How Much Does Wisdom Tooth Removal Cost in 2026?
Wisdom tooth removal typically costs $150 to $650 per tooth, or about $1,000 to $3,500 for all four, depending on how impacted the teeth are and whether you have sedation.
- Price depends mostly on impaction: a simple erupted-tooth extraction is far cheaper than a full bony impaction that requires cutting bone.
- Sedation (IV or general) adds about $250-$600 and is common when all four teeth are removed at once.
- A dental school clinic or discount dental plan can cut the total by 40% or more; dental insurance often caps out at a $1,000-$2,000 annual maximum.
Wisdom Tooth Removal Cost by Complexity
Self-pay price per tooth. The more impacted the tooth, the higher the code and the price.
| Type (per tooth) | Cash price |
|---|---|
| Simple extraction (erupted) | $75 to $250 |
| Surgical / soft-tissue impaction | $200 to $450 |
| Partial bony impaction | $300 to $550 |
| Full bony impaction | $350 to $650+ |
All four teeth: roughly $1,000 (simple) to $3,500 (impacted, with IV sedation), including the consult, panoramic X-ray, and sedation.
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What Makes Up the Bill
For all four teeth, the total is usually split across:
Most wisdom teeth are removed in an oral surgeon's office, where there is no separate facility fee. If the procedure is done at a hospital or ambulatory surgery center under general anesthesia (sometimes recommended for very complex cases or medical reasons), a separate facility and anesthesia bill is added, and part of that may be billed to your medical, not dental, insurance.
With vs. Without Insurance
Without insurance (self-pay)
$1,000 to $3,500
For all four teeth. Ask for the cash or prompt-pay price, and compare an oral surgeon against a dental school clinic, which is usually much cheaper.
With dental insurance (out of pocket)
$300 to $1,500
Dental plans usually pay 50% to 80% of extractions after your deductible, but the annual maximum (often $1,000-$2,000) can cap what the plan pays, leaving you responsible for the rest. If all four teeth are impacted, you may hit the cap. Spreading the removals across two plan years, or into stages, can keep more of it covered.
Prices vary a lot by dentist and region. An oral surgeon typically charges more than a general dentist for the same extraction, so it is worth getting 2-3 quotes, especially for impacted teeth.
How to Pay Less
Use a dental school clinic
Supervised dental and oral-surgery students at accredited schools charge roughly 40% to 60% less than a private practice. Good for planned, non-urgent extractions.
Join a discount dental plan (not insurance)
A dental savings membership costs about $100 to $200 a year and cuts fees 15% to 40% with no annual cap or waiting period. It often beats insurance for a big one-time procedure.
Ask about local anesthesia only
Skipping IV sedation for simple extractions saves $250 to $600. Sedation is worth it for multiple impacted teeth or high anxiety, but is not always required.
Do the extractions in stages
Removing teeth in two visits can spread the cost across two dental-plan years so more falls under each year's annual maximum. Ask your surgeon whether staging is safe for your case.
Got a surgery-center or anesthesia bill? Get it reviewed
If your extraction was done at a hospital or surgery center under general anesthesia, the facility and anesthesia charges can be high and are often negotiable. CareRoute Bill Defense reviews and negotiates medical bills down, with no fee unless we save you money.
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Open the cost estimatorFrequently Asked Questions
How much does it cost to remove all four wisdom teeth?
For all four wisdom teeth, expect about $1,000 to $3,500 total. Four simple extractions land near the low end; four fully bony impacted teeth removed under IV sedation land near the high end. Sedation and the surgical consult and panoramic X-ray are usually added on top.
Does insurance cover wisdom tooth removal?
Dental insurance typically covers 50% to 80% of extractions after your deductible, but the plan's annual maximum (often $1,000 to $2,000) can cap what it pays, so a full set of impacted teeth may exceed the benefit. When removal is medically necessary and done in a hospital or surgery center under general anesthesia, part of the facility and anesthesia cost may fall under medical insurance instead. Confirm which plan applies before scheduling.
Why does an impacted wisdom tooth cost more?
A simple extraction of a fully erupted tooth is quick. An impacted tooth (stuck under the gum or bone) requires cutting the gum and sometimes removing bone or sectioning the tooth, which takes longer and is billed under higher codes (soft-tissue, partial-bony, or full-bony impaction). Full bony impactions are the most expensive.
How much does sedation add?
Local anesthetic (numbing) is included. Nitrous oxide (laughing gas) adds about $50 to $100. IV or general sedation, common for removing all four teeth at once, adds about $250 to $600. Ask whether sedation is included in any quoted price.
How can I remove wisdom teeth cheaply?
A dental school clinic often charges 40% to 60% less than a private oral surgeon. A discount dental plan (a membership, not insurance) can cut fees 15% to 40% with no annual cap. You can also ask for the cash or prompt-pay price, and remove teeth in stages rather than all at once to spread the cost and stay under an insurance annual maximum.
More Cost Guides
Sources
- ADA dental fee survey and CDT extraction codes (D7140, D7210, D7220, D7230, D7240)
- FAIR Health and Healthcare Bluebook fair-price data for wisdom tooth extraction
- Dental school clinic and discount dental plan published fee reductions
- Oral and maxillofacial surgery cost breakdowns (sedation, imaging, facility components)
Prices are national estimates for 2026 and vary by dentist, region, impaction, and sedation. Last updated September 12, 2026.