How Much Is Invisalign with Insurance? 💳🦷
Invisalign has revolutionized orthodontics with its nearly invisible, removable aligners—but the biggest question remains: how much does it actually cost once insurance kicks in?
🔑 Key Takeaways: Quick Cost Insights with Insurance
❓ Question | ✅ Straight Answer |
---|---|
What’s the average cost of Invisalign with insurance? | Between $2,500–$5,500 out-of-pocket for moderate cases. |
How much does insurance usually cover? | 25%–50% of costs, typically $1,500–$3,000 lifetime maximum. |
Are mild cases cheaper? | Yes, sometimes as low as $500–$2,500 with insurance. |
What about complex treatments? | Costs may exceed $7,000, even with insurance applied. |
Do pre-treatment services cost extra? | Yes—X-rays, impressions, or extractions can add $100–$1,000. |
Can retainers and refinements add to the bill? | Absolutely—$600–$1,200+ for retainers alone if not bundled. |
📊 How Case Complexity Affects Invisalign Costs with Insurance
The more complex your treatment, the more trays, time, and supervision you’ll need—which pushes the cost higher. Insurance typically covers a portion regardless of case severity, but you’ll pay more out of pocket for complex movements.
🦷 Case Type | ⏱️ Treatment Time | 💰 With Insurance (Est.) |
---|---|---|
Mild (5–14 trays) | 6–12 months | $500–$2,500 out-of-pocket |
Moderate (14–20 trays) | 12–18 months | $2,500–$5,500 |
Complex (20+ trays) | 18–36 months | $5,000–$7,500 or more |
Express Treatments | 3–6 months | $1,000–$2,500 |
💡 Tip: Ask if you qualify for Invisalign Lite or Express—fewer trays, faster results, and lower overall costs.
🧾 Insurance Coverage: What’s Typically Paid vs. What You Pay
Most insurance plans offer orthodontic coverage for Invisalign, but only to a capped limit. You’ll usually see percentage-based reimbursement combined with a lifetime maximum (LTM).
🏢 Insurance Type | 🧠 What They Cover | 💡 Your Cost After Insurance |
---|---|---|
Employer PPO Plan | 50% up to $2,000 LTM | $2,500–$4,500 average |
Delta Dental | 25–50% if ortho included | Check for age restrictions |
Cigna (Dental 1500) | Up to $1,000 total | Verify waiting period |
MetLife, Humana, UHC | $500–$1,500 typical range | Can vary significantly by region |
Medicaid/CHIP | Rare for adults; limited for children | Only if medically necessary and provider accepts |
📌 Note: LTM = Lifetime Maximum — once it’s used, it doesn’t reset. Even if you switch plans or providers, your benefit may not renew.
🏙️ Regional Price Differences: Where You Live Matters
Invisalign prices aren’t fixed—they’re shaped by local economy, provider density, and demand. Expect higher costs in metropolitan regions and potential discounts in rural areas.
🌎 Location | 📈 Typical Cost Range (Before Insurance) | 💳 Estimated Cost After Insurance |
---|---|---|
New York City | $3,500–$8,000 | $2,000–$5,500 |
Los Angeles/San Francisco | $4,000–$9,000 | $2,500–$6,000 |
Midwest (e.g., Ohio, Iowa) | $2,500–$5,500 | $1,500–$3,500 |
Rural Areas | $2,000–$4,000 | $1,000–$3,000 |
💡 Insight: Even with the same insurance, urban patients often face higher fees but may access more promotional deals or tiered providers.
🧠 Provider Experience Can Raise (or Lower) Costs
The cost of Invisalign doesn’t just reflect the aligners—it includes the expertise of your orthodontist. Invisalign ranks providers from Bronze to Diamond Plus, and higher-tier providers may charge more, but deliver faster, more predictable outcomes.
🩺 Provider Type | 🎯 Treatment Outcome | 💡 Cost Impact |
---|---|---|
Diamond+ Invisalign Orthodontist | Most experienced; handles 200+ cases/year | May charge $1,000+ more |
General Dentist Offering Invisalign | Suitable for mild to moderate cases | More affordable, but limited in complex cases |
Dental School Clinic | Treatment by students under supervision | Lowest cost, but longer appointment times |
Newer Invisalign Providers | May offer discounts to build case numbers | Good for budget-minded, low-complexity needs |
🔍 Ask about provider tier, inclusion of refinements, and retainer coverage before choosing where to start.
