Car Running Rough or Misfiring — What It Usually Is

Based on real repair records · last updated September 4, 2026
42.4%
of these visits involve Spark Plugs — typically $170 – $474 when it's the only fix
Computed from real repair visits where the customer reported rough running.

Rough running — shaking at idle, stumbling under load, lost power — is almost always ignition or fuel delivery on one or more cylinders. The fix pattern is dominated by two parts that wear together.

What it actually turns out to be

The fix involvedShare of visits*Typical cost†Median
Spark Plugs42.4%$170 – $474$296
Ignition Coil30.5%$184 – $402$269
Fuel Filter8.9%$134 – $436$256
Sensor6.7%$180 – $433$287
Fuel Injectors6.7%$164 – $697$343
Distributor4.5%$242 – $533$388
Valve Cover Gasket4.4%$182 – $481$299
Oxygen Sensor3.8%$212 – $435$304
PCV Valve3.5%$85 – $268$152
Other, rarer causessmaller sharesvaries

*Share of visits whose repair involved this part. Combined repairs count toward each part involved, so shares overlap and don't add up to 100%. Among visits that ended in a parts repair.
†Middle half of real invoices (25th–75th percentile) when this was the only fix — parts + labor, all vehicle types.

Real repair reports

These are recent, paid visits for this complaint — the words as the owner said them, and what it turned out to be.

Car owners said

“Diagnose why vehicle has no power”
2006 Chevrolet Silverado 1500 · 223,771 mi · $840 · Jul 2026
turned out: Alternator + more
“Misfire on cyl 3”
2010 Toyota Camry · 103,945 mi · $328 · Jul 2026
turned out: Spark Plugs
“Has a misfire code”
2017 Ford F-150 · 125,285 mi · $673 · Jun 2026
turned out: Fuel Injectors + more
“Tow in no power”
2008 Toyota Tacoma · 156,859 mi · $372 · Jun 2026
turned out: Ignition Coil
“Diag - running rough”
2003 Ford E-250 · 233,347 mi · $605 · Jun 2026
turned out: EGR Valve + more
“Runs rough at times”
2012 Chevrolet Equinox · 242,044 mi · $1,088 · Jun 2026
turned out: Gasket / Seal + more

Shaking with a flashing check-engine light

That's an active misfire. Ignition coils and spark plugs lead these outcomes by a wide margin — and shops often replace plugs alongside a failed coil, since worn plugs are what overworked the coil.

Rough only at idle

Smooths out when you rev? Vacuum leaks and idle-control carbon are the usual suspects — a different, usually cheaper family than misfires.

Rough under acceleration

Stumble under load with normal idle points at fuel delivery — filters, pumps, injectors — or breakdown in coils that only shows under demand.

Costs by vehicle

Take this to the shop

The FixDozer Diagnosis Brief puts this page on one printable sheet: what this complaint usually turns out to be, how often, and what each fix should cost — so when the diagnosis comes back, you already know whether the number fits.

Download the Diagnosis Brief (PDF)

View it online · Narrow it down for your vehicle

Where these numbers come from. FixDozer computes statistics from a large, continuously updated body of real-world US automotive repair records.