Cruciate ligament tear (CCL) in dogs: treatment cost and insurance

Knee ligament rupture, usually repaired with TPLO surgery.

Labrador Retriever

What cruciate ligament tear (ccl) costs to treat

Treatment for cruciate ligament tear (ccl) typically runs $2,000 to $5,000 per episode in the US[1]. Where your bill lands depends on how advanced it is when diagnosed, whether it needs surgery or a specialist, and local vet prices.

What will it cost for your dog?

Pick your breed, age and ZIP code to see the estimated monthly price from the insurers we compare.

Model updated Sep 2026 · No phone calls · Independent

Does pet insurance cover cruciate ligament tear (ccl)?

All 8 insurers we compare cover hereditary and congenital conditions, as long as it is not pre-existing: if your dog showed signs before the policy started, or during the waiting period, it will be excluded. The practical rule is to enroll before any symptoms appear.

Joint and ligament conditions are where policies differ most. Some insurers apply a longer orthopedic waiting period, often around six months, before they cover problems like cruciate ligament tear (ccl). Check that clause before you buy, not after: orthopedic waiting periods by insurer and the bilateral exclusion.

These conditions often affect both sides of the body. Many insurers treat a problem in the second leg as pre-existing if the first one showed signs before enrollment, which is one more reason to insure young.

Compared by insurer: Pet insurance for hip dysplasia and cruciate tears · The bilateral exclusion in pet insurance

What you would pay on a cruciate ligament tear (ccl) bill

With an 80% reimbursement plan and a $250 deductible not yet used this year:

Out-of-pocket cost for a cruciate ligament tear (ccl) bill, 80% reimbursement, $250 deductible
Vet billInsurer paysYou payYou pay, uninsured
$2,000$1,400$600$2,000
$3,500$2,600$900$3,500
$5,000$3,800$1,200$5,000

Assumes the condition is covered and the bill is within the annual limit. How deductibles and reimbursement work.

Costs updated Sep 2026 · Where these numbers come from

Check how this applies to your breed

Breeds most at risk of cruciate ligament tear (ccl)

Most at risk first. Each breed page has its estimated premium and insurers.

Illness waiting periods, shortest first

A cruciate ligament tear (ccl) diagnosis during the waiting period counts as pre-existing, so this is how long you are exposed after buying.

Questions about cruciate ligament tear (ccl) and insurance

How much does cruciate ligament tear (ccl) treatment cost?

Typically $2,000 to $5,000 per episode in the US, before insurance.

Can I insure a dog that already has cruciate ligament tear (ccl)?

You can buy a policy, but cruciate ligament tear (ccl) itself will be excluded as pre-existing. It still covers new, unrelated accidents and illnesses. How pre-existing conditions work.

Which breeds get cruciate ligament tear (ccl) most?

Among the breeds we cover: Labrador Retriever, Rottweiler, German Shorthaired Pointer, Bernese Mountain Dog, Vizsla, and 9 more listed above.

Pre-existing condition. Anything diagnosed or showing symptoms before coverage starts or during the waiting period. No insurer we list covers it. More in the glossaryWaiting period. How long after the policy starts before accidents, and then illnesses, are covered. Anything that begins during the wait is excluded. More in the glossaryReimbursement. The share of an eligible vet bill the insurer pays back after your deductible. At 80%, a $1,000 covered bill returns $800. More in the glossaryDeductible. What you pay yourself before the insurer starts paying. Most reset every policy year; some insurers charge it once per condition. More in the glossaryHereditary and congenital. Conditions a dog inherits or is born with, like hip dysplasia. Covered only if they were not diagnosed or showing signs before you enrolled. More in the glossaryOrthopedic waiting period. A longer waiting period some insurers apply specifically to joint and ligament conditions, such as cruciate ligament tears, often around six months. More in the glossaryAnnual limit. The most the policy pays in one policy year. "Unlimited" means there is no yearly cap. More in the glossary

Sources

  1. TPLO Surgery for Dogs. MetLife Pet Insurance.
  2. Cruciate Ligament Rupture in Dogs. VCA Animal Hospitals.
  3. Risk factors for canine osteoarthritis and its predisposing arthropathies: a systematic review. Frontiers in Veterinary Science, 2020.
  4. 2005 BMDCA Health Survey: Summary of Data. Bernese Mountain Dog Club of America, 2005.
  5. Cranial Cruciate Ligament Disease. American College of Veterinary Surgeons.
  6. Canine Cranial Cruciate Ligament Disease (CCLD): A Concise Review of the Recent Literature. Animals (MDPI), 2025.
  7. NEMDA Health Statement for Entlebucher Mountain Dog. National Entlebucher Mountain Dog Association / AKC, 2017.

How we choose and check sources: Sources we use.

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