🧾 Additional Fees to Watch For (And Which Are Covered)
Insurance might help with basic treatment, but extras can still add hundreds—or thousands—to your bill. Don’t be caught off guard.
📋 Extra Cost | 📉 Is It Covered? | 💡 Out-of-Pocket Range |
---|---|---|
Initial Consultation + X-rays | Sometimes (check plan) | $100–$500 |
3D Scanning/Impressions | Rarely covered separately | $100–$300 |
Retainers (Vivera) | Often excluded | $600–$1,200 (for 4 sets) |
Refinements (extra trays) | Usually included in premium plans | $0–$1,000 if billed separately |
Lost/Broken Aligners | Rarely covered | $100–$250 per tray |
📌 Tip: Ask for an itemized treatment plan before you commit so you know exactly what’s included vs. extra.
💳 How to Lower Invisalign Costs with Smart Financing
You don’t need to pay all at once. Combine insurance with tax-advantaged savings and flexible financing to make Invisalign significantly more manageable.
💰 Financing Method | 🔧 How It Helps | 💡 Pro Advice |
---|---|---|
FSA (Flexible Spending Account) | Use up to $3,050 pre-tax per year | Must spend by year-end |
HSA (Health Savings Account) | Rolls over annually, ideal for large expenses | Maximize contributions in advance |
In-House Payment Plans | Monthly payments with 0% interest for 12–36 months | Ask about down payment requirements |
CareCredit | Third-party healthcare credit with deferred interest | Avoid interest by paying off during promo window |
Seasonal Discounts or Family Plans | Lower costs for group bookings or off-peak treatment starts | Ask about active promos before scheduling |
📲 Use the My Invisalign App to estimate costs and explore real-time financing options from partnered providers.
🧭 Real Example: Cost Breakdown in New York City
📍 NYC Scenario | 💰 Treatment Detail | 🧾 Estimated Cost |
---|---|---|
Moderate Case (20 trays) | 14–18 months treatment | $6,000 |
Insurance Contribution | Lifetime max of $2,000 | -$2,000 |
Out-of-Pocket | Remaining balance | $4,000 |
Retainers Not Included | Vivera (4 sets) | +$800 |
Final Estimated Cost | Total owed with insurance | $4,800 |
🏷️ Pro Tip: NYC providers like 209 NYC Dental frequently offer bundled promotions or extended payment plans—always ask during consultation.
⚠️ Final Cost Considerations
❗ Limitation | 🔍 What It Means | 💡 How to Navigate It |
---|---|---|
Cosmetic Exclusion | No coverage for aesthetic-only cases | Emphasize function, bite, crowding issues during evaluation |
Patient Non-Compliance | Inconsistent wear = more trays, more cost | Stick to 20–22 hours/day, log usage with app tools |
Lifetime Max Already Used | No further payments from insurance | Ask if refinements/retainers can be claimed under medical |
Plan Differences by State | Regional rules may affect coverage limits | Confirm your zip code’s coverage caps with your insurer |
Hidden Add-ons | Unlisted fees for photos, monitoring, or consults | Demand a transparent, all-inclusive quote upfront |
Final Word
With insurance, Invisalign typically costs between $2,500 and $5,500 out-of-pocket, depending on your case, location, and provider. To minimize costs, combine your benefits with FSA/HSA funds, explore in-house financing, and carefully vet your treatment plan. Don’t settle for vague pricing—ask questions, compare quotes, and always read the fine print.
📣 Still confused about Invisalign pricing with insurance? Drop your case details or plan name below—we’ll break it down for you like pros. 🦷💼💬
FAQs
Comment: “Why is my Invisalign cost still high even after insurance applied?”
Even when insurance offers orthodontic coverage, Invisalign costs can remain significant due to benefit limitations, case complexity, and out-of-network provider fees. Many patients expect a 50% discount, but the reality is that insurance usually covers only a fixed portion, not a percentage of the full treatment cost.
