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Simple Tooth Extraction

South 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?

$129

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $107 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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$129$63.10 to $129
FacilityA hospital or hospital-owned outpatient department$107$87.10 to $107

How much rates vary

Facilitymedian $107 · 10th to 90th $52 to $468Professionalmedian $129 · 10th to 90th $60 to $129
$100$200$500facility $107professional $129

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
$57.54
Median
$63.10
Typical High
$64.57
Medica
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$107.15
Typical High
$107.15
Medica
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$407.38
Typical High
$407.38
Midlands
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$128.82
Typical High
$128.82
Midlands
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$562.34
Midlands
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Wellmark
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where South 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.

South Dakota· 13th of 51

$129

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.