Getting a tooth pulled is a pretty common procedure, but the cost can vary quite a bit.
The price you’ll pay depends on a few things: what kind of extraction you need, where you live, and what your insurance covers.
This article breaks down the various costs associated with tooth extractions, so you can get a better idea of how much you might expect to pay.
What is a tooth extraction?
A tooth extraction means taking a tooth out of the bone. It’s often a necessary part of maintaining good oral health.
There are two basic kinds of extractions: simple and surgical. Which type you need depends on the tooth’s condition and where it sits in your mouth.
We’ll talk more about the differences between the two as we go.
Types of Tooth Extractions
The type of extraction you need will affect the overall cost. Here’s a quick rundown of the different kinds of tooth extractions.
Simple Extractions
If the tooth is visible above the gum line, it can usually be removed with a simple extraction. The dentist will use a tool called an elevator to loosen the tooth, then pull it out with forceps.
Surgical Extractions
If a tooth is broken off at the gum line or hasn’t erupted yet, you’ll likely need a surgical extraction. This often involves cutting into the gum tissue and possibly removing some bone to get to the tooth.
Wisdom Tooth Extractions
Wisdom tooth extractions are often surgical because these teeth are frequently impacted (stuck below the gum line). The complexity of the extraction depends on how the tooth is positioned and how much bone surrounds it. A wisdom tooth can be a soft tissue impaction (covered by gum tissue), a full bony impaction (completely encased in bone), or some other complicated impaction scenario.
What factors affect tooth extraction costs?
The cost of having a tooth pulled varies based on a number of factors. Here are some of the most common:
Type of extraction
Simple extractions (for teeth that are visible above the gumline) tend to be less expensive than surgical extractions (for teeth that are broken, below the gumline, or otherwise difficult to remove). Wisdom teeth, especially impacted wisdom teeth, are often the most costly to extract.
Complexity of the extraction
Extractions that are more difficult to perform require more time and expertise, so they tend to cost more. Teeth that are impacted, have curved roots, or are close to nerves can be more complex to remove.
Anesthesia
Local anesthesia is usually included in the base cost of the extraction. However, if you opt for sedation or general anesthesia, the overall cost will be higher. Sedation averages around $349, while general anesthesia averages $639.
Location
Dental fees vary by geographic location. If you live in a city, you can expect to pay more than you would in a rural area.
How much does a tooth extraction cost?
The cost of a tooth extraction can vary quite a bit, depending on the type of extraction you need. Here’s a breakdown of the average costs for different types of extractions, as well as some additional costs to consider.
Average Costs for Different Extraction Types
- Simple extraction: $137 to $335 (national average $177)
- Surgical extraction: $281 to $702 (national average $363)
- Soft Tissue Impaction: $325 to $829 (national average $423)
- Full Bony Impaction: $413 to $1,041 (national average $532)
- Complicated Impaction: $639 to $1,620 (national average $835)
Additional Costs to Consider
In addition to the extraction itself, there are other potential costs to factor in:
- Consultation and examination fees
- X-rays: around $125 on average
- Anesthesia: Local anesthesia may be included, but sedation or general anesthesia will increase the cost
- Medications like antibiotics or pain relievers: around $30 on average
- Follow-up appointments
Cost Variation by State
Keep in mind that these are just averages. The actual cost of your tooth extraction can vary significantly depending on where you live, since the cost of living and dental fees can differ quite a bit from state to state. It’s a good idea to research local dental practices to get a more accurate estimate for your specific situation.
Dental Insurance and Tooth Extraction Costs
If you have dental insurance, it will likely cover some of the cost of a tooth extraction, but how much depends on your specific plan. Coverage can range from 50% to 80% of the cost, or even up to 90% for simpler extractions.
Keep in mind that several factors can affect how much your insurance will actually pay:
- Deductibles: You’ll probably have to meet your deductible before your insurance starts paying.
- Coinsurance: You’ll likely have to pay a percentage of the cost, even after your deductible is met.
- Waiting periods: Some plans have waiting periods before they’ll cover major procedures like extractions.
- In-network vs. out-of-network providers: You’ll usually save money by going to a dentist who’s in your insurance network.
To get a clear idea of what your insurance will cover, ask your provider these questions:
- What is my deductible?
- What percentage of the extraction cost is covered?
- Is there a waiting period before extraction is covered?
What if I don’t have dental insurance?
Don’t worry; you still have options for affordable tooth extractions:
- Dental Schools: Dental schools offer treatment at a much lower cost than private practices, sometimes 60% to 70% less.
- Community Dental Clinics: These clinics provide low-cost or even free dental care to people who qualify.
- Dental Discount Plans: These plans offer reduced rates at dentists who participate in the program.
- Payment Plans: Ask your dentist if they offer a payment plan, so you can spread the cost.
- Financing: You might consider financing options like CareCredit.
What to expect during a tooth extraction
If your dentist determines that you need to have a tooth extracted, here’s what you can expect:
Preparation
Before the extraction, your dentist will take X-rays of the tooth and surrounding bone. They’ll also review your medical history and talk with you about your options for anesthesia.
Procedure
During the procedure, the dentist will administer a local anesthetic to numb the area around the tooth. Then, they’ll use specialized tools to loosen the tooth and carefully remove it. Finally, they’ll clean the socket and place stitches, if necessary.
Recovery
After the extraction, you’ll likely experience some pain and swelling. You can manage the pain with OTC or prescription pain relievers and reduce the swelling with cold compresses. For the first few days, you’ll need to stick to a soft food diet. You’ll also need to avoid smoking, alcohol, using straws, and rinsing vigorously for 24 to 72 hours. You can resume brushing and flossing after 24 hours, but be sure to avoid the extraction site for the first three days.
Putting It All Together
As you can see, the cost of a tooth extraction can vary quite a bit, depending on the specific tooth, the complexity of the extraction, and other factors.
Understanding the factors that influence the cost, as well as looking into insurance coverage and payment options, can help you make a smart decision about your oral health.
Ultimately, the best way to know how much your tooth extraction will cost is to talk with your dentist. They can give you a personalized cost estimate based on your specific needs and circumstances.