Whether it’s due to severe decay, infection, overcrowding, or trauma, tooth extraction is sometimes the best option for preserving your overall oral health. But one of the biggest concerns for many patients is the cost. So, how much does it cost to pull a tooth—and what should you expect during the process?
At Asctorino, we believe in making dental care accessible, transparent, and easy to understand. In this detailed guide, we’ll break down everything you need to know about tooth extraction costs, the types of extractions, what factors impact pricing, and how to find affordable care—even if you don’t have dental insurance.
Whether you’re preparing for a simple extraction or a more complex surgical procedure, this article is your go-to resource for understanding costs and making informed decisions.
Types of Tooth Extractions
Tooth extractions fall into two primary categories, and the cost depends heavily on which type you need:
1. Simple Extraction
This is a straightforward procedure where the dentist removes a visible tooth that is fully erupted and accessible. It’s typically performed under local anesthesia.
Common reasons for simple extraction:
Severe decay
Loose or damaged teeth
Preparation for orthodontics
Gum disease-related tooth loss
2. Surgical Extraction
This involves removing a tooth that is not easily accessible, such as an impacted tooth (common with wisdom teeth), or one that has broken off at the gum line. Surgical extractions often require cutting into the gum or removing bone.
Common reasons for surgical extraction:
Impacted wisdom teeth
Broken or fractured teeth
Teeth that haven’t fully erupted
Roots embedded in the jaw
Surgical extractions are more complex and typically cost more due to anesthesia, imaging, and surgical tools.
Average Cost to Pull a Tooth
Here’s a general breakdown of tooth extraction costs in the U.S., based on the procedure type:
| Type of Extraction | Cost Without Insurance | Cost With Insurance |
|---|---|---|
| Simple Extraction | $75 – $300 per tooth | $35 – $150 |
| Surgical Extraction | $200 – $700 per tooth | $100 – $400 |
| Impacted Wisdom Tooth (Soft) | $250 – $600 per tooth | $100 – $350 |
| Impacted Wisdom Tooth (Hard) | $350 – $1,000 per tooth | $200 – $500 |
Asctorino reminds patients that these are average price ranges and can vary based on location, provider experience, and additional factors.
Factors That Affect Tooth Extraction Costs
Several variables can influence the final price of your tooth extraction:
1. Location and Local Rates
Dental fees vary by state and region. Urban areas often have higher costs than rural locations.
2. Complexity of the Extraction
Surgical extractions and impacted teeth are more expensive due to time, skill, and equipment required.
3. Type of Anesthesia Used
Local anesthesia is standard and generally included in the price. However, if you require sedation (IV sedation or general anesthesia), this can increase the cost by $200–$600 or more.
4. Number of Teeth Extracted
If multiple teeth need to be removed, you may receive a discounted rate per tooth—but the total cost will be higher.
5. Dental X-rays or Imaging
Panoramic X-rays or 3D scans are often needed for surgical extractions and can cost an additional $50–$250.
6. Aftercare and Follow-Up Appointments
Some dental practices include aftercare in the total cost, while others may charge separately for checkups or prescription medications.
At Asctorino, we always recommend requesting a written estimate in advance to avoid surprise charges and ensure clarity on what’s included.
Wisdom Tooth Removal Costs
Wisdom tooth extractions—especially if impacted—are often more expensive than regular extractions due to complexity.
Average Costs:
Erupted wisdom tooth: $100 – $300
Soft-tissue impaction: $250 – $500
Partial bony impaction: $350 – $700
Complete bony impaction: $450 – $1,000+
If you need all four wisdom teeth removed, expect to pay anywhere from $1,000 to $3,000 without insurance. Most providers offer bundle pricing or discounts for multiple extractions done at once.
Is Tooth Extraction Covered by Insurance?
Most dental insurance plans cover a portion of tooth extraction costs—especially if the procedure is medically necessary.
Coverage usually includes:
70% to 100% of simple extractions
50% to 80% of surgical extractions
Some plans may also cover anesthesia, X-rays, and antibiotics
However, waiting periods, deductibles, and annual maximums can limit how much your policy covers.
