Impacted Tooth Removal – Fully in Bone

Hawaii rates for HCPCS D7240

Surgical removal of a tooth that has not erupted and is completely surrounded by jawbone, most often a wisdom tooth. The dentist or oral surgeon must open the gum and remove bone to access and take out the tooth, sometimes sectioning it into pieces first. This is the most involved category of impacted-tooth extraction because none of the tooth has broken through the gum.

Rates data updated October 2026.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,818 to $2,818Professionalmedian $200 · 10th to 90th $191 to $257

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38	Facility	None	$2,818.38	$2,818.38	$2,818.38
Aetna Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $257.04	Professional	None	$190.55	$199.53	$257.04