Wisdom teeth removal cost: four impacted teeth, before and after insurance
Choose your state and your coverage: the estimate prices the removal of four impacted wisdom teeth, the usual case in a quote.
You pay for wisdom teeth, four impacted in New York
$1,322
$2,594 billed, $1,272 paid by the plan.
| Estimated dentist charge (full fee) | $5,267 |
| Estimated in-network price | $2,594 |
| Plan pays (50 % after deductible) | $1,272 |
| Deductible | $50 |
| New York Medicaid fee, same codes (2024) | $1,212 |
Estimate: New York Medicaid fee ÷ 26.1 % (Medicaid pay as a share of dentists' charges, ADA HPI 2024). Brought to September 2026 with the dental services price index (BLS). Not a quote.
| CDT code | Service | Count | Medicaid fee, 2024 |
|---|---|---|---|
| D7240 | Removal of impacted tooth, bony | 4 | $303 |
Compiled by Radif Partners · How prices are estimated · state Medicaid fee schedules, ADA ratios of 2024, BLS dental price index · not a quote
Removing four wisdom teeth that are impacted in bone, the case most quotes describe, is estimated at a median $3,023 before insurance across the 27 states whose Medicaid fee schedules list the code, in September 2026 dollars, or about $756 a tooth. The code used is D7240, for a tooth fully covered by bone; a tooth only under the gum costs less, one deep in bone with complications more. A private plan's network price for the four is about $1,699. The Covered California 2026 example plan pays oral surgery at 50 % after a $50 deductible and stops at a $1,500 yearly maximum, which leaves the patient $875 in network. Sedation or general anesthesia, the consultation and the panoramic X-ray are billed on top, and in many offices the anesthesia is the largest of those lines.
How impaction sets the price
Wisdom teeth are the third molars, and their removal is billed tooth by tooth under codes that describe how deep each one sits. A wisdom tooth that has erupted is removed like any other tooth, under the simple or surgical extraction codes. One still covered by gum only is coded D7220, soft tissue impaction. One partly in bone is D7230, and one completely in bone is D7240, the code this page uses for all four teeth. A tooth in bone with unusual complications, such as roots close to a nerve, has a further code at a higher fee.
An office's quote for "four wisdom teeth" therefore depends on what the X-ray shows. Two upper teeth under the gum and two lower teeth in bone can cost noticeably less than four teeth fully in bone. The estimate here is the full-bony case, the upper end of the usual range, so a quote below it is not unusual.
The depth of each tooth is read on the X-ray before the surgery, and it is that reading the office uses to choose the codes on its estimate. If the written estimate lists four teeth in bone but the patient was told two are only under the gum, the difference is worth a question before the day of surgery, since it changes both the fee and the plan's payment. A second opinion on the X-ray is also a common step before a surgery of this size, and its cost is usually limited to a consultation.
| State | Four teeth, full fee | Four teeth, in network | Per tooth |
|---|---|---|---|
| New York | $5,267 | $2,594 | $1,317 |
| Massachusetts | $3,954 | $2,141 | $989 |
| Connecticut | $3,709 | $2,183 | $927 |
| Oregon | $3,650 | $2,496 | $913 |
| Minnesota | $3,605 | $2,251 | $901 |
| South Carolina | $3,392 | $2,240 | $848 |
| Ohio | $3,372 | $1,991 | $843 |
| Virginia | $3,307 | $1,907 | $827 |
| Iowa | $3,269 | $2,089 | $817 |
| Pennsylvania | $3,222 | $1,596 | $805 |
| Indiana | $3,157 | $1,960 | $789 |
| Colorado | $3,146 | $1,792 | $786 |
| Texas | $3,095 | $1,752 | $774 |
| Maryland | $3,023 | $1,536 | $756 |
| Washington | $2,973 | $1,830 | $743 |
| Georgia | $2,871 | $1,699 | $718 |
| Michigan | $2,732 | $1,669 | $683 |
| Arizona | $2,598 | $1,284 | $650 |
| Louisiana | $2,556 | $1,637 | $639 |
| North Carolina | $2,532 | $1,631 | $633 |
| Oklahoma | $2,428 | $1,630 | $607 |
| Alabama | $2,181 | $1,314 | $545 |
| Nevada | $2,059 | $1,091 | $515 |
| Illinois | $1,996 | $1,197 | $499 |
| Kentucky | $1,821 | $1,024 | $455 |
| Missouri | $1,790 | $1,045 | $448 |
| Florida | $1,621 | $860 | $405 |
The lines around the surgery
The extraction codes cover the removal itself. Around it, a typical bill also lists the consultation, a panoramic X-ray or a cone beam scan, and the anesthesia. Local anesthesia is usually part of the extraction. Intravenous sedation and general anesthesia are separate codes billed by the quarter hour, so their cost grows with the length of the surgery, and they are usually given by an oral surgeon or a dental anesthesiologist. Those charges are not in the estimate on this page, and the schedules read for it do not give them in a form that can be summed.
Plans often treat the anesthesia differently from the extraction. Some pay general anesthesia only with surgical removals of impacted teeth, some only when it is medically required, and some not at all. Asking the office for the anesthesia codes, and the plan for a predetermination that includes them, gives the complete picture before the day of surgery.
Four wisdom teeth in your state
You pay for wisdom teeth, four impacted in New York
$1,322
| Estimated dentist charge (full fee) | $5,267 |
| Estimated in-network price | $2,594 |
| Plan pays (50 % after deductible) | $1,272 |
| Deductible | $50 |
Insurance, the maximum and the network
Four bony extractions at the median network price of $1,699 would draw $825 from a plan paying 50 % after its deductible. The example plan's yearly maximum leaves room for it, and the anesthesia, if covered, would draw on the same maximum. Out of network, the oral surgeon can bill up to the full fee, so the patient's share rises to about $2,198 before anesthesia. Oral surgeons are not always in the networks of the general dentists who refer to them, which makes the network question worth asking twice.
Students and young adults often have dental coverage through a parent's plan, a school plan or a marketplace plan, and the dates of the plan year matter: removing two teeth in December and two in January can use two yearly maximums. The annual maximum page shows the effect for any total.
Wisdom teeth against a yearly maximum
Plan pays in one plan year
$825
| Plan share without any maximum | $825 |
| Paid in one year | $825 |
| Paid if split over two years | $825 |
| Plan years needed for the full share | 1 |
Paying the balance
For the share left after the plan, at the median $875 before anesthesia, a credit card charging the Federal Reserve's average rate for all accounts, 21.19 % in August 2026, would cost $81 a month over 12 months. The financing page compares that with a personal loan and explains how a deferred interest promotion can charge the interest of the whole period at once.
A single surgical extraction of an erupted tooth, for comparison, is estimated at $370 on the extraction page. Whether wisdom teeth should come out, and when, is a clinical question for the dentist or oral surgeon who examines them; this page prices the work once that decision is made.