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Simple Tooth Extraction

North Dakota 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 October 2026.

How much does Simple Tooth Extraction cost?

$120

Typical facility fee. In North Dakota, October 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $93.33 to $141.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $59 · 10th to 90th $59 to $102Professionalmedian $123 · 10th to 90th $65 to $145
$100$200$500$1K$2Kfacility $59professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$58.88
Typical High
$64.57
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$123.03
Typical High
$144.54
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$128.82
Median
$147.91
Typical High
$173.78
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$24.55
Typical High
$28.84
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$79.43
Median
$91.20
Typical High
$107.15
Medica
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$173.78

Where North Dakota sits

The same service costs 13.2 times more in Florida 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.

North Dakota· 15th of 51

$120

FL $537VT $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.