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Impacted Tooth Removal – Partly In Bone

New Jersey rates for HCPCS D7230

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 rates vary

Facilitymedian $6,918 · 10th to 90th $1,259 to $12,882Professionalmedian $162 · 10th to 90th $162 to $178
$200$500$1K$2K$5K$10K$20Kfacility $6,918professional $162

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
$1,258.93
Median
$6,918.31
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$177.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$89.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$32.36
Typical High
$35.48
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$120.23
Median
$120.23
Typical High
$134.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.99
Median
$23.99
Typical High
$26.92
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.22
Median
$16.22
Typical High
$17.78