For TI Contractors· Deep dive

2026 Commercial TI Cost Benchmarks

Restaurant, dental, medspa, pharma, retail, office: 2026 $/sqft ranges, regional adjustments, scope-driven add-ons, and the unit costs that drive them.

By BuildCrux, Editorial Team13 min read

Commercial TI cost benchmarks vary by an order of magnitude across scope types. A simple coworking buildout runs $95 per square foot at the low end; a USP 800 hazardous compounding pharmacy can run $400+ per square foot. The 2026 benchmarks on this page cover the common commercial TI scopes, calibrated quarterly against material indices and regional labor data, and broken out by scope-driven add-ons so you can build a realistic bid range during the early consult.

These benchmarks come from the BuildCrux unit-cost lookup table — the same table the multi-pass AI pipeline references on every estimating run. Updated quarterly against BLS PPI material indices and BLS wage indices for skilled trades by metropolitan region.

How to read these benchmarks

Every benchmark below is a national average expressed as a per-square-foot range. The range spans from economy buildout (lowest-tier finishes, basic compliance, minimal specialty equipment) through high-end (designer finishes, full code compliance, premium specialty equipment). All figures are customer-facing bid prices — direct cost plus commercial uplift plus GCs plus overhead plus contingency plus profit. Direct cost is roughly 50 to 60 percent of the bid figure on commercial TI.

Restaurant TI cost benchmarks

2026 restaurant TI cost benchmarks. All include hood, ANSUL, grease interceptor, code-driven additions.

Scope$/sqft (2026)Plan sheetsNotes
Fast-casual restaurant$185 - $28520-35Counter service, no table service
Quick-service / drive-thru$245 - $38525-45Drive-thru adds $35-65/sqft
Full-service restaurant$225 - $34525-45Full kitchen, hood, ANSUL, grease
Specialty / upscale dining$285 - $48530-50Designer finishes, custom millwork
Cafe / coffee shop$165 - $26515-25Espresso bar, light kitchen
Bar / tavern (no kitchen)$135 - $22515-25Bar build-out, lighter MEP
Brewery taproom$195 - $32525-40Glycol lines, cold storage, draft
Food hall stall (single)$245 - $39515-25Compressed scope, full code
Ghost kitchen$215 - $34520-30No customer area; production-only

Dental + veterinary TI

Scope$/sqft (2026)Plan sheetsNotes
General dental office (4-6 chairs)$145 - $24520-30Standard hygiene + operatory
Specialty dental (ortho, perio, oral surgery)$185 - $32525-40Imaging room, sterilization suite
Dental + lab combined$215 - $34530-45In-house lab adds plumbing + ventilation
Veterinary GP clinic$165 - $24520-35Exam rooms, treatment, surgery
Veterinary specialty + surgical$225 - $38530-50Advanced imaging, surgical suite
Veterinary emergency / 24-hour$245 - $44535-55ICU, isolation, decontamination

Medspa + aesthetic medicine

Scope$/sqft (2026)Plan sheetsNotes
Medspa (botox/filler/facials)$145 - $24515-25Treatment rooms, light medical
Aesthetic medicine (lasers, body contouring)$185 - $32520-30Dedicated laser room, power, ventilation
Plastic surgery clinic (non-OR)$245 - $38525-40Consultation, procedure, recovery
Plastic surgery clinic (with OR)$385 - $62540-60AORN-compliant OR, sterile processing
Wellness clinic (IV therapy, peptide)$135 - $21515-25Treatment lounges, exam

Pharmacy + compounding

2026 pharmacy TI cost benchmarks. USP 797 and USP 800 compliance drives cost above standard medical TI.

Scope$/sqft (2026)Plan sheetsNotes
Retail pharmacy (Walgreens-style)$165 - $24520-30No compounding
Pharmacy + light non-sterile compounding$185 - $28525-40USP 795
Pharmacy + USP 797 sterile compounding$225 - $34540-60LAF hood, anteroom, classified spaces
Pharmacy + USP 800 hazardous compounding$285 - $44550-80BSC, negative pressure, full ISO classification
Full USP 797 + 800 compounding center$325 - $48570-120Multiple classified suites, dedicated HVAC
Compounding-only facility (the validation case)$233 - $28370-100BuildCrux pharma validation reference range

