There are a lot of factors that go into the cost of providing braces. First, and significantly, it is the diagnostic and technical expertise of the orthodontist. Try doing braces yourself and you will not likely get the same result. Secondly, it is the overhead of the orthodontic staff, facilities and associated office costs. Finally, it is the actual hardware itself, that is, the brackets, wires, adhesives and attachments. These items are often made of sophisticated metal alloys such as nickel titanium that are manufactured within precise tolerances. There are laboratory fees as well for diagnostic models or services. So, as the cost of salaries, health care coverage, utilities, and supplies go up, so does the cost of braces.
Recently, there is another factor, which will increase the cost of providing orthodontic treatment. That is the new tax that is part of the new Obamacare health care plan. There is a new 2.3% medical device tax. Yes, that cost will likely add up to at least $175 more than the present fee.