How Much Does a Tooth Extraction Cost? (2026 Prices)
Extraction prices vary more than almost any other common dental procedure, because “pulling a tooth” covers everything from a loose baby tooth to a fully impacted wisdom tooth under general anesthesia. Here is how the pricing actually breaks down in 2026.
Prices below are typical US ranges compiled from public fee surveys and published price lists. Get a written quote from your dentist or oral surgeon before treatment.
Average extraction prices
| Procedure | Typical range | Notes |
|---|---|---|
| Simple extraction | $75 - $250 per tooth | Tooth is visible and removed with forceps |
| Surgical extraction | $180 - $550 per tooth | Gum incision or tooth sectioning needed |
| Soft-tissue impacted wisdom tooth | $225 - $600 per tooth | Partially erupted |
| Bony impacted wisdom tooth | $300 - $800 per tooth | Fully covered by bone; the top of the range |
| All four wisdom teeth (package) | $1,000 - $3,000 | Often quoted with sedation included; compare line items |
| Emergency / same-day fee | $50 - $200 extra | After-hours or walk-in premium at some offices |
Add-on costs to expect
- Exam and X-ray. $50 - $150 for the visit and a periapical X-ray; a panoramic X-ray for wisdom teeth runs $75 - $200.
- Sedation. Nitrous oxide $25 - $100; oral sedation $150 - $500; IV sedation $250 - $800. Local anesthetic is normally included in the extraction fee.
- Bone graft after extraction. $200 - $800 if you plan an implant later - ask whether it is genuinely needed at extraction time, because doing it later costs more.
- Follow-up complications. Dry socket treatment is often free at the office that pulled the tooth, but confirm their policy.
With insurance
Most dental plans class extractions as a “basic” service, typically covered at 70-80% after the deductible for simple extractions. Surgical extractions and impacted wisdom teeth are sometimes classed as “major” (50%) - the same tooth can cost you very different amounts depending on how your plan classifies it. Medical insurance occasionally covers impacted wisdom teeth when they are causing pathology; ask the oral surgeon’s billing office to check both.
Without insurance
- Compare a general dentist vs an oral surgeon. For a simple or moderately surgical extraction, general dentists frequently charge 20-40% less than an oral surgery practice.
- Dental schools. Extractions are a staple of student clinics at roughly half price, fully supervised.
- Ask about cash pricing and payment plans. CareCredit-style financing and in-house plans are near-universal for extractions.
- Do not price-shop an infection. If you have swelling, fever, or trouble swallowing, treat it as urgent and get seen the same day.
Frequently asked questions
Why did my quote double after the X-ray? The X-ray likely showed the roots are curved, fractured, or close to a nerve, upgrading a simple extraction to a surgical one. Ask the office to explain the code they are billing (D7140 is simple; D7210 and up are surgical).
Is it cheaper to extract all four wisdom teeth at once? Almost always, yes. You pay for sedation and the surgical setup once instead of twice, and package pricing is common.
How much does a replacement cost afterward? Budget separately for it: a dental implant with crown typically runs $3,000 - $5,000, a bridge $2,000 - $5,000, and a partial denture $600 - $2,500. See our dental implant cost guide for details.
Use the directory to find dentists and oral surgeons near you, compare ratings, and call for quotes - for extractions, two phone calls can easily save a few hundred dollars.