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Impacted Tooth Removal – Complex Bony Case

Michigan rates for HCPCS D7241

Surgical removal of a tooth that is completely encased in jawbone, in a case that involves added surgical difficulty, for example the tooth's position near a nerve or sinus, an unusual root shape, or other complicating anatomy. It requires the same bone and gum access as a standard fully bony impaction, plus extra surgical steps to safely manage the complication. It is used only when those added factors are actually present, not for routine fully bony extractions.

Rates data updated October 2026.

How much does Impacted Tooth Removal – Complex Bony Case cost?

$275

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $468 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$275$269 to $468
FacilityA hospital or hospital-owned outpatient department$468$269 to $4,898

How much rates vary

Facilitymedian $468 · 10th to 90th $269 to $6,918Professionalmedian $275 · 10th to 90th $269 to $468
$200$500$1K$2K$5Kfacility $468professional $275

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
$269.15
Median
$288.40
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$275.42
Typical High
$288.40
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Priority Health
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15

Where Michigan sits

The same service costs 10.2 times more in Texas 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.

Michigan· 41st of 51

$275

TX $1,820VT $178

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.