💸 Why Costs Remain High | 🔍 What’s Happening Behind the Scenes | 💡 How to Minimize It |
---|---|---|
Lifetime Maximum Met Quickly | Insurance caps orthodontic coverage (often $1,500–$3,000) | Verify your remaining balance before starting |
Complex Case Needing Extra Trays | More aligners = higher lab fees and monitoring | Ask your provider if you’re eligible for a Lite plan |
Out-of-Network Treatment | Higher upfront costs + lower reimbursement rates | Use an in-network orthodontist for pre-negotiated discounts |
Coverage Percentage Misunderstood | Many plans cover a fixed amount, not true 50% | Read your EOB carefully—it shows actual insurer contribution |
Non-Covered Extras (X-rays, Retainers, Refinements) | Often excluded from basic ortho benefits | Request a bundled package with everything included |
💡 Expert Insight: Insurance doesn’t cover Invisalign like health insurance covers surgery—it offsets a predictable, limited portion, and you’re responsible for the rest. To make it affordable, combine FSAs/HSAs, monthly financing, and timed treatment starts that align with your benefit renewal period.
Comment: “Does Invisalign cost more with attachments or refinements?”
Yes—attachments and refinements increase treatment complexity and can raise costs. Attachments improve control over difficult movements, while refinements involve additional sets of aligners after the initial series, often due to tracking issues or desired perfection.
🧲 Treatment Element | ⚙️ Purpose | 💡 Cost Implications |
---|---|---|
Attachments (SmartForce) | Enhance grip for precise tooth movement | Usually included in total cost, but may increase initial quote |
Refinements (Extra Aligners) | Adjustments when initial trays don’t fully achieve the goal | Sometimes included once; additional rounds may be extra |
Engagers and Precision Cuts | For elastic use or complex bite correction | Specialized features may incur added lab fees |
Overcorrections (Built-In Redundancy) | Prevent relapse or incomplete tracking | Can avoid refinements if well-planned initially |
📌 Important: Not all providers include refinements or attachments in your base fee—ask for an all-inclusive quote, and clarify whether “mid-course corrections” or “unlimited refinements” are part of your treatment agreement.
Comment: “Why is Invisalign cheaper at some offices than others?”
The price difference often reflects provider tier, business overhead, case volume, and technology use. Invisalign fees are not standardized—they’re customized by each orthodontic office and depend on what’s included in your treatment plan.
🏢 Office Variation Factor | 🧠 Why It Affects Price | 💡 What to Ask |
---|---|---|
Provider Tier (e.g., Diamond Plus) | Experienced providers may charge more, but offer faster results | Request their Invisalign tier + total case count |
Technology Integration | iTero scanners, 3D printing, and remote monitoring increase value | Ask if you’ll be using the latest tools or third-party labs |
Refinement Policies | Some include unlimited touch-ups, others charge per round | Clarify how many refinements are included |
Location-Based Overhead | Higher rents in cities push fees up | Compare suburban vs. metro office prices nearby |
Promotions or Seasonal Discounts | Offices may run new-patient specials to attract clients | Inquire about cash discounts or referral incentives |
🔍 Pro Tip: A $1,000 difference in quote may reflect what’s included, not just markup. Ask for a side-by-side comparison of services, number of trays, and extras like retainers and whitening.
Comment: “Does Invisalign cost more for adults than teens?”
Technically, the base price structure is similar—but adults often incur higher costs due to slower tooth movement, greater bone density, more refined aesthetic goals, or pre-existing dental issues. Insurance may also cover less for adults, increasing out-of-pocket expenses.
👶🧑 Age Group | 🦷 Treatment Characteristics | 💡 Cost Considerations |
---|---|---|
Teens | Faster movement, growth-stage responsiveness | Often fully covered under family ortho benefits |
Adults | Denser bone, more refined movements, slower progress | May require refinements and longer wear |
Post-Braces Adults | Often seeking corrections or relapse fixes | Might qualify for shorter, less expensive Express plans |
Gum/Bone Sensitivities | More common with age; may limit force application | Could require adjunctive periodontal therapy |
💡 Note: Some insurance plans cap orthodontic benefits at age 18—after that, Invisalign becomes an elective expense unless medically justified. Confirm age eligibility with your provider before starting treatment.
Comment: “Can I negotiate Invisalign costs with my provider?”
Absolutely—Invisalign pricing is not fixed, and many orthodontists are open to payment flexibility, bundled deals, or promotional pricing. While you won’t haggle like a car dealership, you can have a cost-reducing conversation.