Healthcare + clinical TI

Scope$/sqft (2026)Plan sheetsNotes
Primary care clinic$165 - $24520-35Exam rooms, lab, light imaging
Urgent care$185 - $29525-40Imaging, lab, treatment rooms
Specialty clinic (cardiology, derm, GI)$225 - $38530-50Specialty equipment, procedure rooms
Imaging center (MRI, CT)$385 - $62540-70Shielding, equipment foundations, vibration isolation
Ambulatory surgery center (ASC)$485 - $78570-120AORN-compliant ORs, sterile processing, recovery
Dialysis center$325 - $48540-65Water treatment, RO loops, treatment stations
Behavioral health clinic$165 - $26525-40Group rooms, calming finishes, safety-rated hardware

Retail + service-retail TI

Scope$/sqft (2026)Plan sheetsNotes
Small-box retail (soft goods)$95 - $16515-25Apparel, gift, lifestyle
Small-box retail (hard goods)$135 - $21520-30Electronics, hardware, books
Specialty retail (jewelry, art, premium)$185 - $32525-40Display cases, security, lighting
Salon (hair / nail)$125 - $21515-25Chairs, sinks, plumbing
Spa / day spa$145 - $24520-35Treatment rooms, hydrotherapy
Fitness studio (yoga, pilates, barre)$95 - $16515-25Specialty floor, mirror, sound
Fitness club (full gym)$135 - $24525-40Locker rooms, showers, MEP
Cycle / spin studio$125 - $21515-25Sound system, lighting, ventilation
Bike shop / sporting goods$95 - $17515-25Standard retail + service area

Office + coworking TI

Scope$/sqft (2026)Plan sheetsNotes
Small office TI (single-tenant)$95 - $17515-25Open plan, conference, small kitchen
Corporate office (mid-tier)$125 - $22520-35Branded buildout, conference, breakrooms
Corporate office (executive)$215 - $38530-50Designer finishes, custom millwork
Coworking buildout$95 - $18520-30Mixed open plan + private offices + amenities
Law / financial professional$165 - $28525-40Built-in millwork, conference, library
Tech startup buildout$125 - $21520-35Open plan, war rooms, kitchen, lounges
Government office$145 - $24520-35Compliance-driven specs, security
Call center$95 - $15515-25Dense open plan, breakrooms

Cannabis dispensary TI

Scope$/sqft (2026)Plan sheetsNotes
Adult-use dispensary (retail-only)$245 - $38525-40Security, vault, separate ventilation
Medical dispensary$225 - $36525-40Same plus consultation areas
Dispensary + on-site cultivation$325 - $58550-80Grow room separation, light, HVAC
Dispensary + on-site manufacturing$385 - $62560-100Extraction room compliance, ventilation
Cannabis lounge (consumption-permitted)$285 - $44530-50Ventilation, smoke-eaters, separate zones

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Regional cost adjustments

Commercial TI regional multipliers run higher than residential because commercial scope is more labor-intensive, and commercial labor sees larger regional swings.

RegionMultiplier vs national avgExample markets
Northeast (urban)1.35 - 1.55NYC metro, Boston, Philadelphia
West Coast (urban)1.40 - 1.60SF Bay, LA, Seattle
West Coast (suburban)1.20 - 1.35Sacramento, Inland Empire, Portland
Mountain West1.05 - 1.20Denver, Salt Lake, Boise, Phoenix
Midwest (urban)0.95 - 1.15Chicago, Minneapolis, Detroit
Midwest (suburban/rural)0.80 - 0.95Iowa, Wisconsin, Indiana, Missouri
Southeast (urban)0.95 - 1.10Atlanta, Charlotte, Nashville, Raleigh
Southeast (suburban/rural)0.75 - 0.90Alabama, Mississippi, rural Carolinas
Texas (urban)0.95 - 1.15Dallas, Houston, Austin, San Antonio
Texas (suburban/rural)0.85 - 0.95East TX, West TX, Rio Grande Valley
Florida (urban)1.00 - 1.20Miami, Tampa, Orlando, Jacksonville

Scope-driven add-ons

These line items get added on top of the base $/sqft figure when scope triggers them.