Check with your provider for:
Coverage specifics for tooth extractions
In-network dental offices to reduce out-of-pocket costs
Pre-authorization requirements (for surgical cases)
Asctorino recommends verifying your benefits before scheduling the procedure so you know what to expect financially.
What If You Don’t Have Insurance?
If you don’t have dental insurance, there are still ways to reduce the cost of your tooth extraction:
1. Dental Discount Plans
Dental savings plans offer 10–60% discounts on procedures, including extractions, in exchange for a small annual fee. They are not insurance, but they can help significantly lower your out-of-pocket expenses.
2. Community Dental Clinics
Nonprofit clinics and Federally Qualified Health Centers (FQHCs) provide low-cost care on a sliding scale based on income. Some offer extractions for as little as $25–$75 per tooth.
3. Dental Schools
Dental schools provide services at reduced prices. Students perform extractions under the supervision of licensed dentists.
4. Charitable Dental Events
Programs like Mission of Mercy, Remote Area Medical, and Dental Lifeline Network host free dental clinics that may include tooth extractions.
5. Payment Plans and Financing
Many dental offices offer in-house payment plans or third-party financing (e.g., CareCredit) with little or no interest for qualifying patients.
At Asctorino, we help connect patients with flexible and affordable treatment options—so no one has to live in pain due to cost barriers.
What to Expect During and After a Tooth Extraction
Before the Procedure
Your dentist will examine the tooth, take X-rays, and review your medical history. You’ll be given local anesthesia to numb the area. In some cases, sedation or general anesthesia may be used.
During the Procedure
For simple extractions, the dentist will use forceps to gently loosen and remove the tooth.
For surgical extractions, the gum may be cut, and bone may be removed to access the tooth.
The procedure typically takes 20–40 minutes.
After the Procedure
You may experience swelling, mild bleeding, and discomfort.
Your dentist will provide post-operative instructions that may include:
Taking prescribed painkillers or antibiotics
Applying cold compresses
Avoiding smoking, alcohol, and hard foods
Using saltwater rinses after 24 hours
Avoiding strenuous activity for a few days
Healing time is usually 7–10 days, but surgical extractions may take longer.
Alternatives to Tooth Extraction
In some cases, there may be options besides removing the tooth:
Root Canal Therapy: Saves the tooth by removing infected pulp
Crown: Restores function to a cracked or severely decayed tooth
Periodontal Treatment: Can treat gum infections that cause loosening
Orthodontic Space Management: If crowding is the issue
Asctorino encourages patients to consider all options before extraction and discuss potential restorative solutions with a trusted provider.
FAQs
1. How much does it cost to pull a tooth with no insurance?
Expect to pay between $75 and $300 for a simple extraction, and $200 to $700 or more for surgical extractions. Costs can vary based on location and complexity.
2. Why is a surgical extraction more expensive?
Surgical extractions involve cutting gum tissue, removing bone, or dealing with impacted teeth. These procedures require more time, skill, and tools.
3. Can I get a tooth pulled at the ER?
No. Emergency rooms do not perform tooth extractions. They can provide temporary pain relief and antibiotics, but you’ll need to follow up with a dentist for removal.
4. What if I can’t afford to pull a painful tooth?
Look into dental schools, free clinics, community health centers, or financing plans. Asctorino can help you locate affordable resources in your area.
5. Is pulling a tooth painful?
Most patients report minimal pain during the procedure thanks to local anesthesia. Discomfort may occur after the extraction but can be managed with medication and rest.
Final Thoughts
Tooth extractions are sometimes necessary—but they don’t have to be financially overwhelming. Whether you need a simple extraction or a surgical one, understanding the costs and exploring affordable solutions can help you take action with confidence.
At Asctorino, we’re dedicated to helping patients navigate dental care—even during emergencies or financial hardship.
Don’t let cost stop you from getting the treatment you need. Use the information in this guide to make smart, informed decisions—and protect your long-term oral health.