
The cost to install hand controls in a car typically ranges from $1,200 to $3,500+, with the final price depending on the vehicle type, system complexity, and installer expertise. For a basic mechanical system in a standard car, you might pay around $1,500. However, for a sophisticated electronic system in a van with a lowered floor, costs can easily exceed $15,000.
The primary factors influencing the price are the type of hand control system and the vehicle itself. Here’s a breakdown of common system types and their average installed costs:
| Hand Control System Type | Typical Price Range (Installed) | Best For / Key Features |
|---|---|---|
| Mechanical Push/Rock | $1,200 - $2,500 | Standard cars; simple, durable lever for gas/brake. |
| Electronic (Fly-by-Wire) | $3,000 - $5,500+ | Vans, newer vehicles; light touch, programmable settings. |
| Left-Foot Accelerator | $500 - $1,200 | Drivers with use of left foot but not right. |
| Wheelchair Van Conversion | $15,000 - $40,000+ | Full vehicle modification including lowered floor/ramp. |
Beyond the system, other costs add up. The installer's labor rates vary significantly by region and shop. You may also need secondary controls for turn signals, horn, and headlights, which can add $500 to $2,000. A thorough assessment by a Certified Driver Rehabilitation Specialist (CDRS) is highly recommended, costing $200-$500, to determine the exact equipment you need.
Fortunately, financial assistance is often available. Many state Vocational Rehabilitation programs cover costs if the modification is for employment. Veterans can seek coverage through the VA, and some private health insurance plans may contribute. Always get quotes from multiple National Mobility Equipment Dealers Association (NMEDA) certified installers to ensure quality and safety.

Budget at least $1,500 to start. My uncle had a simple set installed on his SUV last year, and it was right around that mark. The shop told him prices have gone up with new technology. Don't forget to ask your insurance if they offer any help—sometimes they have a rider for adaptive equipment. It's not a quick DIY job; you need a pro to make sure it's safe.

As someone who went through this process, the price tag is just one part. You need to think about the vehicle's compatibility first. Installing on a new car with electronic steering and brakes is more complex than on an older model. Then, decide if you need just the basic gas/brake lever or if you also want steering aids and other accessory controls. Each addition increases the cost. The best investment was the $300 I spent on a driving evaluation; it pinpointed exactly what I needed, so I didn't overpay for unnecessary features.

Focus on the quality of the installation, not just the lowest price. Hand controls are a critical safety system. Look for a NMEDA-certified installer—they adhere to strict guidelines. Cheaper, uncertified work can be dangerous and may void your car's warranty. The system also needs to be comfortable for you to use for long periods. A proper installation will include a test drive and adjustments to fit your strength and range of motion perfectly. This precision is part of what you're paying for.


