Our clinic in WI, one of best or recommended rabbit-savvy clinic in the area, charges between 300-400 for spays and neuters. A pre-op CBC/BMP bloodwork panel is done to evaluate blood-clotting capability, liver/kidney function, hydration, etc. Their surgery care and CVT monitoring pre- and post-op is optimal. So the price of ~350 includes hospitalization care for several hours, blood panel diagnostics, etc. Wellness exams range around 70, comprehensive "could be trouble here" exams slightly more as the DVM spends more time with your bunny. The clinics staff on payroll is more than a handful. More rural DVMs do charge less.
A shelter likely wouldn't do diagnostic bloodwork for the hundreds of surrendered rabbits they alter! A rescue organization may also align with a DVM and have sp/euters done for a lower rate when multiple rescue buns are brought in on one surgery day. I have seen alteration prices of $65-$100 for multiple buns brought in. Thirteen years ago we paid around 250 ea/ for 19 rabbits to be altered.
True, depending on expertise and clinic staff, & equipment, prices will vary in different regions. I hear you, Shayna, on east coast locations. Varies greatly, tis true, Alyssa & Bugs.
As a precaution our DVM has implemented radiographs to their sp/euter protocol when 2 guinea pigs died in surgery from respiratory maladies, and one of our Flemish rescues died from cardiac arrest at the end of his neuter. Less than 1/4th normal lung tissue upon necropsy, perhaps combined with stress. Stress can be fatal to a bun so keep that in mind.
When you acquire or adopt/rescue a rabbit your family furry will cost money for the duration of the next 13 years. Our eldest buns typically live 13 1/2 years, plus. Adopting a neutered or spayed rabbit is beneficial.