Surgical removal of a tooth that is partly covered by jawbone and partly by gum tissue, meaning only part of it has to be uncovered by removing bone before it can be taken out. This falls between a soft-tissue impaction, where the tooth is only covered by gum, and a fully bony impaction, where the entire tooth is encased in bone. The gum is opened and a portion of surrounding bone is removed to free the tooth.
Rates data updated October 2026.
How much does Impacted Tooth Removal – Partly In Bone cost?
$200
Typical physician fee. In Georgia, October 2026.
Insurers have agreed to pay about $200 for this service. Most negotiated rates run $166 to $229.
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.
How much rates vary
Facilitymedian $5,370 · 10th to 90th $151 to $7,943Professionalmedian $200 · 10th to 90th $148 to $324
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$5,370.32
Typical High
$7,943.28
Facility
None
$151.36
$5,370.32
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$151.36
Typical High
$186.21
Professional
None
$147.91
$151.36
$186.21
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$199.53
Typical High
$323.59
Professional
None
$147.91
$199.53
$323.59
CareSource
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$239.88
Professional
None
$223.87
$223.87
$239.88
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$234.42
Professional
None
$194.98
$194.98
$234.42
5 more rates 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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$75.86
Typical High
$85.11
Professional
52 · Reduced service
$74.13
$75.86
$85.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$29.51
Median
$30.20
Typical High
$34.67
Professional
53 · Discontinued
$29.51
$30.20
$34.67
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$112.20
Median
$114.82
Typical High
$128.82
Professional
54 · Surgery only
$112.20
$114.82
$128.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$22.39
Median
$22.91
Typical High
$25.70
Professional
55 · Aftercare only
$22.39
$22.91
$25.70
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.79
Median
$15.14
Typical High
$17.38
Professional
56 · Pre-op care only
$14.79
$15.14
$17.38
Where Georgia sits
The same service costs 7.6 times more in Nebraska 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.