Tooth Extraction Cost Without Insurance | Wisdom Tooth No Insurance

Tooth extraction cost without insurance

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Find a dental insurance plan before you schedule a tooth extraction with no insurance.

Key highlights

  • Tooth extraction costs can be over $1,1001
  • TThere are two common types of tooth extractions: simple and complex/surgical
  • Guardian Direct® dental insurance may cover a simple dental extraction at up to 70%, depending on your plan

Having a tooth pulled, also called a tooth extraction, can be a painful and expensive procedure. But sometimes, it is a necessary part of dental care to remove an infected tooth or make room for other teeth.

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Around 120 million people in the U.S. are missing at least one tooth². It’s typically rare for an adult tooth to fall out on its own. When a tooth is decayed, infected, or getting in the way of a healthy bite, a dentist may extract the tooth to reduce pain and help keep the rest of your teeth healthy.

Everyone loses their baby teeth as they grow, but that’s different from what happens when you lose an adult tooth. Permanent teeth have long roots, and the molars in the back of the mouth can have as many as three to five roots that are firmly attached to the bone and gums. This is why tooth extractions require expert dental care – and why tooth extraction costs without insurance can be rather expensive.

How much is a tooth extraction without insurance?

Typically, how much is a tooth extraction? If you don’t have dental insurance, the out-of-pocket cost to you will typically be higher than if you do have insurance. Tooth extraction costs are determined by many factors, including the type of dental plan you have and the type of extraction that you need among other factors. Simple extractions may cost less than a more invasive extraction that must be done when a tooth has broken or has become impacted.

A simple extraction may be performed on a relatively healthy tooth that is clearly visible in the mouth and is not hiding behind the gums. Your dentist can usually extract this type of tooth in one piece. An X-ray will help show if the roots are straight or have crooked places that might snap off, causing the extraction to become more complex. An X-ray will also help show your dentist the position of the roots in the bone and how close they are to the other teeth and nerve supply. If your dentist does not foresee any expected complications, typically a simple extraction may be all you need.

Simple tooth extraction costs vary, but they’ll often range on average from $50 to $500³. Depending on your plan and subject to waiting periods, certain Guardian Direct® dental insurance plans may cover up to 50-70% of those costs.

If the tooth is impacted, broken, or still under the gums —either partially or fully—then the tooth may require a surgical or complex extraction. These are typically more costly and invasive than simple extractions because your dentist must cut away the gums and bone to get to the tooth.

Complex extractions often cost anywhere on average from $200 to $1,100+⁴. Depending on your plan and subject to waiting periods, Guardian Direct dental insurance may cover up to 50% of those costs.

Many factors can come into play to determine the total tooth extraction cost without insurance, including the complexity of the surgery, the type of anesthesia needed, whether a general dentist or an oral surgery specialist extracts the tooth, and even your location. Tooth extraction costs vary widely from state to state, region to region, and dentist to dentist.

In addition to the cost of the extraction itself, you may be billed additionally for examinations, X-rays, scans, anesthesia, or other necessary services. Without dental insurance, you will be responsible for the full cost of these as well.

How to get emergency tooth extraction with no insurance

You may need an emergency tooth extraction due to decay, trauma, or serious infection. If you start to notice intense pain or swelling, or if you’ve just experienced trauma that has damaged your teeth, your dentist may determine that an emergency tooth extraction may be necessary.

If you think you may need an emergency tooth extraction, call your dentist right away. They’ll let you know the sort of care you need, whether they can provide it in-office or recommend you to an emergency clinic or oral surgeon.

Saving money isn’t worth jeopardizing your health. Let your dentist know you’ll be paying for the service out-of-pocket – even if you don’t have dental insurance, you may be able to set up a payment plan or receive a discount for paying in cash.

If you do have Guardian Direct dental insurance, your plan may cover up to 50% of the cost of treatment, subject to waiting periods and annual maximums.

What does a wisdom tooth extraction cost without insurance?

Wisdom teeth are a very common type of tooth extraction. While wisdom teeth don’t always have to be extracted, dentists often recommend wisdom teeth extractions when the growth of the tooth is causing crowding, or the tooth is impacted.

So how much is a wisdom tooth extraction without insurance? Wisdom tooth extraction costs with no insurance can vary depending on the complexity of the procedure, the type of anesthesia required, and the credentials of your dentists among other factors, but they often range on average from $200 to $1,100⁵. This is just the cost per tooth – if you need more than one wisdom tooth extraction, your bill could be significantly higher. Keep in mind that dental exams, x-rays, and anesthesia may come at an additional cost. Depending on your plan and subject to waiting periods, certain Guardian Direct dental insurance plans may cover up to 50-70% of those costs.

