The first driver is platform count: one watch platform or both. watchOS and Wear OS use different languages, UI frameworks and health APIs, so building for both is close to two separate watch projects even when the phone app is shared.
The second driver is how much the watch does on its own. A companion app showing data from the phone is the lightest option. Standalone apps with their own sign in and networking, live workout tracking, external Bluetooth devices or detailed health data handling all add design, engineering and testing time.
Mobile apps at SIZ Group start at $4,500, and a watch extension to an existing app can sit near that starting point when the scope is small. We confirm a fixed scope and price in writing after a free scoping call where we review your phone app and target devices.