The averages, the five factors that make your quote higher or lower, and how to bring the price down without hollowing out the coverage.
Pet insurance is more affordable than most people expect — but the "average" hides a wide range. Two dogs on the same street can be quoted very different premiums, and the same dog can cost half or double depending on the plan dials you pick. Here's what it really costs, what drives your number, and how to steer it.
Those are industry averages; your quote can land well above or below them. That's not the insurer being arbitrary — it's five specific factors doing the work.
1. Species and size. Dogs cost more than cats, and big dogs cost more than small ones — larger bodies mean higher drug doses, longer surgeries, and more expensive imaging. A Great Dane's bloat risk and a giant breed's joint problems are priced in from day one.
2. Breed. Insurers price on breed-level claim history. Breeds prone to expensive conditions — French Bulldogs (airway and spine), Great Danes (bloat), Golden Retrievers (cancer) — sit at the top of the range; historically hardy mixed breeds tend to sit lower. Look up how yours compares on the breed pages.
3. Age. This is the factor owners underestimate. Premiums rise every year at renewal because older pets claim more, and a pet enrolled at 8 starts at a much higher rate than one enrolled at 1 — with more exclusions, since anything diagnosed before enrollment is pre-existing. Some insurers also cap new accident-and-illness enrollment around age 14. That's why enrolling young is the single cheapest move available.
4. Location. Premiums track local vet prices, which track local cost of living. The same dog costs more to insure in a big coastal city than in a small town, because a $1,500 emergency visit there might be a $400 visit elsewhere — see the range on emergency vet costs.
5. Your plan dials. Deductible (commonly $250, with options), reimbursement rate (70/80/90%), and annual limit ($5,000 / $10,000 / unlimited). Every dial that shifts more risk to the insurer raises the premium: a $250-deductible, 90%, unlimited plan is the most expensive version of coverage; a higher-deductible, 70%, $5,000-limit plan is the cheapest.
The full list of levers, including the ones that backfire, is in how to save on pet insurance.
Try next: Estimate your premium · Cost by breed · Deductible & reimbursement math
On average, accident-and-illness coverage runs about $44–$56/month for dogs and $25–$32/month for cats in 2026 — roughly $528–$672 and $300–$384 a year. Your quote varies with breed, age, location, and the deductible, reimbursement rate, and annual limit you choose.
Larger dogs and breeds prone to costly conditions — like French Bulldogs, Great Danes, and Golden Retrievers — cost more to insure because breed-level claim history predicts expensive treatment. Age and local vet prices also push quotes up.
Yes. Premiums typically rise at each renewal because older pets claim more, and enrolling an older pet starts at a higher rate with more pre-existing exclusions. Some insurers also stop new accident-and-illness enrollment around age 14, though accident-only usually remains available.
Cat accident-and-illness coverage averages about $25–$32/month versus $44–$56 for dogs — roughly half. Cats generally generate fewer expensive orthopedic claims, which the pricing reflects.
Choose a higher deductible you could still afford, pick 80% instead of 90% reimbursement, right-size the annual limit, enroll while your pet is young, and ask about multi-pet or annual-payment discounts. Accident-only coverage is far cheaper at $10–$20/month, but it excludes all illness.
It sets your share of every covered bill after the deductible. On a $4,000 surgery with a $250 deductible, 90% returns $3,375 while 80% returns $3,000 — a $375 difference on that claim, in exchange for a higher premium every month.