How Much Does a Tooth Extraction Cost?

Updated on June 30, 2026 | Written by Alec Pow
This article was researched using 10 sources. See our methodology and corrections policy.

A tooth extraction usually costs $75 to $250 per tooth for a simple erupted-tooth extraction and about $180 to $550 per tooth for a surgical extraction. Aspen Dental’s 2026 pricing data lists a simple extraction at an average of $179, ranging from $104 to $279, and a surgical extraction at an average of $389, ranging from $184 to $488, through its tooth extraction cost guide.

The price is usually quoted per tooth. A loose front tooth that can be removed with forceps is a very different bill from a broken molar, an infected root, or an impacted wisdom tooth that needs gum opening, bone removal, or tooth sectioning.

Tooth extraction pricing is built from the extraction code, dentist or oral surgeon fee, local anesthesia, X-rays, sedation if used, follow-up care, and treatment for infection or dry socket if complications occur. The cleanest price estimate names the CDT code, the tooth number, and whether the quote includes exam, imaging, sedation, and post-op checks.

Article Highlights

• A simple tooth extraction usually costs $75 to $250 (at $30 per hour, earning that amount would take about 0.3 to 1 full-time workdays, before taxes) per tooth.
• A surgical extraction usually costs $180 to $550 per tooth.
• Aspen Dental lists simple extractions at an average of $179 and surgical extractions at an average of $389.
• Humana lists common extraction examples from $225 for an erupted tooth to $500 for a completely bony impacted tooth.
• The key price jump is often D7140 to D7210, meaning a simple erupted-tooth extraction became a surgical extraction with bone removal or tooth sectioning.
• Wisdom teeth should be priced separately because soft-tissue, partially bony, and completely bony impactions have different codes and fees.

How Much Does a Tooth Extraction Cost?

Extraction type	Common cost	What the price usually means
Simple erupted-tooth extraction	$75 to $250 (about 0.3 to 1 full-time workdays at $30 per hour)	Visible tooth or exposed root removed with elevation and/or forceps, usually under local anesthesia
Aspen Dental simple extraction benchmark	$104 to $279, average $179	2026 internal price data for simple extraction cases
Surgical erupted-tooth extraction	$180 to $550	Tooth needs bone removal, tooth sectioning, gum flap, or more advanced removal
Aspen Dental surgical extraction benchmark	$184 to $488, average $389	2026 internal price data for surgical extraction cases
Impacted wisdom tooth	$383 to $500 in one Humana pricing example	Soft tissue, partially bony, or completely bony impaction, with higher cost as the impaction gets deeper
Full-mouth extractions before dentures	$2,000 to $6,000+	Multiple extractions, often with surgical planning, dentures, alveoloplasty, or sedation billed separately

$179 Extraction to a $389 Extraction

The clearest money clue is the dental code. D7140 is used for an erupted tooth or exposed root removed by elevation and/or forceps. D7210 is used when an erupted tooth needs bone removal or tooth sectioning before it can be removed. The American Dental Association explains this distinction in its guide to extraction codes.

That code switch matters because Aspen Dental lists simple extractions at an average of $179 (about 6 hours of work at $30 per hour), while surgical extractions average $389. Humana’s cost guide shows the same jump another way: $225 for an erupted tooth extraction and $325 when the erupted tooth requires bone removal or sectioning in its common dental procedure costs.

The wisdom-tooth ladder is separate. Humana lists impacted-tooth removal at $383 for soft tissue, $460 for partially bony, and $500 for completely bony. That means the useful quote question is not only “how much is a tooth extraction?” It is “which extraction code is the dentist estimating?” A low D7140 quote can be correct, but it may not apply if the tooth breaks, roots remain, bone must be removed, or the wisdom tooth is impacted.

What This Is in Plain Terms

A tooth extraction means the dentist removes the whole tooth, or the remaining root, from the socket. A simple extraction is done when the tooth is visible and can be loosened and removed with dental instruments. A surgical extraction is used when access is harder, such as a tooth broken below the gumline, a tooth with curved roots, a root fragment, or an impacted wisdom tooth.

The procedure can be done by a general dentist or an oral surgeon. General dentists often handle routine erupted teeth. Oral surgeons are more common for impacted wisdom teeth, complex molars, medically higher-risk patients, or cases needing IV sedation.

Wisdom Teeth

Wisdom teeth can be simple extractions when they are fully erupted and easy to reach, but many are impacted under gum tissue or bone. Aspen Dental lists wisdom teeth removal at an average of $299 per tooth, with a range of $184 to $488, and says the final price changes by impaction level, anesthesia choice, and extraction complexity in its wisdom tooth cost guide.

Humana gives a narrower impacted wisdom-tooth example of $383 to $500 for Orlando, with the final price depending on whether the tooth is erupted or impacted, whether the root is exposed, and whether bone must be removed. Its separate wisdom teeth removal costs page is useful because it separates ordinary extraction pricing from impacted third-molar pricing.

For four wisdom teeth, the tooth fee alone can be around $736 to $1,952 using Aspen’s range. That does not always include exam, panoramic X-ray, sedation, medication, or follow-up visits. If IV sedation is used, the total can move past $2,000 even when each individual tooth price looks moderate.

What Can Raise the Extraction Bill

The most common add-ons are an exam, X-ray, panoramic image, cone-beam CT scan, sedation, prescription medication, bone grafting, and follow-up visits. If the extraction is being done before an implant, the dentist may also discuss socket preservation or bone grafting, which can make the visit closer to a dental implant planning bill than a single extraction bill.