💬 Negotiation Area | 🔧 What’s Possible | 💡 How to Approach It |
---|---|---|
Upfront Discounts | 5%–10% for full payment at start | Ask about cash or debit incentives |
Refinement Charges | Waived for full-pay or extended plans | Request clarification of limits |
Retainer Bundling | Include Vivera retainers in the main quote | Ask for a retainer + whitening bundle |
Financing Terms | 0% in-house plans or CareCredit approval | Choose flexible terms to avoid interest |
Promo Matching | Some will honor competitor or seasonal offers | Bring quotes from other Invisalign providers nearby |
🗣️ Ask: “Is there any flexibility on pricing if I commit today?”
It opens the door to offers you may not see listed publicly—and they often exist.
Comment: “Why does Invisalign pricing vary so much even for the same number of aligners?”
The number of aligners is just one part of the pricing puzzle. Invisalign treatment pricing varies because of several layered factors—ranging from provider expertise and in-office technology to location-specific overhead and how comprehensive the service package is. Two patients with 20 aligners could receive very different treatment experiences and pricing based on these surrounding elements.
🧩 Cost Variable | 🧠 How It Influences Pricing | 💡 Smart Shopper Tip |
---|---|---|
Orthodontist Experience | High-tier Invisalign providers may charge more due to superior outcomes and shorter treatments. | Look for Invisalign Platinum or Diamond status, but compare costs with up-and-coming providers. |
Treatment Scope | Some providers include refinements, retainers, whitening, and check-ups in one quote—others charge separately. | Ask for an itemized cost sheet to avoid hidden add-ons. |
Office Technology | Clinics using iTero scanners, 3D modeling, and AI-based monitoring may include those costs in their fees. | Request a breakdown of tech inclusions—you may be paying for premium tools. |
Location Demographics | Costs align with local rent, wages, and demand. Urban centers charge more for the same treatment. | Compare suburban providers nearby who might charge significantly less. |
In-House vs. Outsourced Services | Some providers outsource refinement requests, lab adjustments, or remote check-ins. | Choose practices with full in-office capability for tighter cost control. |
💬 Even with the same tray count, your treatment plan may include elastics, attachments, SmartForce features, or complex staging—all of which alter how the orthodontist bills for their time and expertise.
Comment: “Is it worth paying more for a high-tier Invisalign provider?”
In many cases, yes—especially for moderate to complex cases. Higher-tier providers have completed hundreds, if not thousands, of Invisalign cases, giving them more insight into biomechanical planning, refinement avoidance, and efficient staging. This can translate into faster results and fewer complications.
🥇 Provider Tier | 🔍 What It Reflects | 💡 When It Matters Most |
---|---|---|
Diamond Plus (200+ cases/year) | High proficiency with a wide range of case types | Ideal for crowding, bite issues, or previous treatment failures |
Platinum/Gold (100–199 cases/year) | Experienced but may not specialize in complex aligner mechanics | Suitable for mild to moderate crowding or spacing |
Silver/Bronze (<100 cases/year) | Less experience, may rely more on auto-generated plans | Better for cosmetic tweaks and Express treatments |
General Dentist Offering Invisalign | Often treats straightforward alignments | Ensure they partner with orthodontists for complex movement supervision |
📌 More experience often means fewer refinements, shorter treatment timelines, and greater predictability—which can justify the higher fee if you’re seeking a more efficient, high-precision outcome.
Comment: “Why aren’t retainers included in most Invisalign insurance plans?”
Retainers are considered post-treatment appliances, and most insurance plans categorize them as separate from active orthodontic care. Even if your aligners were covered, your plan may not apply any benefits to retainers unless explicitly stated.
🧾 Why Retainers Are Excluded | 🧬 Insurance Logic | 💡 Your Next Move |
---|---|---|
Not Considered Treatment | They’re seen as maintenance rather than correction. | Request that your provider includes retainers in the main quote. |
Separate CDT Code | Retainers use a different billing code than aligners (D8680 vs. D8090). | Check with your insurer if D8680 is reimbursable under your plan. |
Only One Set Allowed | Some plans cover a single post-treatment retainer only. | Ask about multi-set options like Vivera (4-set packages) in advance. |
Plan Limitations on Materials | Vivera or specialty retainers may not be accepted as standard. | Ask your provider if there’s a covered alternative like Essix or Hawley. |
💡 Insider Insight: If you’re using an HSA or FSA, retainers absolutely qualify—use tax-free dollars to avoid out-of-pocket surprises.
