A throbbing tooth rarely waits for payday, and the first question after “does it have to come out?” is usually “what will it cost?” The answer depends on whether the tooth is visible above the gum or trapped in bone, how many teeth come out, and how you’re sedated. Using CareCredit’s nationwide cost data and current fee ranges by procedure code, this guide breaks down the real price to take out teeth, including the extra fees most quotes leave out, and what to do if you can’t afford it.
Quick answer: A simple extraction averages about $177 per tooth, and a surgical extraction about $363, based on CareCredit’s national data. Wisdom teeth cost more: about $2,685 on average for all four, or $3,340 if all four are impacted, before X-rays and sedation, which can add 100–600 or more.
What is the average price to take out teeth?
The average price to take out a tooth that’s fully visible is about $177, and most simple extractions fall between roughly $75 and $400. A surgical extraction, needed when a tooth is broken, has curved roots, or is stuck in the gum or bone, averages about $363 and can pass $800 for a deeply impacted tooth. Exams, X-rays, and sedation are usually billed on top.
| Procedure | National average (per tooth) | Typical range |
| Simple extraction (erupted tooth) | $177 | About 75–400 |
| Surgical extraction (erupted tooth) | $363 | About 180–700 |
| Impacted tooth (soft tissue) | $423 | About 280–830 |
| Impacted tooth (full bony) | $532 | About 410–1,040 |
| One impacted wisdom tooth | $835 | Higher with complications |
Averages from CareCredit’s procedural cost data (as reported by Becker’s Dental Review); ranges from 2026 fee compilations by CDT code. Prices are before insurance.
What drives tooth extraction charges
• Tooth location. Front teeth have one root and come out more easily. Molars have two or three roots and cost more.
• Impaction. A tooth covered only by gum (soft tissue impaction) is simpler than one partly or fully encased in bone (partial or full bony impaction), which requires cutting bone and sectioning the tooth.
• Root shape and condition. Curved, fused, or brittle roots, or a tooth broken at the gumline, turn a simple extraction into a surgical one.
• Anesthesia. Local numbing is normally included. Nitrous oxide, IV sedation, and general anesthesia are separate fees.
• Provider. Oral surgeons usually charge more than general dentists, but they handle complex cases and offer IV sedation.
• Location. Large metro areas generally cost more than rural areas.
Note: Every extraction has a procedure code (CDT code). Ask for your quote by code, such as D7140 for simple or D7210 for surgical, so you can compare offices and check what your insurance will pay.
Simple vs. surgical extraction: cost and procedure
A simple extraction removes a tooth you can see, using forceps after numbing, and usually takes minutes. A surgical extraction requires an incision in the gum, sometimes removing bone or cutting the tooth into pieces, and often stitches. That extra time, skill, and risk is why surgical extractions cost roughly twice as much.
Simple extraction (CDT D7140)
The dentist numbs the area, loosens the tooth with an elevator, and lifts it out with forceps. It’s used for decayed, loose, or crowded teeth that are fully erupted with straight roots. Expect about $177 on average, with most fees between about $75 and $400. Local anesthetic is normally included.
Surgical extraction (CDT D7210)
When a tooth is broken at the gumline, has curved or fused roots, or is too fragile to grip, the dentist or oral surgeon opens the gum, may remove a little bone, and may section the tooth. The national average is about $363, with most fees between about $180 and $700 for a non-wisdom tooth.
Impacted tooth extractions
An impacted tooth hasn’t fully come through the gum, usually a wisdom tooth or a canine. Price rises with how much bone covers it:
• Soft tissue impaction (D7220): covered by gum only. Average about $423.
• Partial bony impaction (D7230): partly in bone. Typically about 410–800.
• Full bony impaction (D7240): completely encased in bone. Average about $532, and up to $1,000 or more.
• Full bony with complications (D7241): for example, close to the nerve. Often 640–1,600.
Standard tooth extraction cost matrix
| Procedure (CDT code) | Clinical scenario | Anesthesia usually needed | Average cost range per tooth |
| Simple extraction (D7140) | Visible, straight-rooted, decayed or loose tooth | Local | 75–400 (avg. $177) |
| Surgical extraction (D7210) | Broken tooth, curved roots, needs sectioning | Local, sometimes nitrous | 180–700 (avg. $363) |
| Soft tissue impaction (D7220) | Tooth under the gum | Local, nitrous, or IV | 280–830 (avg. $423) |
| Partial bony impaction (D7230) | Tooth partly in bone | Local plus sedation common | 410–800 |
| Full bony impaction (D7240) | Tooth fully in bone | IV sedation or general common | 410–1,040 (avg. $532) |
| Complicated full bony (D7241) | Near nerve or sinus, unusual position | IV sedation or general | 640–1,600 |
| Residual root removal (D7250) | Leftover root fragment | Local | 280–700 |
Note: A tooth quoted as a simple extraction can become surgical once the dentist starts, for example if it breaks or the roots are curved. Ask in advance what the surgical fee would be, so the final bill isn’t a surprise.
