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Impacted Tooth Removal – Fully in Bone

Utah 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 July 2026.

Facilitymedian $3,388 · 10th–90th $178$6,0260%20%10th90th$3,388Professionalmedian $191 · 10th–90th $178$4370%20%40%10th90th$191$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$3,388.44
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$436.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$363.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$323.59