How Much Does a Tooth Extraction Cost?

By Dr. Renu Saxena - Updated November 19,2020 how much cost

Tooth extractions are sometimes necessary for the sake of your dental health, as is the amount you have to pay for them. The cost of a tooth extraction can vary depending on a variety of factors, including the complexity of the procedure, your dentist’s pricing, and whether you have insurance. However, you do have options when it comes to saving money on the procedure.

Learn more about tooth extraction cost and the procedure itself so you can make an informed decision about your dental treatment and plan for how you’ll afford your visit.

How Much Does a Tooth Extraction Cost?

Average Cost Insurance

How much does a tooth extraction cost? The national average cost of a tooth extraction is approximately $219* without dental insurance (for a simple extraction). It should be noted that tooth extraction costs are not the same for everyone. In fact, it can vary by hundreds of dollars.

*The select regional average cost represents the average fees for the procedures listed above in Los Angeles, Orlando, Chicago and New York City, as displayed in the cost of care tool as of June 2020.

Factors That Affect Tooth Extraction Cost

Average Cost Insurance

There are a variety of factors that can impact the overall tooth extraction cost, including:

  • Simple vs. Surgical Extraction: A standard tooth extraction, where the tooth has already erupted above the gumline, can be removed by a general dentist. A surgical extraction is necessary when a tooth is impacted (is fully or partially trapped below the gumline); typically, surgical extractions are performed by an oral surgeon. Due to the increased complexity, procedure time, and need for anesthesia, a surgical extraction is usually much more costly.
    • Simple tooth extractions cost about $219 on average.
    • Impacted tooth extractions can cost as much as $800 to $4,000.
  • Number of Teeth Being Extracted: n some cases, you may need more than one tooth extracted. Tooth extraction cost is typically based on a per-tooth quote, so the more teeth you have pulled the higher the bill.
  • Dental Office Location: Depending on where your dental office is located, you may end up paying more or less. This is because treatment costs are usually higher in big cities due to higher rent and operational costs.
  • Dental Insurance Coverage: If you have dental insurance, it may cover a portion of the tooth extraction cost (even for impacted teeth), given that the procedure is medically necessary. However, if you do not have insurance, you will have to cover the full extraction cost out of pocket, unless you can find a way to save money—see Ways to Save on Tooth Extraction for more information.

After a consultation, when your dentist can evaluate the condition of the teeth that are going to be removed, they should be able to provide you with a cost estimate.

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When Should a Tooth Be Extracted?

While it’s understandable to want to avoid tooth extractions if possible—not only to save on the expense but because any dental procedure can be intimidating—tooth extractions are typically only recommended when necessary. There are several reasons why an extraction might be necessary:

  1. Overcrowding: A tooth extraction may be performed if overcrowding is causing your teeth to become misaligned. For this reason, tooth extractions may need to be performed before starting orthodontic treatment. It’s important to note that overcrowding can not only lead to a crooked smile but can have a negative effect on your overall oral health.
  2. Impaction: As mentioned earlier, sometimes teeth can become partially trapped below the gumline, known as impaction. The tooth may need to be extracted because it cannot erupt on its own.
  3. Periodontal Disease: Bacteria can become trapped, affecting the gum tissue and bones that support the teeth, causing them to become loose. If this happens, a tooth may need to be extracted and replaced with a restoration (dental bridge or an implant-supported crown).
  4. Failed Root Canal: root canal is performed to save an infected tooth when decay is so severe that it reaches the inner portion of the tooth. However, there are cases where a root canal can fail, and the infection reaches the root of a tooth. In these cases, an extraction is typically the only solution.
  5. Trauma: In some cases teeth may need to be extracted due to trauma that causes severe damage, like sports injuries and accidents, or cracking a tooth below the gum line. In these cases, the tooth is typically replaced with a bridge or implant-supported crown to preserve the function of your bite.

Whatever the reason for your extraction, you can rest assured that dentists generally only recommend this procedure when it is the best course of action to protect your oral health.

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What Happens During a Tooth Extraction?

The tooth extraction process may seem frightening, but it's actually a fairly simple procedure, depending on the type of extraction.

  1. Your dentist will numb the affected area
  2. They will then remove the problem tooth
  3. Next, they fill the extracted area with gauze (unless you need stitches)
  4. Finally, you can go home and take some time to rest and heal

Note that if you are undergoing a surgical tooth extraction, a more extensive procedure and sedation is typically required, which can increase the cost to have a tooth extracted.

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How Do I Care for My Mouth After a Tooth Extraction?

Once you've had a tooth extraction, you'll need to take some time to rest and heal. Normally after a tooth is extracted a blood clot will form as the first step in healing. One of the most important aspects of aftercare is maintaining the blood clot that forms so you don't get a dry socket. During the recovery period, you should follow your dentist's post-extraction instructions to prevent dry socket, which may include:

  • Replacing the gauze when necessary
  • Using an ice bag if needed to reduce swelling
  • Taking prescribed antibiotics to lessen the pain (depending on insurance, antibiotics may be an additional expense to factor into your overall tooth extraction cost)
  • Limiting activity and relaxing for a couple of days
  • Avoiding forceful spitting for at least 24 hours
  • Not drinking with a straw, sucking on hard candies or smoking cigarettes for at least a week
  • Eating soft foods
  • Among other things (Your dentist will give you the instructions you need)

It is also important to let your dentist know about any serious medical conditions you have or had, as it may affect how they do surgery and what they recommend for post-extraction recovery.

Ways to Save on Tooth Extractions

Sometimes tooth extractions, including wisdom tooth removal, are covered by health insurance. However, what should you do with the remainder (or full expense if you have no insurance) that you owe out of pocket? Don’t worry—you have options.

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There are ways you can save some money on tooth extraction costs, including:

  1. Dental savings plan: 1Dental plans are membership clubs with exclusive savings. The national average cost of a tooth extraction (for a simple tooth extraction) with the Careington Care 500 plan is about $70*. That’s a $149 in savings based on the average tooth extraction cost.
  2. CareCredit®: CareCredit is a medical credit card that allows you to finance dental treatments and make payments on the credit cards over time.
  3. Payment plans through your dentist: Some dentists may be willing to work with you to establish a payment plan where you can pay off treatment in installments.
  4. HSA/FSA/HRA: If you have a health savings account (HSA), flexible spending account (FSA), or health reimbursement account (HRA), you may be able to pay for extractions with the untaxed money in these accounts.

Here are the tooth extraction prices you can expect to pay using the Careington Care 500 dental savings plan compared to average prices specific to your area.

Samples of what you’ll save


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The discounted prices you see are the exact prices at the general dentist for your state.

Use our search tool below to find a plan and a dentist near you that offers these great discounts to our members on tooth extractions. Check to see if they perform extractions at their office. Some general dentists may need to refer you to an oral surgeon, but you will still receive a discount using our plans.

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Find an Affordable Tooth Extraction Option

Undergoing necessary dental treatments like tooth extractions doesn’t have to break the bank. With one of our dental savings plans, you can help make tooth extractions, wisdom tooth removal, and other essential procedures more affordable for your budget.

Sign up for one of our dental savings plans and see if you can save on your tooth extraction

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Dr. Renu Saxena is not your typical dentist. Yes, she's been in the field since 1996, has owned her own private practice and taught at Texas A&M College of Dentistry. But for Dr. Saxena, it's all about educating patients so they can take better care of their own teeth and understand their dental needs. You can catch up with her fun and helpful videos on Instagram, @talkingteethdds.

This content is not intended to be a substitute for professional dental advice, diagnosis, or treatment. Always seek the advice of your dentist with any questions you may have regarding your oral health.

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