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Price to take out wisdom teeth (1, 3, or all 4)
The price to take wisdom teeth out averages about $2,685 for all four nationally, rising to about $3,340 when all four are impacted, according to CareCredit’s data. A single erupted wisdom tooth can cost under $200, while one impacted wisdom tooth averages about $835. Sedation, X-rays, and the provider’s location account for most of the difference between quotes.
Why wisdom teeth removal costs more
• Impaction is common. Third molars often don’t have room to erupt, so they come in sideways or stay trapped in bone.
• Nerve proximity. Lower wisdom teeth can sit close to the inferior alveolar nerve, so surgeons often order a 3D CBCT scan and take extra care, which raises cost.
• Sedation. Because several teeth are usually removed at once, most patients choose IV sedation or general anesthesia.
• Specialist fees. Impacted wisdom teeth are usually referred to an oral and maxillofacial surgeon.
Price to have 3 wisdom teeth taken out
Removing three at once costs less per tooth than three separate visits, because sedation and X-rays are paid once. Estimates based on per-tooth averages:
• 3 erupted (simple): about $530 at the national average, roughly 410–1,000 depending on the office, with local anesthesia.
• 3 impacted with IV sedation: about 1,600–1,950 for soft tissue to full bony impactions (423–532 per tooth plus about $349 for sedation), and up to about $2,850 for complex cases at the $835-per-tooth average.
Price to take out all 4 wisdom teeth
• All 4 erupted (simple): about $700 at the national simple-extraction average, more if any need sectioning.
• All 4, mixed difficulty: about $2,685 on average (CareCredit).
• All 4 impacted: about $3,340 on average (CareCredit). National quotes for all four range from roughly $1,200 to over $4,000.
Price to take out all 4 wisdom teeth in New York
A compilation of CareCredit’s state data puts New York’s average for all four wisdom teeth at about $2,724, close to the national average. Prices vary a lot within the state, though. Oral surgery practices in Manhattan and other high-rent areas, especially with general anesthesia in an accredited facility, tend to quote toward the top of the national range, about 3,500–4,000 or more for four impacted teeth. Upstate practices, dental schools, and community clinics are often well below that.
Wisdom teeth extraction cost spectrum
| Scenario | 1 tooth | 3 teeth | All 4 teeth |
| Erupted, simple, local anesthesia | About 75–400 (avg. $177) | About 410–1,000 | About 550–1,350 |
| Erupted but surgical (sectioned) | About 180–700 (avg. $363) | About 1,100–1,450 with sedation | About 1,450–1,800 with sedation |
| Impacted, with IV sedation | About 770–1,180 | About 1,600–2,850 | Avg. $3,340 (CareCredit) |
| National average, all four (mixed) | — | — | $2,685 |
| New York average, all four | — | — | About $2,724 (Manhattan surgical quotes often higher) |
Multi-tooth figures are our estimates, built from per-tooth averages plus about $349 for IV sedation; the all-four averages are CareCredit’s. Your quote will depend on your X-rays.
For dental plan options that can cover part of this cost, see Insure Omni’s guides to individual dental insurance plans and PPO dental insurance plans.
Additional and hidden dental extraction fees
Most extraction quotes cover only the extraction itself. Imaging, the exam, sedation, and prescriptions are billed separately and can add $150 to more than $1,000, especially for wisdom teeth under general anesthesia. Ask for an itemized estimate before treatment.
Diagnostic imaging
• Exam and periapical X-ray: often 150–350 combined for a single problem tooth.
• Panoramic X-ray (D0330): about 130–250 (average around $200). Shows all teeth and jaws, and is standard for wisdom teeth.
• CBCT 3D scan (D0367): about 300–600 (average around $466). Used when a lower wisdom tooth may touch the nerve, or before implants.
