Tooth Extraction Costs: With & Without Insurance.
Dr. Jay Khorsandi, DDS
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Table of Contents
- Reasons for Extraction
- Cost Breakdown
- Costs for Extractions
- Insurance Coverage
The costs of tooth extraction vary based on whether you have dental insurance and if the extraction is deemed medically necessary.
On average, the cost of a tooth extraction can range from $130 to $250 for a basic extraction. Extracting impacted teeth cost more. The most expensive type of tooth extraction is removing wisdom teeth.
Reasons for tooth extraction.
Many adults in the United States have had their wisdom teeth removed, which is a type of tooth extraction. At some point in your life, you may need to have another tooth or two removed due to injury or disease.
Unlike having your wisdom teeth removed, having one tooth extracted usually only requires local numbing agents. Your dentist will give you some aftercare recommendations, including prescriptions to ease pain and prevent infection. You will then discuss the next steps, like getting a dental implant to replace the extracted tooth.
Understanding the cost breakdown of a tooth extraction.
There are several reasons you may need to have a tooth removed. Here are a few:
- The tooth is impacted or never ruptured, especially if it is an impacted wisdom tooth.
- You have bone loss around the tooth, which makes it unstable.
- Your tooth is fractured or broken.
- You have irreparable tooth decay and cavities.
Having a tooth extracted seems like a simple enough procedure, but there are some factors that impact the overall cost. These may include:
- The cost of living in your city.
- Your dentist’s experience and skill level.
- The type of extraction.
- The location in the mouth.
- If there are complications.
Costs for different types of extractions.
A simple, routine extraction can cost anywhere from $130 to $250 per tooth.
A surgical extraction will cost more, since it requires removing some gum and bone along with the tooth. This can cost as much as $250 to $370 per tooth.
Impacted teeth, including wisdom teeth, will cost more because the operation is more complicated. You could spend up to $500 per tooth if they are impacted.
Pulling wisdom teeth is one of the more complicated and expensive forms of tooth extraction. Overall costs range from $1,000 to $3,000, depending on how complicated it is to remove the teeth. When wisdom teeth are starting to come in or have mostly come in, they are easier to remove than impacted teeth that have not erupted yet.
Local numbing agents are often enough for simple extractions. If you have serious issues around your tooth or if you are getting your wisdom teeth removed, your dentist may recommend more sedation, including general anesthesia. This is often a separate cost and requires an anesthesiologist as part of the surgical team.
The x-rays that are taken before and after your tooth extraction can get lumped into your bill too. While your dental insurance will cover annual x-rays as part of preventative treatment, additional x-rays are not likely to be covered. A panoramic x-ray can cost as much as $120; however, one basic x-ray is about $30. The exam fee might be $75.
Insurance coverage for tooth extractions.
Typically, dental insurance will cover some of the cost of routine dental extractions — often as much as 70 to 80 percent of the upfront cost. However, you may still pay something out of pocket.
Discuss all the costs with your dentist beforehand so you understand what to expect. Ask about how to ensure dental insurance covers as much as possible, how you can set up reasonable payments for the rest of your needed care, and if there are steps you can take to lower the overall cost.
You may need a dental implant or bridge to replace the missing tooth. If you have wisdom teeth pulled, these are not replaced by implants. If you have another permanent tooth removed, your dentist will likely want to replace it with an implant to keep your bite aligned properly. This will come at an additional cost.
Before you can get an implant, you’ll need time for your gums and jaw to heal after the extraction. This time can help you plan for the cost of the implant and learn more about what the best crown material would be for you.
Preventing tooth decay and the need for further extractions.
Sometimes, you break or damage a tooth and it must be extracted, and this has nothing to do with preventative steps you could have taken. It is important to have a good relationship with a general dentist whom you can turn to in situations like this.
In general, you should practice good oral hygiene to keep your teeth healthy. This includes brushing twice a day and flossing, to keep food particles from leading to plaque buildup and tooth decay.
If you need a tooth extracted, talk to your dentist about your overall alignment. If you have crooked or gapped teeth, or other alignment issues, these might be important considerations. An implant won’t move like natural teeth will, so it's worth determining your alignment treatment plan before having the implant put in.
Straighter teeth improve your self-confidence, but they also help you to keep your teeth cleaner. An aligned smile means there are fewer places for food particles to hide. This means less plaque buildup, which leads to tooth decay over time.
When your overall oral health is better, you can avoid issues that lead to tooth extractions.
FAQ about insurance coverage for tooth extraction
How much does tooth extraction cost without insurance?
On average, you’ll pay $130 to $250 for a tooth extraction without insurance.
What is the out-of-pocket cost with insurance?
With insurance, you can expect to pay $50 to $125 for a tooth extraction, depending on the specifics of your dental plan.
Does insurance always cover tooth extraction?
Since tooth extractions are considered medically necessary, they are almost always covered by dental insurance. Different plans cover extractions at different levels, but you can expect to pay something out of pocket, even if you have dental insurance.
What options do I have if I don’t have insurance?
If you qualify for government-based health insurance, such as Medicare or Medicaid, tooth extractions are generally covered if deemed medically necessary.
Some dental schools may offer discounted fees for procedures like extractions. Students will often perform the extraction under the supervision of an instructor.
Extractions. Mouth Healthy, from the American Dental Association (ADA).
What You Need to Know About Tooth Extractions. (March 2019). U.S. News & World Report.
Reasons for Tooth Extractions and Related Risk Factors in Adult Patients: A Cohort Study. (April 2020). International Journal of Environmental Research and Public Health.
How Much Does Tooth Extraction Cost? CostHelper.
Dental Costs With and Without Insurance. Member Benefits.