Local anesthesia is normally part of the base extraction. Sedation is different. Oral sedation, nitrous oxide, IV sedation, or general anesthesia can add cost depending on the office, the patient’s medical history, and the length of the procedure. CareCredit’s dental cost data lists simple extraction at a national average of $177, with a broad range of $137 to $835, in its tooth extraction cost study, which helps show how quickly the total can widen once extras are included.

Infection can also change the quote. An abscessed tooth may require an exam, X-ray, drainage, antibiotics, or a delayed extraction if the dentist needs to control the infection first. If the tooth might still be saved, the price discussion may shift from extraction to root canal treatment and a crown.

Insurance, Deductibles, and Annual Maximums

Dental insurance often covers medically necessary tooth extractions, but the plan decides whether the procedure is treated as basic or major care. Humana says extraction coverage depends on the type of extraction, the dental plan, and the coverage level, and that the plan may cover only a percentage of the cost in its tooth extraction insurance guide.

Delta Dental’s individual PPO plan example lists tooth extraction under basic services, with one plan paying 50% and another paying 80% after plan rules are met. The same plan comparison shows annual maximums of $1,000 or $2,000 per person in its Delta Dental PPO comparison.

Annual maximums matter when extractions are bundled with dentures, implants, crowns, or several wisdom teeth. Delta Dental says annual maximums often range from $1,000 to $2,000, and once the maximum is reached, later covered services become the patient’s responsibility until the next plan year, according to its annual maximum explanation.

Waiting periods can also affect timing. Delta Dental says some plans have a 6-to-12-month waiting period for restorative services such as fillings and non-surgical extractions, and major services can have 6, 12, or 24 months in its waiting period guide.

Three Realistic Cost Cases

Case 1: Loose erupted tooth. A patient has one visible tooth removed by a general dentist with local anesthesia. The likely range is $75 to $250, and Aspen’s simple extraction average of $179 is a reasonable benchmark. If the office exam and X-ray are included, the final bill may stay close to the extraction quote.

Case 2: Broken molar needing surgical removal. A molar breaks during extraction or needs sectioning to come out safely. The code moves from D7140 to D7210. A fair range is $180 to $550, with Aspen’s surgical average of $389 and Humana’s erupted-tooth-with-bone-removal example of $325 both supporting the midrange.

Case 3: Four impacted wisdom teeth with sedation. Using Aspen’s wisdom-tooth range of $184 to $488 per tooth, the tooth fees alone can be $736 to $1,952. Add sedation, exam, imaging, and medication, and a full four-tooth visit can land around $1,200 to $2,500+.

Two-Tooth Extraction Visit

Assume a self-pay patient needs one simple erupted-tooth extraction and one surgical extraction of a broken molar. The dentist quotes $179 for the simple extraction and $389 for the surgical extraction, using Aspen’s average price signals.

Add a limited exam at $75, one X-ray at $40, and basic medication at $25. The visit total becomes $708.

If the surgical tooth had stayed simple, the two extraction fees would have been $358 instead of $568. The D7140-to-D7210 change adds $210 in this example before exam, imaging, or medication.

When Paying for Extraction Makes Sense

Makes sense if:

• The tooth cannot be saved with a filling, crown, or root canal.
• The dentist gives the tooth number and extraction code before treatment.
• The quote states whether the case is simple, surgical, or impacted.
• The estimate includes X-rays, local anesthesia, and follow-up instructions.
• Your insurance confirms whether the dentist or oral surgeon is in network.

Does not make sense if:

• You were quoted a low simple extraction fee, but the tooth is impacted or broken below the gumline.
• The office cannot say whether D7140, D7210, D7220, D7230, or D7240 is being estimated.
• The sedation fee is missing from a wisdom-tooth surgery quote.
• You need several extractions but have not checked your annual maximum.
• The extraction is part of a larger denture or implant plan and the later stages are not priced.

What We Checked

• Checked current simple and surgical extraction prices against Aspen Dental’s 2026 extraction pricing page linked above.
• Confirmed the D7140, D7210, and D7250 code distinctions through the ADA extraction-code guide linked above.
• Cross-referenced simple, surgical, and impacted-tooth prices with Humana’s common dental procedure cost page linked above.
• Verified wisdom-tooth cost differences using Aspen Dental and Humana wisdom-tooth pricing pages linked above.
• Checked dental insurance annual maximums and waiting periods using Delta Dental sources linked above.

Related Dental Costs

Wisdom teeth are the extraction category most likely to turn into a multi-tooth surgical bill. If that is the reason for the appointment, compare the quote with a full wisdom teeth removal estimate instead of a single simple extraction.

If the dentist is removing a tooth before replacement, the extraction is only the first step. The later bill may involve an implant, bridge, partial denture, or full denture, each with its own office visits and lab work.

Cosmetic or bite-related plans can also change the sequence. Extractions done as part of veneers, orthodontics, or implant treatment should be priced inside the full treatment plan, not as an isolated veneers or extraction quote.

Answers to Common Questions

How much does a simple tooth extraction cost?

A simple tooth extraction usually costs $75 to $250 per tooth. Aspen Dental lists an average of $179, with a range of $104 to $279.

How much does a surgical tooth extraction cost?

A surgical extraction usually costs $180 to $550 per tooth. Aspen Dental lists an average of $389, with a range of $184 to $488.

Why did my extraction quote change after the exam?

The dentist may have found that the tooth needs bone removal, sectioning, or surgical access. That can move the code from D7140 to D7210 or an impacted-tooth code.

Does insurance cover tooth extractions?

Often, when medically necessary. The patient may still owe a deductible, copay, coinsurance, or the full amount once the annual maximum is reached.

Does sedation cost extra for a tooth extraction?

Local anesthesia is usually part of the extraction. Oral sedation, nitrous oxide, IV sedation, or general anesthesia can add a separate fee, especially for wisdom teeth or complex surgical cases.