Anesthesia and sedation options
| Option | What it does | Typical added cost |
| Local anesthesia | Numbs the area; you’re fully awake | Usually included |
| Nitrous oxide (laughing gas) | Relaxes you; wears off in minutes | About 40–200 |
| Oral sedation (pill) | Drowsy but awake; needs a driver | Varies; often similar to nitrous or more |
| IV conscious sedation | Deeply relaxed, little memory of the procedure | About 275–675 per case (avg. about $349) |
| General anesthesia | Fully asleep | About 500–1,250 (avg. about $639) |
Sedation is usually billed by time, so complex cases cost more. IV sedation and general anesthesia require a driver home and fasting beforehand.
After-care and prescriptions
• Pain relief: many surgeons now recommend over-the-counter ibuprofen and acetaminophen first; opioids are prescribed less often.
• Antibiotics and chlorhexidine rinse: if there was infection or for higher-risk patients; usually inexpensive as generics.
• Follow-up visits: usually included for a set period. Ask whether dry socket treatment is extra.
• Bone graft (socket preservation): if you plan to get an implant later, this is a separate and significant charge. See dental implants cost.
Note: Ask the office for a written estimate listing every CDT code: exam, X-rays, each extraction, sedation, and any graft. That’s also what your insurer needs for a pre-treatment estimate.
What to do if you can’t afford a tooth extraction
If you can’t afford an extraction, start with a community health center or a dental school, which charge reduced or income-based fees. Free events and charities help some patients, and payment plans or financing can spread the cost. Don’t wait if there’s swelling, fever, or trouble swallowing: those are signs of a spreading infection, and an emergency room can treat it.
Dental schools and student clinics
Accredited dental schools offer care by supervised students and residents at fees often well below private practice, with oral surgery residents handling complex extractions. Appointments take longer and waitlists can be long, but the quality is closely checked.
Community health centers (FQHCs) and sliding-scale clinics
Federally qualified health centers funded by HRSA serve patients regardless of ability to pay, using a sliding fee scale based on income. Many offer dental care, including extractions. Search for one near you with HRSA’s “Find a Health Center” tool.
Free clinics and charities
• Mission of Mercy events: free, one- or two-day dental clinics in many states, often including extractions, on a first-come, first-served basis.
• Dental Lifeline Network’s Donated Dental Services: volunteer dentists provide care for people who are 65 or older, permanently disabled, or medically fragile and can’t afford treatment.
• Local dental society or United Way 211: can point you to free clinics and charity days near you.
Medicaid and Medicare
• Medicaid: adult dental coverage varies by state, but many states cover medically necessary or emergency extractions.
• Original Medicare: doesn’t cover routine extractions. It may cover dental services tied to certain medical treatments, such as an extraction before heart valve surgery.
• Medicare Advantage: many plans include dental benefits, but most cap annual dental spending, around $1,300 on average according to KFF data cited by NCOA. See dental insurance for seniors.
Payment plans and financing (CareCredit)
Many offices offer in-house payment plans. Health credit cards such as CareCredit offer promotional financing; read the terms carefully, since if the balance isn’t paid in full by the end of the promotional period, deferred interest may be charged back to the purchase date.
Low-cost and free extraction options
| Resource | Who qualifies | Typical savings | Best for |
| Dental school clinic | Anyone; may need screening | Often substantially below private fees | Non-urgent extractions, patients with time |
| FQHC / sliding-scale clinic | Anyone; fees based on income | Large for low-income patients | Low-income or uninsured patients |
| Mission of Mercy event | Anyone who attends | Free | Urgent but stable needs on event dates |
| Dental Lifeline Network | 65+, disabled, or medically fragile, with financial need | Free (donated care) | Seniors and people with disabilities |
| Medicaid | Low income; adult benefits vary by state | Often free or a small copay | Eligible adults and children |
| Payment plan / CareCredit | Credit approval | Spreads cost, doesn’t reduce it | Urgent care when cash is short |
| Dental insurance or discount plan | Anyone who enrolls | Typically 70–80% of basic care after waiting periods | Planned care, future protection |
Decision Tree for Low-Cost Dental Care
Conclusion:
The price to take out teeth ranges from under $200 for a simple extraction to $3,000 or more for four impacted wisdom teeth under sedation. Get an itemized quote by CDT code, ask whether a simple extraction might turn surgical, and compare a dental school or community clinic if the price is out of reach.
