How much does tooth extraction cost?

Getting a tooth extracted can put you out of a lot of money. The prices for a simple tooth extraction are about $200. That seems to be quite reasonable. But pulling an impacted tooth out, however, can cost as much as $450.

With no insurance, this can break a budget. Is there another way to lower the costs?

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Tooth extraction cost

The price of tooth extraction is first and foremost dependent on the complexity of the procedure. The second biggest factor is the type of anesthesia that is needed.

If you need it done quickly because of pain, or any other considerations, an emergency service might also drive up the cost.

Extraction typeAverage costCost range
Impacted tooth, soft tissue$350$250-$850
Impacted tooth, partially bony$450$300-$950
Impacted tooth, fully bony$550$350-$1,100
Broken tooth$350$200-$600
Baby tooth$150$100-$500

Play around with the calculator. The estimated price will change along with any alterations you make.

Extraction type
Impaction type
Associated procedures
$ 0 Total cost

Have a look at the different types of extraction below.

Simple extraction

A simple extraction will cost you $200 on average, with a minimum of $50 and a maximum of $500. These prices concern whole or intact teeth that are visible in the mouth. This means dentition that has broken through the gums.

This is the simplest type of extraction and usually concerns front teeth. Removing a dead tooth might be charged similarly.

A local anesthetic will be used to numb your mouth in that area. This is included in the cost of the procedure. A stronger type of sedation means higher costs. More on that below.

A follow-up visit will usually be included in the price. The dentist will check healing and remove sutures.

Surgical extraction

A surgical extraction will cost somewhere between $200 and $700. Most of the time the procedure will cost about $300.

When is an extraction considered “surgical”? Sometimes your tooth or its roots might be hard to reach. In such cases, some mucosal tissue (a part of your gum) might have to be cut and lifted. This is a minor surgery and you may need a higher level of sedation.

Impacted tooth

The prices for an impacted tooth extraction across the US range from $250 up to $1,100. On average this comes to $450.

If the tooth is not clearly visible in the mouth it is probably impacted. It might have to be removed due to possible infection or crowding (not enough space in the mouth for all your teeth).

You will need an incision in the gum and the tooth might have to be cut up into smaller parts. This way the opening doesn’t have to be as big and healing is faster.

If your tooth is impacted by your gums you might get away with local anesthetic. For partially bony and fully bony impactions you might have to be sedated, which drives up the costs.

Moreover, some dentists refuse to undertake such extractions. You might have to go to an oral surgeon. This drives the costs up too. By a lot.

All these are considered surgical extractions. This means you might need stitches. They are usually self-dissolving, but you will still need to go back to the office for a check-up.

This type of extraction concerns mainly back molars. Have a look at this article,/a> to see how much a wisdom tooth removal can cost.

This type of extraction concerns mainly back molars. Have a look at how much a wisdom tooth extraction might cost.

Broken tooth

The removal of a broken tooth costs $350 on average, with a minimum of $200 and a maximum of $600.

You might have some tooth remains stuck in your gums. This could be due to an incomplete prior extraction. It will also require an incision in your gums and a higher level of sedation.


A coronectomy can cost from $250 up to $1,100 with an average of $600.

Also referred to as a root tip removal, it is sometimes done instead of a wisdom tooth extraction. This includes cases when there is a risk of damaging the inferior dental nerve.

Such damage, if not permanent, can result in weeks of numbness in the tongue, lower lip, chin, teeth, and gums. This can make talking and eating difficult.

Baby tooth

A baby tooth removal usually costs about $150. It won’t cost less than $100 or more than $500.

If the growth of permanent teeth in children doesn’t synchronize with the falling out of primary dentition the body might try to absorb it back. That can be dangerous, and those baby teeth have to be removed.

This is usually done under local anesthetic, but if the child has serious dental anxiety, analgesia can be administered.

Associated procedures

ProcedureAverage costCost range
Dental exam$100$50-$200
Panoramic X-ray$130$100-$250
Periapical X-ray$35$25-$50
Cone beam CT$330$150-$750
Laughing gas$90$40-$150
Moderate sedation$250$100-$500
Deep sedation$270$150-$450

Your dentist might decide that you will need additional visits to the office. Below are some of the most common ones associated with tooth extraction.

Oral evaluation

Pulling a tooth out is not a decision you can make by yourself. You will need to visit a dentist who will assess what condition your mouth is in.

During this oral evaluation, you will find out what needs to be done and how much it might cost. You can ask about the optimal type of anesthesia for your case.

Make sure to let your dentist know about your medical history. Especially if you have damaged or man-made heart valves, a congenital heart defect, an impaired immune system, or liver disease. This could make your extraction more complicated.

