2026 tooth extraction cost guide
How Much Does a Tooth Extraction Cost in 2026?
A simple tooth extraction generally costs $150–$350. Surgical removal commonly costs $300–$800 per tooth, while impacted wisdom teeth, anesthesia, imaging, or bone grafting can raise the total.
Key takeaways
- Simple extraction is the least expensive category.
- Impaction, broken roots, and surgical access increase the fee.
- Sedation and socket grafting are usually separate line items.
- The complete budget should include replacement of a functional tooth.
Tooth removal price by procedure
| Procedure | Typical cost | Common additions |
|---|---|---|
| Simple extraction | $150–$350 | Exam and X-ray |
| Surgical extraction | $300–$800 | Sectioning, sutures |
| Impacted wisdom tooth | $350–$1,100 | CBCT, IV sedation |
| Four wisdom teeth | $1,200–$4,000 | Sedation, medication |
| Socket preservation graft | $300–$1,200 | Membrane or graft material |
Simple versus surgical extraction
A simple extraction is used when the crown is visible and the tooth can be loosened and removed without opening the gum. Surgical extraction may require an incision, bone removal, or dividing the tooth into sections.
The final category is based on the clinical procedure, not merely which tooth is removed. A broken front tooth can require surgery, while an erupted wisdom tooth may be simple.
Sedation, grafting, and replacement costs
Local anesthetic is generally included. Nitrous oxide, oral medication, IV sedation, or hospital anesthesia adds provider and monitoring fees.
A graft may be recommended when future implant replacement is planned. For a non-wisdom tooth, compare the extraction-only price with the full bridge, implant, or partial-denture plan.
Insurance and lower-cost removal
Many dental plans cover medically necessary extraction, but the percentage depends on whether it is classified as basic or surgical care. Emergency exams and sedation can be subject to different benefits.
Dental schools and community health centers may offer lower fees, though availability and treatment timelines vary.
Frequently asked questions
How much does it cost to pull one tooth?
A routine simple removal often costs $150–$350. Surgical removal is commonly $300–$800 before sedation or grafting.
How much does wisdom teeth removal cost?
Removing all four can cost roughly $1,200–$4,000, depending on impaction and anesthesia.
Does insurance cover tooth extraction?
Most plans cover medically necessary extraction to some degree, subject to deductibles, annual limits, and network fees.
Is a bone graft required after extraction?
Not always. It may be recommended to preserve bone for a future implant or in an area where collapse would affect the treatment plan.
Sources and methodology
Prices are educational ranges, not quotes. Actual fees vary by diagnosis, provider, materials, insurance, and location.