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Impacted Tooth Removal – Partly In Bone

Washington 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 July 2026.

How much does Impacted Tooth Removal – Partly In Bone cost?

$331

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $427 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$170 to $389
FacilityA hospital or hospital-owned outpatient department$427$347 to $6,457

How much rates vary

Facilitymedian $427 · 10th to 90th $229 to $17,378Professionalmedian $204 · 10th to 90th $155 to $427
$100$500$2K$10Kfacility $427professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$7,943.28
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$389.05
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$5,128.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$354.81
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$371.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86

Where Washington sits

The same service costs 5.6 times more in Minnesota 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.

Washington· 6th of 51

$331

MN $676VT $120

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.