Wisdom teeth aren’t the only type of teeth that commonly get pulled. Cavities that are too deep to fill, advanced gum disease, infections in the nerves of the tooth, and trauma or injuries to the mouth and face may all necessitate a tooth extraction. Dentists also occasionally remove permanent teeth to make space for braces or to prepare the mouth for dentures or partial dentures.

How do dentists extract teeth?

Aside from losing your baby teeth, you may have never experienced a tooth extraction. Your dentist typically will go over the procedure with you before and after they pull the tooth, but it’s always nice to have a general idea of what to expect.

After taking the X-rays, scans, and other typical diagnostic tests needed to see the position of the nerves and roots of the tooth, your dentist may inject a local anesthetic beside the tooth to numb the surrounding teeth and gums. For more complex tooth extractions, such as pulling a tooth that is still under the gums and bone or that must be removed by cutting it into several pieces first, you might need a stronger form of anesthetic.

Once the area is numb or sedation has taken effect, your dentist may use specialized sterile instruments to loosen the tooth from the gums and bone using a gentle rocking motion. For complex procedures, your dentist may cut and lift gum tissue to reach the tooth⁶. Once the membranes that attach the root of the tooth to the surrounding tissue and bone have been loosened, your dentist may use a set of forceps, designed to fit over the top of the tooth, to grip it firmly and slip it out of the mouth.

Finally, your dentist may pack the open socket that remains after the tooth comes out with gauze or other material designed to assist in healing. Stitches, made of a material that naturally dissolves in the mouth after a few days, may or may not be necessary.

Tooth extraction aftercare

After a tooth extraction, taking care of the area can help ensure the best possible healing and avoid complications. Tooth extraction healing can take from several days to several weeks, depending on the type and degree of difficulty of the surgery as well as your overall physical health.

Follow all written and oral instructions your dentist gives you after completing your surgery. As a general rule, and under the supervision of your dentist, patients who have had a tooth pulled should try the following⁷:

  • Avoid anything that might prevent normal healing

  • Do not smoke

  • Do not rinse your mouth vigorously

  • Avoid drinking through a straw for at least 24 hours

  • Follow whatever diet your dentist suggests

Your dentist will typically place a thick layer of sterile gauze over the extraction site for you to bite on and provide you with an additional supply to use for the first 24 hours. In most cases, a small amount of bleeding is normal.

If you need to rinse your mouth after brushing, do so very gently with plain water to avoid disrupting the blood clot and causing a dry socket.

If swelling occurs, you can help reduce the swelling by applying ice. If the swelling doesn’t go down call your dentist and let them know that the swelling isn’t going down.

Under the supervision of your dentist, continue to brush and floss the other teeth as usual. Avoid brushing the teeth and gums close to the extraction site for several days to ensure that you do not accidentally injure the site.

Making sure you recover normally and quickly from a tooth extraction is the goal for both you and your dentist. Following your dentist’s instructions can help you get back on your feet as quickly as possible.

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Avoiding teeth extractions

With proper dental care, many tooth extractions can be avoided. Helping prevent dental disease from becoming so serious that an extraction is necessary is the best way to avoid having to get a tooth pulled.

You can help avoid having to get a tooth pulled using the simple steps of daily brushing, flossing, and seeing your dentist for regular check-ups and cleanings to remove plaque and treat oral disease. During routine visits, your dentist can identify small cavities and early gum disease typically before those conditions become more serious.

Help avoid having teeth extracted by practicing good daily oral hygiene and having regular checkups. But if you do need to have a tooth pulled, a dental insurance policy can help make it more affordable.

How much is a tooth extraction? – Insights

As indicated above, the cost of a tooth extraction can be on average anywhere from $50 to over $1,100, but how much you’ll actually pay will depend on whether you have dental insurance. Without dental insurance, you’ll be responsible to pay your entire bill out-of-pocket, but a Guardian Direct dental insurance plan can help cover a portion of your treatment costs typically up to 50-70%, subject to waiting periods and annual maximums. Learn more about how dental insurance can help you save money and how much you should typically expect to pay.

Links to external sites are provided for your convenience in locating related information and services. Guardian, its subsidiaries, agents and employees expressly disclaim any responsibility for and do not maintain, control, recommend, or endorse third-party sites, organizations, products, or services and make no representation as to the completeness, suitability, or quality thereof.

Brought to you by The Guardian Life Insurance Company of America (Guardian), New York, NY. Material discussed is meant for general illustration and/or informational purposes only and it is not to be construed as tax, legal, investment or medical advice. This is not dental care advice and should not be substituted for regular consultation with your dentist. If you have any concerns about your dental health, please contact your dentist's office.


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Brought to you by The Guardian Life Insurance Company of America (Guardian), New York, NY. Material discussed is meant for general illustration and/or informational purposes only and it is not to be construed as tax, legal, investment or medical advice.(exp.10/22)

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