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Simple Tooth Extraction

Montana rates for HCPCS D7140

Removal of a tooth that has already come through the gum, or of an exposed root, using hand instruments to loosen and lift the tooth out without cutting the gum or removing bone. This is the most straightforward type of tooth removal and is typically done under local numbing medicine in a single office visit. It is used for teeth that come out cleanly, as opposed to ones needing a surgical approach.

Rates data updated July 2026.

How much does Simple Tooth Extraction cost?

$97.72

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $117 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$52.48 to $115
FacilityA hospital or hospital-owned outpatient department$117$115 to $120

How much rates vary

Facilitymedian $117 · 10th to 90th $98 to $66,069Professionalmedian $62 · 10th to 90th $52 to $120
$100$1K$10K$100Kfacility $117professional $62

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$117.49
Typical High
$4,570.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$117.49
Typical High
$4,570.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$114.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$134.90

Where Montana sits

The same service costs 5.2 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 5th of 51

$97.72

MN $214VT $40.74

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.