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 average to 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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A closer look at the cost of tooth extraction

The factors that impact the price of tooth extraction most are:

  • the complexity of the procedure,
  • the type of anesthesia that is needed, and
  • whether the extraction is being done by a specialist.

If you need it done quickly because of pain, or any other considerations, an emergency service might make it even more expensive.

Extraction typeAverage costCost range
Simple$200$50-$500
Surgical$300$200-$700
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
Coronectomy$600$250-$1,000
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
Calculate
$ 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 and teeth that are already loose. 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, if necessary.

Surgical extraction

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

We’re talking about a “surgical” extraction when your tooth or its roots are 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 follow-up visit.

This type of extraction mainly concerns back molars.

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.

Coronectomy

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

It involves removing the crown only and 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 sedation can be administered.

Associated costs

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 pay for an exam during which a dentist will assess what condition your mouth is in.

This oral evaluation is a good opportunity to 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. Man-made heart valves, a congenital heart defect, an impaired immune system, or liver disease could all 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. Extractions cannot be performed without a recent X-ray.

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, or
  • a cone beam CT.

Anesthesia

Anesthesia is a big topic in tooth extraction. A topical numbing agent in the form of a shot is usually administered. This is included in the price of your procedure. There are, however, other options.

If you have dental anxiety, or if the extraction is more complicated, you might want IV or even general anesthesia. The more intensive the sedation, the higher the costs.

What’s more, all types of anesthesia other than a topical injection are charged according to how much has to be used. This can make them even more expensive, as it is hard to determine how long the procedure will last before it starts.

In the case of the more intense forms, there are additional costs that you have to think about. These include childcare or transportation since you might not be able to drive yourself home or return that night.

Does insurance cover tooth extraction costs?

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%
(50% coinsurance)
50% covered
(50% coinsurance)**
Deductible$75$50$50
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 to 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.

FAQ

What affects tooth extraction price the most?

The type of extraction that is performed and the kind of anesthesia used are the two most important factors determining the price. The more complex the removal is, the more it will cost.

A local injection is included in the price for the procedure. If you have dental anxiety or a low pain tolerance, you should be prepared to pay a lot more.

Is it cheaper to get a tooth pulled or filled?

A dental filling is a lot more affordable than pulling a tooth.

It is not always possible to choose a filling over an extraction, however. While the dentist will do everything they can to save a tooth, an extraction is sometimes necessary.

Where can I get my tooth pulled for free?

It may be difficult to find a place where someone trained will extract your tooth for free, but it is possible.

Most dental schools look for volunteers for students to practice on. It is completely safe, as the procedure is always overseen by a licensed professional. The only downside is that it may take a little longer than usual.

Another option is to find a free clinic or a dental practice that has a promotional or open day. You can also check current programs of non-profit organizations such as the Dental Lifeline Network or Dentistry from the Heart.

How much does an emergency tooth extraction cost?

Emergency treatment usually costs the same as what the practice charges normally. The average price for an extraction is about $200 if you go with a local injection. If you need a stronger form of sedation the price can double.

Sometimes it may only be possible to visit an ER. That will cost you a lot more.

How much does tooth extraction cost with insurance?

Extractions and oral surgery that is medically necessary is usually 50% covered. Bearing in mind the average price for simple tooth removal, you will probably end up paying about $100 out-of-pocket.

You should add more to your estimate if you need a deeper form of sedation, for example IV or general anesthesia.

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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.

4 thoughts on “How much does tooth extraction cost?”

  1. I recently found out that I need to have some extractions done, and I’ve been wondering about ways that I could save some money on them. I’m glad that you talked about dental schools usually doing pretty affordable work like extractions. I’m going to have to see about getting extractions done at the local dental schools and see if I can save some money that way!

  2. Thank you for all the great info. I’m in Canada but Ohip doesn’t cover dental and I have no dental plan so I’ve been researching how much this going to cost me. Saw my regular dentist today and he’s referring me to the oral surgeon to get 6 broken teeth extracted under sedation. They are all previous root canals that are falling apart because I couldn’t afford crowns. I was wondering if there is some kind of discount for having 6 done at once instead of individually? Thanks 🙂

  3. Thank you for all the great info. I’m in Canada but Ohip doesn’t cover dental and I have no dental plan so I’ve been researching how much this going to cost me. Saw my regular dentist today and he’s referring me to the oral surgeon to get 6 broken teeth extracted under sedation. They are all previous root canals that are falling apart because I couldn’t afford crowns. I was wondering if there is some kind of discount for having 6 done at once instead of individually? Thanks 🙂

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