| Your situation | Likely cost | Best next step |
| One loose or decayed visible tooth | About 75–400 | General dentist; ask about community clinic fees |
| Broken tooth or curved roots | About 180–700 | Get the surgical fee quoted up front |
| One impacted wisdom tooth | About 770–1,180 with sedation | Oral surgeon consult with panoramic X-ray |
| All 4 wisdom teeth | About $2,685 average; $3,340 if all impacted | Compare 2–3 surgeon quotes; check insurance pre-estimate |
| All 4 in Manhattan with general anesthesia | Often 3,500–4,000+ | Compare with dental school and outer-borough clinics |
| No insurance and can’t afford it | Varies | FQHC, dental school, Mission of Mercy, or payment plan |
| Planning ahead for future dental work | Monthly premium | Dental insurance with short or no waiting periods |
Protect your budget with dental coverage from Insure Omni
Dental insurance won’t pay for a tooth that needs to come out today if your waiting period hasn’t passed, but it can make the next extraction, wisdom tooth surgery, or emergency far more affordable. Many plans cover basic services like extractions at about 70–80% after the deductible, and major services at about 50%, up to an annual maximum.
Insure Omni is an independent agency that helps individuals, families, and seniors compare dental, vision, and supplemental health plans. Compare dental coverage on Insure Omni, look at dental insurance with no waiting period, or call 855-994-4151 to get personalized quotes.
Secure Your Family's Future with Confidence
Don’t leave your loved ones' financial security to chance. Use our expert tools and free resources to find the perfect coverage today.
FAQS
A simple extraction usually costs about 75–400, with a national average of about $177. A surgical extraction averages about $363, and an impacted tooth can cost 400–1,000 or more. Exams, X-rays, and sedation are usually extra.
For one visible tooth, expect about $177 on average, plus roughly 150–350 for the exam and X-ray if you're a new patient. If the tooth is broken or impacted, budget 363–835 for the extraction alone.
A full-mouth extraction usually involves 20 to 32 teeth. At 177–363 per tooth, that's roughly 3,500–11,600 before sedation and imaging, and it's often done in stages and paired with immediate dentures, which cost extra. Many offices quote full-mouth extractions as a package, so ask for a bundled price.
When a tooth is badly decayed, cracked below the gumline, severely infected, or an impacted wisdom tooth is causing pain or damage, extraction is often the most affordable way to stop pain and infection. Saving the tooth with a root canal and crown costs more but avoids gaps and later replacement costs. Ask your dentist to compare both.
Yes. Dentists routinely extract severely decayed teeth that can't be restored. If the tooth is too broken down to grip, it's removed surgically, which costs more.
Call a federally qualified health center for sliding-scale fees, contact a nearby dental school clinic, ask your dentist about a payment plan, or look for a Mission of Mercy event. Seniors and people with disabilities can apply to the Dental Lifeline Network. If you have facial swelling or fever, go to urgent care or the ER.
Free extractions are available at Mission of Mercy events, some free clinics, through Dental Lifeline Network for eligible seniors and people with disabilities, and through Medicaid in many states. Call 211 to find free dental services nearby.
Often, yes. Many dentists extract an infected tooth the same day, sometimes with antibiotics. If swelling is severe or the infection is spreading, the dentist may prescribe antibiotics first and remove the tooth once the swelling goes down, because anesthetic works poorly in heavily infected tissue.
Dental offices carry high costs for equipment, imaging, sterilization, staff, and malpractice insurance, and oral surgeons have years of extra training. Dental insurance also tends to have low annual maximums, often 1,000–2,000, so patients pay more out of pocket than they do for most medical care.
Sources and 2026 Verification
- Becker’s Dental Review: Average costs of dental procedures (CareCredit data, Sept 2024) (opened Oct 15, 2026)
- Wisdom Teeth Removal Cost: 2026 prices by CDT code, including New York average (opened Oct 15, 2026)
- Real Dental Costs: Tooth extraction cost, simple vs. surgical (reviewed Sept 2026) (opened Oct 15, 2026)
- Real Dental Costs: Dental X-ray costs (reviewed Aug 2026) (opened Oct 15, 2026)
- NCOA: Medicare and dental coverage (Apr 2026) (opened Oct 15, 2026)
- Dental Lifeline Network (opened Oct 15, 2026)
- Insure Omni: Dental insurance (opened Oct 15, 2026)
Note: Averages are national cash prices before insurance. Multi-tooth and New York surgical figures are our estimates based on per-tooth averages. Prices vary by provider, location, and your X-rays; get an itemized quote. This article is educational and is not dental or medical advice.
