Why Orthodontic Fees Vary Between Clinics

It often comes as a surprise to patients (and parents) that the cost of orthodontic treatment can vary significantly from one practice to another. If the goal is a straight smile and a healthy bite, shouldn’t the fee be about the same everywhere?

Not necessarily.

While the result might look similar on the surface, the path to get there—and the resources used along the way—can differ widely between practices. Let’s take a closer look at what factors influence orthodontic fees and why prices aren’t uniform across all providers.

Orthodontic fees cover much more than just braces.

Orthodontic treatment is more than just attaching brackets and wires. It’s a healthcare service involving advanced planning, precision, and long-term follow-up. Like any business, orthodontic practices must cover the costs of materials, staff, equipment, and facilities, not to mention staying up to date with ongoing training and technology.

Here’s what typically goes into the cost of treatment:

1. Technology, materials, and appliances used

The brackets and wires you see are only part of the equation. Behind the scenes, there’s a significant investment in tools, sterilisation systems, impression materials, 3D scanners, x-ray equipment, and lab services. Some practices also offer clear aligners (like Invisalign®), digital treatment planning, and advanced appliances that can reduce treatment time or improve comfort—these all add to the cost of care.

Higher-quality materials often translate into more efficient and comfortable treatment. For example, self-ligating brackets or custom-designed appliances may improve outcomes or reduce the number of appointments needed. However, they come at a higher cost to the practice, and that’s reflected in the fee.

2. Location and quality of the clinic environment

The cost of running a practice also varies depending on location and the type of facility. Clinics located in central areas or purpose-built healthcare spaces may have higher overheads. Practices that prioritise a welcoming, modern, and comfortable environment—including things like digital check-ins, entertainment in the waiting room, or private consultation areas—often have higher operating costs than more bare-bones facilities.

Patients may not always realise it, but things like wheelchair accessibility, energy-efficient design, and good ventilation systems also contribute to the overall standard of care and expense.

3. The team behind your treatment

Orthodontic care is delivered by more than just the specialist. Behind every great smile is a team of skilled clinicians, dental assistants, treatment coordinators, and reception staff.

Experienced staff not only contribute to better patient experiences, but they also improve efficiency and ensure that care is delivered safely and consistently. Practices that invest in training, mentoring, and staff retention will often have higher wage costs and better continuity of care.

On the other hand, clinics with high staff turnover or minimal support may have lower fees, but they may also struggle to offer the same level of service or attention to detail.

4. Time, complexity, and customisation of your case

No two orthodontic cases are the same. The time and expertise required to guide a mild crowding case through aligners are quite different from the treatment needed for complex bite correction involving elastics, growth modification, or surgery.

Orthodontic fees are usually tailored to reflect the complexity, expected duration, and appliances involved in your treatment. A simple six-month alignment case will naturally cost less than a two-year comprehensive case requiring several phases.

5. Sustainability and ongoing improvement

Finally, like any responsible business, orthodontic practices need to remain sustainable. That includes maintaining equipment, reinvesting in continuing education and emerging technologies, and having a buffer for unexpected costs. Practices that regularly update their systems and stay at the forefront of best practice may charge slightly more, but that often translates into safer, more efficient care for you or your child.

So, why does one orthodontist cost more than another?

In short, better materials, better technology, better facilities, and a better-trained team all add value, but they also increase costs.

When you’re comparing fees, it’s worth looking beyond just the dollar figure. Ask about the experience of the team, the types of appliances used, and what’s included in your quote (e.g., x-rays, retainers, emergencies, follow-up care). The cheapest option might not always offer the best value in the long run.

For context, the Australian Society of Orthodontists notes that the average cost of metal braces in Australia ranges between $6,000 and $9,000, depending on the individual case and practice location. You can read more about this on Orthodontics Australia’s website.

Still have questions about orthodontic costs or treatment options?

Feel free to contact us at Adelaide Orthodontics. We’re always happy to explain your options clearly—no pressure, no obligation.

Dr Sven