How Much Does an Emotional Support Animal Cost?

An emotional support animal costs $99 to $250. That is the price of an ESA letter from a licensed mental health professional. The letter is the only purchase the law requires.

emotional support animal cost

Food and vet care are normal pet costs. You pay them with or without ESA status.

An ESA letter from RealESALetter.com covers the one required cost of having an emotional support animal.

This guide covers the letter fee and the state rules that change it. It also breaks down dog and cat costs and explains what changed for pet fees in 2026.

Key Takeaways

One Legal Requirement: An ESA letter is the only required purchase. It costs $99 to $250.

Your State Can Raise the Price: Five states require a 30-day client relationship. Two sessions cost $150 to $300 in total.

Pet Fee Savings Now Depend on State Law: HUD rescinded its ESA housing guidance in May 2026. Your state law now decides pet fees.

Registration Is Never Required: No federal ESA registry exists. Registries and ID cards carry no legal weight.

Care Costs Are Normal Pet Costs: A dog costs $1,000 to $3,000 a year. A cat costs $600 to $1,500 a year.

What Affects the Price of an ESA Letter?

Your provider and your state set most of your ESA letter cost.

Most people choose an online ESA letter because it takes one evaluation in most states. A therapist you already see can be cheaper. Five states add a second session.

How you get the letter

What you pay

Therapist you already see

Your usual session fee or copay

Telehealth provider

$99 to $250

Telehealth in a 30-day rule state

$150 to $300 across two sessions

What Does the ESA Evaluation Fee Cover?

The evaluation fee covers a clinical assessment and a signed letter.

  • A live assessment with a licensed mental health professional
  • A signed letter with the clinician's license number and issue date
  • Clinician contact details so a landlord can verify the letter

Some sites list this charge as a consultation fee. A letter under $50 with no live assessment is a red flag. Learn the risks of a cheap ESA letter before you pay.

RealESALetter.com letters follow California AB 468 and the 30-day client relationship laws in Arkansas, Iowa, Louisiana, and Montana.

Why Does an ESA Letter Cost More in Some States?

Five states require two evaluations before a clinician can issue an ESA letter.

California, Arkansas, Iowa, Louisiana, and Montana set a 30-day client relationship rule. The clinician meets you once to start the relationship. A second evaluation follows at least 30 days later. Each session adds to the total cost. 

California's rule comes from Health and Safety Code § 122318 under AB 468.

RealESALetter.com letters follow California AB 468 and the 30-day client relationship laws in Arkansas, Iowa, Louisiana, and Montana.

How Much Does ESA Letter Renewal Cost?

ESA letter renewal typically costs $75 to $150 a year.

Federal law sets no expiration date for an ESA letter. Many landlords still ask for a letter dated within the last 12 months. See how ESA letter renewal works once your letter nears its first year.

Full ESA Cost Breakdown: One-Time vs. Recurring Costs

First-year costs depend mostly on whether you already own the animal.

A pet you already own adds no acquisition cost. A new pet adds adoption and setup costs. Each table below shows whether a cost is legally required.

One-Time Costs

One-time costs start at the letter fee if you already own your pet.

Cost

Dog

Cat

Legally required?

ESA letter

$99 to $250

$99 to $250

Yes

Pet you already own

$0

$0

n/a

Shelter adoption

$0 to $500

$0 to $500

No

Breeder

$800 to $2,000+

$500 to $1,500

No

Initial supplies

$100 to $300

$100 to $250

No

Spay or neuter (if not included)

$50 to $300

$50 to $200

No

Microchip (if not included)

$25 to $60

$25 to $60

No

Local license (where required)

$10 to $50

Usually none

Local rule

Recurring Monthly Costs

Monthly costs cover food and preventive care.

Cost

Dog

Cat

Legally required?

Food

$30 to $100

$15 to $50

No

Flea, tick, and heartworm prevention

$10 to $30

$10 to $25

No

Litter

n/a

$10 to $25

No

Pet insurance (optional)

$20 to $70

$10 to $40

No

Toys and treats

$10 to $30

$5 to $20

No

See the ASPCA's guide to pet care costs for ways to lower monthly spending.

Annual Costs

Annual costs center on vet visits and letter renewal.

Cost

Dog

Cat

Legally required?

Wellness exam and vaccines

$150 to $400

$100 to $350

No

Dental cleaning (as needed)

$300 to $800

$300 to $700

No

Grooming

$40 to $100 per session

Rarely needed

No

ESA letter renewal

$75 to $150

$75 to $150

Conditional

Annual total

$1,000 to $3,000

$600 to $1,500

n/a

Which ESA Costs Can You Skip?

