Tooth Extraction Cost in 2026: Simple and Surgical

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Prices checked October 22, 2026. By Lorenzo Beux.

Short answer: A simple tooth extraction costs $170 to $450 in the US, with a national average of $260. A surgical extraction, where the dentist cuts the gum, removes bone or splits the tooth, costs more. One Florida sample puts it at $325 versus $225 for a simple one. A dental savings plan can bring a $308 simple extraction down to about $71 to $76 at participating dentists.

Dental savings plans are not insurance. A plan gives you discounts only at participating dentists. It does not pay the dentist for you, and you pay for all services at the discounted rate. Prices, discounts and dentists vary by plan and ZIP code.

Compare dental savings plans and what you would pay

Tooth extraction prices at a glance

Type of extractionCodeTypical priceWhere the price comes from
Simple extractionD7140$170–$450, average $260National, Pearl
Simple extractionD7140$225Orlando, Humana
Simple extractionD7140$308Houston sample usual fee
Surgical extraction (bone removal or sectioning)D7210$325Orlando, Humana
Impacted tooth, soft tissueD7220$383Orlando, Humana
Impacted tooth, partly in boneD7230$460Orlando, Humana
Impacted tooth, fully in boneD7240$500Orlando, Humana
Sources: Pearl national average from ADA fee survey data (May 2026); Humana pricing tool, Orlando (page updated June 2026); DentalPlans.com sample fee, ZIP 77002 (October 2026).

Removing wisdom teeth has its own price list. Our wisdom teeth removal cost guide covers them in detail.

Simple vs. surgical extraction

Pearl describes a simple extraction as removing a fully erupted tooth the dentist can reach easily. The dentist numbs the area, loosens the tooth and lifts it out.

A surgical extraction takes more work. The dentist may cut the gum, remove some bone or split the tooth into pieces. Cleveland Clinic says this can happen when a tooth is badly decayed or broken at the gumline. Complex cases often go to an oral surgeon or a periodontist.

Pearl warns that a crumbling tooth can turn into a surgical extraction partway through. That changes the bill. Ask your dentist up front what happens to the price if it does.

What raises or lowers the price

  • Tooth location. Front teeth are usually simpler to remove than back teeth, per Pearl.
  • Tooth condition. A broken or badly decayed tooth may need surgery.
  • Who does it. General dentists often charge less than oral surgeons.
  • Numbing and sedation. Local anesthetic is usually included. Sedation is extra.
  • Planning a replacement. Socket preservation for a future implant adds cost, per Pearl.
  • Other extras. Pearl lists bone grafts, extra pain medicine and the replacement tooth as common separate charges.
  • Where you live. A simple extraction is $225 in the Orlando sample and $308 in the Houston sample.

Don’t forget the cost of replacing the tooth

Pulling a tooth is often the cheapest step. Cleveland Clinic lists implants, bridges and partial dentures as ways to replace it. Each costs far more than the extraction. Before you decide, ask for prices on the whole plan.

If the tooth can be saved, a root canal and crown is the other option to price. Your dentist can tell you whether that is realistic.

Extraction cost with dental insurance

Pearl says most PPO plans pay 50% to 80% of a medically necessary extraction after the deductible. Extractions done for braces or for cosmetic reasons may follow different rules.

  • Waiting periods. Humana says most insurers apply a 6- or 12-month wait to major care, which includes oral surgery.
  • Yearly maximum. ADA News reports 32.8% of plans cap benefits at $1,000 to $1,500, and 48.2% at $1,500 to $2,500.
  • Extras. Sedation and bone grafts are often billed separately and may be covered differently.
  • Premiums. The 2026 average is $49.60 a month, per Becker’s Dental Review.

Our dental insurance guide explains how deductibles, maximums and waiting periods work.

Extraction cost with a dental savings plan

A savings plan is a yearly membership with reduced fees at participating dentists. There is no yearly maximum, no deductible and no waiting period once the plan is active.

Plan (yearly fee)Simple extraction, usual → planImpacted tooth, soft tissue
Aetna Dental Access ($154.95 + $20)$308 → $76$567 → $183
Careington Care 500 ($184.95 + $20)$308 → $71$567 → $128
Aetna Vital Savings ($184.95 + $20)$145 → $52Not shown
Humana Dental Savings, Sam’s Club ($49.92)Members typically save 20% to 40%
Sources: DentalPlans.com sample general-dentist fees, ZIP 77002 (Aetna Vital Savings: ZIP 67570), checked October 22, 2026; Humana Sam’s Club plan page.

Fees vary by dentist and ZIP code. Check that your dentist or oral surgeon participates before you join. See our list of the best dental savings plans.

Worked example: one simple extraction

Say you need one simple extraction. Using the Houston sample, the usual fee is $308.

With insurance (an example plan, not a quote). Assume a $50 deductible and 80% coverage, with any waiting period already over. The plan pays ($308 − $50) × 80% = $206.40. You pay $101.60. Premiums add about $595 for the year. If your plan pays 50% instead, you pay $179.

With a savings plan. On Aetna Dental Access, you pay $76. With the first year’s $174.95 fee, the total is $250.95. On Careington Care 500, you pay $71, or $275.95 with the fee.

For one extraction, the membership fee is most of the cost. A plan pays off more when you also need a replacement tooth or other work. Our savings plan vs. insurance comparison shows more cases.

Ways to pay less for an extraction

  • Get a written estimate with the code. D7140 is simple. D7210 is surgical. Ask what happens if it changes.
  • Ask if a general dentist can do it. They often charge less than an oral surgeon for routine cases.
  • Ask for the cash price. Some offices discount if you pay at the visit.
  • Use a savings plan at a participating dentist.
  • Try a dental school. NIDCR says supervised students treat patients at reduced cost.
  • Check a community health center. Fees are based on income. Find one at findahealthcenter.hrsa.gov.
  • Ask about payment options. Many offices offer payment plans. Medical credit cards and loans exist too, so read the interest terms.

Read more in our guides to dental care without insurance and free and low-cost dental care.

When to see a dentist

See a dentist for any toothache, a broken tooth, swelling or a loose tooth. After an extraction, Cleveland Clinic says to call if you have a fever of 100.4°F or higher. Also call for pus at the site, or severe pain that medicine does not relieve.

Dry socket affects about 2% to 5% of extractions, per Cleveland Clinic. It happens when the blood clot in the socket is lost early. Smoking, straws and hard rinsing raise the risk. Call your dentist if pain keeps you up at night or gets worse after a few days.

Tooth extraction cost FAQ

How much does it cost to pull a tooth without insurance?

A simple extraction averages $260 nationally, with a typical range of $170 to $450. A surgical one costs more.

How much more is a surgical extraction?

In Humana’s Orlando data, a surgical extraction is $325 versus $225 for a simple one. Impacted teeth run $383 to $500.

Is sedation included?

Local numbing usually is. Sedation is usually an extra charge. Ask for it as a separate line on your estimate.

How long does recovery take?

Cleveland Clinic says most people return to normal activities in 48 to 72 hours. Swelling and soreness usually ease within a week. The bone takes several weeks to heal fully.

Is it cheaper to pull a tooth or save it?

Pulling is cheaper on day one. But replacing the tooth later adds a large bill. Compare the extraction plus replacement against a root canal and crown.

Does Medicare cover tooth extractions?

NIDCR says Medicare generally does not cover routine dental care. Our Medicare dental guide explains the rules and exceptions.

Dental savings plans are not insurance. They provide discounts at participating providers. You pay the provider directly at the time of service. Prices vary by provider and ZIP code. This page is for information only and is not dental or financial advice.

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