Add-on2026 costWhen required
Panel upgrade (200A to 400A)$25,000 - $65,000Commercial buildout when existing service inadequate
Panel upgrade (400A to 800A)$55,000 - $145,000Specialty equipment, dense MEP loads
Water service upgrade$15,000 - $85,000Food service, medical, high-fixture-count TI
Gas service upgrade$8,000 - $45,000Restaurant, dry cleaner, light industrial
RTU (rooftop unit) addition$18,000 - $65,000HVAC capacity inadequate
Grease interceptor (in-ground)$12,000 - $35,000Food service
ANSUL system (hood fire suppression)$8,000 - $24,000Hood-equipped kitchen
Sprinkler addition (200-500 heads)$15,000 - $48,000Compartmentation, fire code triggers
ADA accessibility upgrades$8,000 - $45,000TI in non-compliant existing space
Asbestos abatement (1970s+ building)$15,000 - $85,000When tested positive
LAF hood (sterile compounding)$45,000 - $125,000USP 797 pharmacy
BSC (biosafety cabinet, hazardous)$35,000 - $95,000USP 800 hazardous compounding
Dental compressor / vacuum$15,000 - $35,000Dental office
Medical-grade vacuum / air$25,000 - $75,000Surgery center, specialty clinic
Imaging room shielding (lead)$25,000 - $85,000X-ray, mammography, CT, fluoro
MRI shielding (RF + magnetic)$85,000 - $245,000MRI suite
Commercial walk-in cooler / freezer$25,000 - $85,000Food service, pharmacy
Bond premium0.6% - 2.5% of projectPublic project, larger private projects
Permit + plan check fees2% - 6% of projectMost jurisdictions

Frequently asked questions

What does a restaurant TI cost in 2026?+

Fast-casual restaurant TI runs $185-285/sqft in 2026, with a national median of about $228/sqft. Full-service with table service runs $225-345/sqft (median $278). Quick-service with drive-thru runs $245-385/sqft (median $312). All figures include the hood + ANSUL + grease interceptor scope that designers often leave implicit.

How much does a dental office buildout cost in 2026?+

General dental office TI (4 to 6 operatories) runs $145-245/sqft. Specialty dental (orthodontics, periodontics, oral surgery) runs $185-325/sqft because of imaging rooms and sterilization suites. Add $15K-35K for dental compressor and vacuum systems.

Why is pharmacy compounding so much more expensive than retail pharmacy?+

USP 797 (sterile) and USP 800 (hazardous) compounding require classified spaces — ISO 5/7/8 cleanrooms, dedicated anteroom, negative-pressure suites for hazardous compounding, LAF or BSC hoods, dedicated HVAC with HEPA filtration. A USP 800 compounding pharmacy runs $285-445/sqft versus $165-245/sqft for a retail pharmacy without compounding. The BuildCrux $233-283/sqft pharma validation case was a USP 797/800 compounding-only facility — purpose-built for compounding, no retail.

What is the typical commercial uplift compared to residential pricing?+

Commercial TI scope demands a 1.10 to 1.45 uplift on direct cost relative to residential before layering general conditions, overhead, contingency, and profit. The uplift reflects more supervision, QC, safety overhead, multi-trade coordination. Skipping the uplift is the most common cause of commercial TI underbidding by residential contractors moving up.

Should I price specialty equipment in my bid or have the owner procure?+

Owner-procured is more common for medical and dental equipment because owners get manufacturer discounts and warranty terms direct. Contractor-procured is more common for restaurant equipment, walk-in refrigeration, and specialty HVAC. If you procure, add 8 to 15 percent equipment markup. If owner procures, you still coordinate delivery and pre-install conditions; price that coordination in general conditions.

How accurate are these benchmarks for my specific market?+

National averages anchor the conversation. Apply the regional multiplier above for your metro area to get a realistic range. For an actual bid, run line-item takeoff against your plan set with your own calibrated unit costs. BuildCrux multi-pass pipeline lets you override default unit costs with your own data so AI estimates inherit your calibration.

The bottom line

Commercial TI cost benchmarks span an order of magnitude — from $95/sqft coworking buildouts to $625+/sqft surgery centers — because the scope, code burden, and specialty equipment vary enormously by use type. The 2026 ranges on this page anchor the early conversation with an owner-rep and sanity-check your bid before submission. For the actual bid, run line-item takeoff against the plan set with your calibrated unit costs.

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BuildCrux

Editorial Team

BuildCrux publishes commercial cost benchmarks derived from our calibrated unit-cost lookup table, updated quarterly against BLS PPI for construction materials and BLS wage indices for skilled trades by region.