You can skip registries, certificates, ID cards, and vests.

Federal law does not recognize any ESA registry. The letter is the only document that matters. Learn why ESA registration adds cost without adding legal protection.


Item

Typical cost

Legally required?

Registry or ID card

$75 to $299

No

ESA certificate

Often bundled with registry kits

No

Vest or harness

$15 to $75

No

Task training

$0 (ESAs need none)

No

Obedience training

$50 to $200 per session

No

Airline pet fee (only if flying)

$99 to $150 each way

Set by airline

Boarding

$50 to $100 per night

No

ESAs need no task training. Service dogs do. Airlines now treat ESAs as pets under the DOT's 2021 air travel rule. Expect a standard pet fee when you fly.

Can an ESA Letter Still Save You Pet Fees?

Pet fee protection for ESAs now depends on your state.

HUD changed its ESA housing guidance on May 22, 2026. The table shows what that means for pet fees.

Rule

Before May 22, 2026

After May 22, 2026

HUD ESA guidance

FHEO Notices 2013-01 and 2020-01 in effect

Both notices rescinded

Pet deposits and pet rent

Landlords told not to charge ESA owners

Decided by state law and case-by-case review

Fair Housing Act

In effect

Unchanged

Typical yearly savings

Deposit of $200 to $900 plus pet rent of $300 to $1,200

Only where state law still protects ESA owners

What Changed on May 22, 2026?

HUD rescinded the two notices that shaped ESA housing rules.

Those notices told landlords to waive pet fees for assistance animals. HUD replaced them with an individualized assessment standard aligned with the ADA. Landlords now review each request on its own facts. The HUD ESA enforcement guide explains what changed for renters.

How Do You Check Whether Your State Still Protects You?

Your state housing law now decides most pet fee questions.

  1. Look up your state's fair housing or assistance animal law.
  2. Ask your landlord for the pet fee policy in writing.
  3. Submit your ESA letter with a written accommodation request.
  4. Contact your state fair housing agency if the landlord still charges a fee.

This section summarizes federal guidance. It is not legal advice.

Conclusion

Budget $99 to $250 for the ESA letter. That is the only cost the law requires. Add normal pet care only if you are bringing home a new animal. Start your ESA evaluation with a clinician licensed in your state once you are ready to get your ESA letter.

Frequently Asked Questions

How much does it cost to make my cat an emotional support animal?

FAQ Icon

Making your cat an ESA costs only the ESA letter fee of $99 to $250. A cat you already own adds no acquisition cost. Your cat needs no training or registration. Read more about life with an emotional support cat.

How much does it cost to get an ESA certificate?

FAQ Icon

In the U.S., there's no official government ESA certificate. The only legally recognized document is an ESA letter from a licensed mental health professional:

  • Online telehealth ESA letter: $99 to $250
  • In-person evaluation or two-visit states (like California): $150 to $300
  • Annual renewal: $75 to $150

Can I get an emotional support animal for free?

FAQ Icon

Yes, you can get an Emotional Support Animal (ESA) for free in some cases. If you already own a pet that provides comfort, you simply need a valid ESA letter from a licensed mental health professional; no need to buy a new animal. You might also adopt from a shelter during a fee-waived event. However, even if the animal is free, you’ll still have ongoing costs like food, vet care, and annual ESA letter renewals.

Do you have to pay for an ESA letter?

FAQ Icon

Yes. A legitimate ESA letter requires a paid evaluation by a licensed clinician. Free letters skip the evaluation. Landlords can reject them.

Does it cost more to have more than one emotional support animal?

FAQ Icon

A second ESA can raise the cost. The clinician must confirm a need for each animal. Some providers list both animals on one letter. Others charge for each one.

Written by
Harper Jefcoat
Mental Health Writer · RealESALetter Editorial Team

Harper Jefcoat is a content writer with 10+ years of experience covering ESA laws, mental wellness, and emotional support animal benefits. As a blog author for RealESALetter, he educates readers on ESA regulations and promotes ethical documentation practices.

Reviewed By
Darren Rafel
Licensed clinical social worker, LCSW · Reviewed October 2026

Darren Rafel is a licensed clinical social worker with active LCSW licenses across 13 states, including California, New Jersey, Texas, Florida, and Arkansas. He conducts ESA evaluations with direct clinical experience using pet therapy as part of mental health treatment.

Medical disclaimer: The information on this page is for general guidance only and is not legal or medical advice. Whether the topic discussed applies to your situation should be determined in consultation with a licensed mental health professional.

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