Dental X-rays

The cost of dental X-rays is something you have to consider. Your dental professional will need to inspect your teeth, the surrounding structures and tissues, and the direction of root growth.

A radiograph can also help detect impaction and crowding. What’s more, they can help visualize third molars and enable the dentist or orthodontist to see them in 3D.

You can expect the following dental X-rays before your extraction procedure:

  • a panoramic X-ray,
  • a periapical X-ray,
  • a cone beam CT.


Anesthesia is a big topic in tooth extraction. The most commonly used numbing agent is lidocaine. It remains active in your body for up to two hours.

It is usually administered in a shot that is included in the price of your procedure. You will not feel its effects for very long after the procedure. You will even be able to drive yourself home.

If you have dental anxiety, or if the extraction is more complicated, you might want to inhale nitrous oxide, a laughing gas. This is optional and very expensive. This type of anesthesia also wears off pretty quickly.

In more extreme cases you might want intravenous sedation. Your left hand will be strapped and a needle will be inserted into the appropriate vein. You will probably be able to communicate and follow instructions but will have no memory of the procedure.

The last option is general anesthesia. It will put you down completely until after about an hour after the surgery. You will not be able to drive yourself home and might need additional assistance. Those are also costs you should consider.

The prices quoted above take into account the first fifteen minutes of sedation. You will probably be charged in fifteen-minute increments, with each additional period costing about $200. It is hard to determine how long the procedure will last before it starts.

How much does tooth extraction cost with insurance?

Insurance might cover about half of the cost. Adult Medicaid covers tooth extraction in almost every state. If you are over 65, caring for a child, or if you have a disability you might qualify.

There are yearly maximums to take into account too. Tooth extractions can get you up to that maximum pretty quickly, especially with anesthesia. That means your insurance won’t cover anything else for the rest of the year.

Have a look at the three policies below:

NameDental Blue for Individuals: Core PlanCigna Dental 1000Dental Preventive Plus PPO
Fee per person per month$35.95
(if you’re under 65)
$30 or more$20.99
(after $35 enrollment fee)
Major dental work (e.g. extractions)50%
(50% coinsurance)
(50% coinsurance)
50% covered
(50% coinsurance)**
Waiting period12 months for major dental work12 months for major dental work*6 months**
In-network dentistsQuotes provided for in-network dentistsQuotes provided for in-network dentistsUp to 28% of extra discount, but you can see any dentist
Yearly cap$1,000$1,000$1,000

*If you’ve not had dental insurance for the past 12 consecutive months. Waiting periods are waived at Cigna if you’ve had valid dental insurance for a year.
**Oral surgery is not considered major by Humana. It is covered under basic care.

It’s important to remember that there are always limitations of pre-existing conditions. That means that if you knew you had to remove you tooth before your insurance was active, they might not cover any costs. Some policies also have a year-long waiting period for initial coverage.

As regards the additional costs, some insurance providers pay for a full series of X-rays once every three years. Taking radiographs is vital, as they are proof that a tooth needed to be extracted. If you don’t have one your provider might refuse to cover anything.

Keep reading for options that realistically lower the costs of pulling out a tooth.

How to save money on tooth removal?

A good way to lower your costs is signing up for a dental plan. These work similarly to memberships. You pay a regular fee and get a discount on all dental procedures. There is no paperwork or yearly maximums. Get your plan today!

Dental schools might be an option for low-cost tooth extraction. The process might take a bit longer since each step has to be graded along the way. Licensed professionals do overlook the entire thing, though, so it’s completely safe.

Some offices offer package deals or payment plans. In the case of the latter you will still end up paying the same amount, but it will be dragged out over a few weeks or so. Sometimes it’s worth negotiating the price, or asking for a discount upon paying up-front in cash.

What are your thoughts?

A tooth extraction, especially a complicated one, can be quite costly. And it might be simply an additional procedure prior to even more expensive procedures, such as implant placement or getting a denture.

We hope this cost guide helped you understand what kind of costs you can expect. Comment down below if you’ve ever had this procedure, and whether you found it affordable. Were there any fees that surprised you?

Disclaimer: The total cost of tooth extraction depends on numerous factors. These include the location, the experience of the person performing the procedures, and the materials used. The costs vary from state to state, from office to office, and even from dentist to dentist working in the same office. These prices show the average expenses involved without insurance or dental plans. We did our best to compile and take into account values from many sources, but the final decision as to which procedures must be performed and how much to charge for them is always ultimately made by the dentist. We give no guarantee that the prices you find here are the prices your dentist will quote.