go back

Impacted Tooth Removal – Soft Tissue Only

Alaska rates for HCPCS D7220

Surgical removal of a tooth that has not fully erupted but is covered only by gum tissue, not by bone. The gum is opened to expose and remove the tooth, without needing to remove any surrounding jawbone. This is the least involved category of impacted-tooth surgery, though it is still more than a simple extraction of a fully erupted tooth.

Rates data updated October 2026.

How much does Impacted Tooth Removal – Soft Tissue Only cost?

$191

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $257 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$191$141 to $417
FacilityA hospital or hospital-owned outpatient department$257$191 to $1,175

How much rates vary

Facilitymedian $257 · 10th to 90th $178 to $1,995Professionalmedian $191 · 10th to 90th $112 to $417
$100$200$500$1K$2Kfacility $257professional $191

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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$190.55
Typical High
$190.55
Moda Health
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$141.25
Typical High
$190.55
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,995.26
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$416.87
Typical High
$416.87
Providence
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$257.04
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$117.49
Typical High
$169.82

Where Alaska sits

The same service costs 7.6 times more in Texas than in West Virginia. 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.

Alaska· 20th of 51

$191

TX $676WV $89.13

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.