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Impacted Tooth Removal – Partly In Bone

South Dakota 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 does Impacted Tooth Removal – Partly In Bone cost?

$288

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $288 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$339$174 to $447
FacilityA hospital or hospital-owned outpatient department$288$245 to $288

How much rates vary

Facilitymedian $288 · 10th to 90th $155 to $562Professionalmedian $339 · 10th to 90th $170 to $447
$200$500$1K$2Kfacility $288professional $339

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
$169.82
Median
$169.82
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$173.78
Typical High
$186.21
Medica
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$288.40
Typical High
$288.40
Medica
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$1,122.02
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$446.68
Typical High
$446.68
Midlands
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$562.34
Midlands
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Wellmark
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84

Where South Dakota 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.

South Dakota· 19th of 51

$288

NE $891WV $117

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.