Oral Surgery · Tooth Extraction · National Cost

How much does a simple tooth extraction cost?

Average Tooth Extraction cost in the US: $170-$450

🏥 Based on ADA fee survey data
📊 Population-weighted national average
🔄 Updated May 2026
✓ Reviewed by Pearl clinical team
$170 – $450

Typical Tooth Extraction range across the United States

📍 All 50 states covered 🏥 PPO typically covers up to ortho max

National average

$260

Tooth Extraction · D7140

What is this procedure?

About this procedure

A simple tooth extraction is the removal of a fully erupted tooth that's visible above the gumline and accessible without surgery. The dentist numbs the area, loosens the tooth from its socket using forceps and elevators, and removes it. Common reasons include severe decay, failed root canal, advanced gum disease, and orthodontic preparation. The procedure usually takes 20–40 minutes from anesthesia to the bandage on the socket.

Recovery is typically 1–2 weeks. Most patients are back to normal eating within a few days, with full healing of the socket bone over several months. A simple extraction does not include surgical removal of impacted teeth or roots — those are billed as surgical extractions at a higher rate.

Price factors

What affects this cost?

  • Tooth location: Front-tooth extractions are usually simpler than back-tooth extractions.
  • Tooth condition: Heavily decayed teeth that crumble during extraction may move from "simple" to "surgical" billing mid-procedure.
  • Anesthesia type: Local anesthesia is usually included; sedation is separate.
  • Replacement planning: If you're planning an implant or bridge, the dentist may take additional steps (socket preservation) at extra cost.
  • General dentist vs. oral surgeon: General dentists often charge less than oral surgeons for simple extractions.

By state

Where does this cost the most and least?

Pearl tracks pricing across all 50 states. Below are the highest and lowest cost markets — click any state for a full state-level cost breakdown across covered cities.

Highest cost states

Lowest cost states

Quote checker

What should your quote include?

Different providers bundle costs differently. Here's what a complete quote typically covers — and what's often left out.

USUALLY INCLUDED IN THE QUOTED PRICE

  • Local anesthesia
  • Tooth loosening and removal
  • Socket bandage and gauze
  • Post-op instructions
  • Follow-up call or visit if there are concerns

OFTEN BILLED SEPARATELY — ASK BEFORE YOU AGREE

  • Surgical extraction if the tooth fractures during removal
  • Sedation beyond local anesthesia
  • Bone graft / socket preservation for future implant
  • Replacement (implant, bridge, or partial denture) — separately billed
  • Pain medication beyond standard prescription

Health stakes

What happens if you delay treatment?

  • A failing tooth can develop an abscess that spreads infection
  • Severely decayed teeth can fracture below the gumline, requiring surgical extraction at higher cost
  • Adjacent teeth can shift into a damaged tooth's space if the tooth eventually falls out unmanaged
  • Pain and infection can force emergency treatment at higher rates

Before you agree

Questions to ask your provider

  • Is this a simple or surgical extraction?
  • Will I need bone preservation for a future implant?
  • What anesthesia options are included?
  • What's the next step — implant, bridge, or partial denture?
  • What pain management can I expect afterward?

Common questions

Frequently asked questions

A simple extraction removes a fully erupted, accessible tooth using forceps. A surgical extraction involves cutting the gum, removing bone, or sectioning the tooth — used for impacted teeth, roots that have broken off, or teeth that won't come out simply. Surgical extractions cost significantly more.
Most PPO plans cover medically necessary extractions at 50–80% after the deductible. Cosmetic or orthodontic extractions may have different coverage rules.
It depends on your budget, timeline, and the location of the missing tooth. Implants are more durable and don't affect adjacent teeth; bridges are faster and cheaper upfront. Talk through both options before the extraction so you can plan socket preservation if needed.
Most patients are back to normal eating within 3–7 days. Full bone healing of the socket takes 2–3 months. Avoid hard, crunchy, or hot foods for the first few days, and don't drink through a straw (which can dislodge the clot and cause painful dry socket).
Yes — many extractions are done in groups, especially for orthodontic prep or full-mouth restoration plans. Multi-tooth extractions are usually billed per tooth, sometimes at a slight discount.

See local pricing

Compare what this costs in your city.

Pearl's cost data covers 485 U.S. cities. Search by procedure and zip — get a localized fee range and what to expect from your insurance.

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