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Simple Tooth Extraction

South Carolina 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?

$537

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $871 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$58.88 to $115
FacilityA hospital or hospital-owned outpatient department$871$617 to $1,995

How much rates vary

Facilitymedian $871 · 10th to 90th $468 to $3,802Professionalmedian $72 · 10th to 90th $49 to $115
$50$100$200$500$1K$2K$5Kfacility $871professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). 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
$54.95
Median
$58.88
Typical High
$63.10
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$870.96
Typical High
$3,890.45
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$147.91
Medcost
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$64.57
Typical High
$1,995.26
Medcost
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$85.11
Molina
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Medcost
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$24.55
Median
$24.55
Typical High
$54.95

Where South Carolina 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.

South Carolina· 3rd of 51

$537

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.