Comment: “What’s the difference between Invisalign Express and Full treatment?”
The key difference is in scope and duration. Invisalign Express is a limited system designed for minor aesthetic corrections, while Full treatment can handle comprehensive bite correction, crowding, rotations, and more.
🆚 Express vs. Full Invisalign | 🧠 Core Differences | 💡 Ideal Candidate |
---|---|---|
Aligner Count | Express: 5–10 trays; Full: 20+ trays | Ask how many stages your issue requires |
Treatment Time | Express: 3–6 months; Full: 12–24 months | Express saves time, but only if clinically appropriate |
Corrective Ability | Express is limited to very minor shifts | Full is for crowding, bite issues, rotations, and gaps |
Insurance Application | Often covered the same way if orthodontics is included | Still subject to lifetime maxes—check if there’s a partial benefit |
Retainer Inclusion | May not be bundled in Express plans | Confirm final retention costs upfront |
💬 Don’t assume you’re eligible for Express just because the issue “looks small”—many bite issues are deeper than appearance suggests, and require full treatment to correct at the root.
Comment: “Can I use both insurance and CareCredit together for Invisalign?”
Yes—and it’s a highly strategic combination. Insurance offsets a portion of your cost (typically upfront), while CareCredit spreads the remaining balance over time. This is especially helpful if your insurance contribution doesn’t cover the full treatment fee.
💳 Combining Payment Methods | 💼 How It Works | 💡 Payment Strategy |
---|---|---|
Insurance First | Claim submitted by your provider, insurance pays directly or reimburses | Request pre-authorization to confirm exact contribution |
CareCredit Next | Use CareCredit for the remaining balance after insurance | Apply before treatment starts to avoid approval delays |
HSA/FSA Bonus | You can also use pre-tax savings for uncovered costs like retainers | Split payments if HSA funds don’t fully cover your remaining bill |
Monthly Installments | CareCredit often offers 0% interest for 6–24 months | Ensure you pay off within the promo period to avoid retroactive interest |
Flexible Down Payment | Some offices accept $0 down with CareCredit approval | Ask about minimum charges to activate your payment plan |
💡 Pro Move: Use insurance + HSA for aligners, then CareCredit for refinements, whitening, or retainers that may fall outside your insurance terms.
Comment: “What’s included in the Invisalign quote from my orthodontist, and what isn’t?”
A comprehensive Invisalign quote should outline everything needed for a complete treatment cycle, but not all providers include the same services in their baseline fee. Some bundle diagnostics, refinements, and retainers; others list them as separate charges. The key is to understand the scope of the quote—not just the number.
📋 Quote Item | 🔍 Typically Included? | 💡 Clarifying Question to Ask |
---|---|---|
Initial Consultation | Often complimentary | “Will I be charged if I don’t proceed with treatment?” |
X-Rays & Digital Scans | Usually included, but confirm | “Are these part of the quote or billed separately?” |
ClinCheck & Treatment Planning | Always included (required for Invisalign) | “How many revisions are allowed during planning?” |
Aligners (Initial Set) | Always included | “How many aligners does this plan involve?” |
Attachments / Buttons | Often included, but not always listed | “Are SmartForce attachments part of the quoted price?” |
Refinements (Extra Aligners) | Sometimes included once; additional may cost extra | “How many refinements are included before additional fees apply?” |
Vivera Retainers | Sometimes included, often not | “How many sets of retainers come with this plan?” |
Teeth Whitening | Occasionally bundled as a bonus | “Is whitening included or available as an add-on?” |
Post-Treatment Monitoring | Varies—some include check-ups for 6–12 months | “How long will follow-up visits be covered after active treatment?” |
💡 Expert Reminder: A low quote without refinements, retainers, or diagnostics might cost more in the long run. Request an itemized treatment proposal before committing to avoid unexpected out-of-pocket fees.
Comment: “Can I switch to Invisalign if I already started braces and want something more discreet?”
Yes—transitioning from braces to Invisalign is possible, but it requires a detailed reassessment. The feasibility depends on how much progress has been made and whether aligners can continue moving teeth effectively. Many orthodontists use a hybrid approach for flexibility and patient comfort.
