and states that price includes the plates and screws, general anesthesia, facility or hospital fees, and the surgeon’s fee. Against published implant prices starting near $4,500, the bone route typically carries a premium of a couple thousand dollars.
Off-the-shelf versus custom
Georgia Plastic and Reconstructive Surgery breaks its chin implant pricing out by implant type: silicone at $2,500 to $5,000, Gore-Tex at $2,000 to $3,000 or more, Medpor at $2,000 to $7,000, and a custom-fit implant starting at $3,400. A custom implant is designed off a CT scan of your own jaw, which adds imaging and manufacturing to the bill.
Dr. Cocco’s published Dallas price of $7,500 to $9,500 is specifically for chin augmentation with a custom implant. If your quote is at the high end of the market, ask whether a custom device is the reason.
Anesthesia and where the surgery happens
Seattle Plastic Surgery’s published list prices the same chin implant at $4,500 under local anesthesia and $4,995 under general, a flat $495 gap for the anesthesia tier. Niamtu Cosmetic Facial Surgery in Richmond prices anesthesia separately at $400 per hour and its surgery center fee at $500 to $2,500.
Those numbers explain most of the difference between a $4,000 quote and an $8,000 one. An in-office procedure under local anesthesia skips a facility fee that can approach $2,500 on its own. Whether you are a candidate for the lighter option is a clinical question for your surgeon, but it is always worth asking for both quotes.
Whether you are buying it alone or bolting it on
Chin implants are very commonly done alongside a rhinoplasty or a neck lift, because chin projection changes how the nose and jawline read in profile. CareCredit notes the procedure is often done at the same time as a rhinoplasty for exactly that reason.
Bundling shares the anesthesia and the facility fee, so the marginal cost of adding the chin is much lower than the standalone price. Georgia Plastic publishes a rhinoplasty-with-chin-implant starting price of $15,700 and a chin-with-neck-liposuction starting price of $8,500. Dr. Cocco’s Dallas price list states outright that reduced fees are available when surgery is performed in combination with other procedures, and Niamtu’s fee page says some fees may be discounted when performed with a primary procedure.
For scale on what you would be adding it to, the ASPS national average surgeon fee is $7,637 for rhinoplasty and $7,885 for a neck lift, both of them surgeon fees that exclude anesthesia and the facility. Our rhinoplasty cost guide and neck lift cost guide cover how those quotes are structured.
Revision and removal
An implant is a device, and devices sometimes come out. Kassir Plastic Surgery in New York publishes $10,000 for chin implant removal against $12,500 for the original chin implant, which is the honest shape of this cost: removal is a second operation priced close to the first, not a warranty claim.
That is the strongest financial argument for asking about filler first. Filler dissolves or wears off. An implant that you dislike has to be surgically taken out at close to full price.
Cash Price vs. Insurance
There is no coverage angle for cosmetic chin augmentation. Aetna’s clinical policy bulletin on cosmetic surgery lists “chin implant (genioplasty, mentoplasty)” outright among the procedures it treats as cosmetic, and CareCredit notes that chin implant surgery is not usually covered because it is not deemed medically necessary. Purely cosmetic chin augmentation is also not an eligible HSA or FSA expense.
That has an upside for a self-pay shopper. There is no chargemaster, no network rate, and no surprise explanation of benefits six weeks later. Every number is a cash price quoted up front by a business that wants your deposit, which makes it far more negotiable than a hospital bill.
The risk sits on the financing side. A cosmetic procedure charged to a medical credit card is ordinary consumer debt, and none of the protections that attach to hospital billing apply if you fall behind. Our guide to medical bills in collections covers where those lines fall.
How to Pay Less
Get one all-in written number. Ask each practice for a single total naming the surgeon fee, the implant, anesthesia, the facility fee, pre-op labs, prescriptions, and follow-up visits. A $3,641 surgeon fee and a $6,500 all-in price can describe the same operation. Run both through our fair price checker before deciding.
Ask what the awake version costs. Seattle’s published gap between local and general anesthesia is roughly $500 on the surgeon’s side, and skipping an operating room saves a facility fee that Niamtu lists at $500 to $2,500. Most practices will not volunteer the cheaper setting unless you ask.
Ask whether the implant needs to be custom. A stock silicone or Medpor implant is a shelf item that the surgeon shapes during surgery. A custom implant adds a CT scan and a manufacturing fee, and Georgia Plastic’s own pricing shows the gap. If custom is being recommended, ask what specifically about your anatomy requires it.
Price filler honestly before you commit. Niamtu charges $600 per filler syringe and $750 per Voluma syringe, so a chin filler visit often lands well under $1,500. But CareCredit describes chin fillers as temporary, lasting up to about six months, so the recurring cost adds up fast. Our dermal filler cost guide has the per-syringe math, and our non-surgical rhinoplasty cost guide covers the same filler-versus-surgery tradeoff on the nose.
Bundle if facial surgery was already on your list. Combined-procedure discounts are published policy at multiple practices, and you pay the anesthesia and facility fee once instead of twice. If a nose or neck procedure is already planned, adding the chin at the same sitting is the single largest saving available on this operation.
Negotiate the quote and decline the deferred-interest card. Practices that push medical credit cards have margin to give up when you offer to pay cash. Our guide to negotiating medical bills has the language and our negotiation script has the call structure.
The Bottom Line
Budget $4,000 to $9,500 all-in for a chin implant as of August 2026. Under $4,000 you are almost certainly looking at a surgeon fee with anesthesia, the implant, and a facility charge still to come. Above $12,000 you are paying for a brand or a custom device, not a harder operation.
Ask every practice three questions: what the local anesthesia version costs, whether the implant is stock or custom, and what the price drops to if you combine it with the nose or neck work you were already considering. Those three answers account for nearly the entire spread on this procedure.