🔄 Switching Scenario | 🔬 Clinical Consideration | 💡 What You Need to Know |
---|---|---|
Early Braces Phase | Teeth may not be ready for aligner force | You may need to wait until archwire leveling is complete |
Mid-Treatment | Partial correction allows aligner conversion | Requires new digital scan and treatment plan |
Near Completion | Aligners often used for finishing touches | Great option for detailed cosmetic refinement |
Different Orthodontist | May not accept mid-treatment cases | Ask if transfer records and ClinCheck files can be shared |
Insurance Already Billed | Switching may not re-trigger new insurance benefits | Verify if Invisalign qualifies under the same orthodontic claim |
💬 Key Point: Invisalign conversion is most seamless when your original provider is certified in both systems. If not, you may face duplicate costs for evaluation, scanning, or refinements.
Comment: “Is Invisalign more cost-effective than traditional braces over time?”
Invisalign can be cost-effective depending on your lifestyle needs, treatment complexity, and compliance. While braces are often less expensive upfront, Invisalign can offer fewer office visits, reduced emergencies, and less chair time—which adds convenience value, especially for busy adults.
⚖️ Cost Factor | 📉 Invisalign | 🧲 Braces |
---|---|---|
Upfront Price | Slightly higher in most regions | Usually lower for full treatment |
Emergency Visits | Minimal (no broken brackets or wires) | More frequent, especially for younger patients |
Compliance Requirement | High—requires 20–22 hours/day wear | Passive—always working regardless of behavior |
Aesthetic Benefit | Clear, discreet, removable | Highly visible, especially with metal brackets |
Oral Hygiene | Easier—aligners can be removed | Challenging—requires brushing around brackets |
Follow-Up Frequency | Typically every 6–8 weeks | Every 4–6 weeks, with adjustments required |
Retainers Needed Post-Treatment | Yes | Yes—same retention protocol applies |
💡 Insight: Invisalign offers long-term value for patients who prioritize discretion, hygiene, and lifestyle flexibility—even if the base price is marginally higher.
Comment: “What if I lose an aligner? Does insurance help replace it?”
Most insurance plans do not cover lost aligners, as they’re considered removable and patient-managed. Replacement trays typically cost between $100–$250 per aligner, and the expense usually falls outside your orthodontic benefit limit. However, your provider may have in-office allowances or solutions.
😬 Lost Aligner Scenario | 📉 Typical Coverage Outcome | 💡 Best Action Plan |
---|---|---|
First-time Loss | May be replaced at a reduced fee or free | Contact your provider within 24 hours |
Multiple Tray Losses | Likely full cost per aligner | Consider backup trays or refinement trays if loss recurs |
Insurance Claim for Replacement | Almost always denied | Insurance sees this as patient responsibility |
Pet Damage (very common) | Not covered | Store aligners in hard-case containers at all times |
Close to Tray Change Date | May be able to skip ahead | Only with orthodontist approval—never self-skip trays |
💬 Expert Advice: Always keep your previous set of aligners in a clean case—if you lose the current one, you can temporarily wear the last tray to preserve progress while awaiting a replacement.
Comment: “Will Invisalign cost me more in the long run if I’m not compliant?”
Yes. Non-compliance leads to tracking issues, incomplete movements, and extended treatment times, all of which can result in refinements or even a full restart. Insurance doesn’t cover these extra phases beyond your lifetime orthodontic benefit.
⏱️ Compliance Issue | 😵 What It Causes | 💡 How to Stay on Track |
---|---|---|
Not Wearing 20–22 Hours Daily | Teeth don’t reach intended position for next tray | Set alarms or use the My Invisalign app to track wear time |
Forgetting to Change Trays on Schedule | Movement staging becomes misaligned | Follow exact dates as set in your ClinCheck calendar |
Frequent Tray Removal | Reduced force, inconsistent pressure | Only remove aligners for eating, brushing, or drinking anything but water |
Skipping Office Checkups | Missed signs of non-tracking or gaps | Maintain scheduled visits—even if using Virtual Care tools |
Improper Aligner Seating | Teeth fail to move fully into tray fit | Use chewies to fully seat aligners during each change |
💡 Critical Note: Refinement trays aren’t “free extras”—they reflect treatment deviation. The more you stick to protocol, the faster and cheaper your Invisalign journey will be.