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 July 2026.
How much does Impacted Tooth Removal – Complex Bony Case cost?
$316
Typical negotiated rate. In Montana, July 2026.
Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $525 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 4 insurance carriers under federal price transparency rules.
Where it's billed changes the price
Billed by
Who charges it
Typical
Range
Physician practiceA doctor's office, clinic or independent provider
A doctor's office, clinic or independent provider
$316
$251 to $525
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$525
$525 to $550
How much rates vary
Facilitymedian $525 · 10th to 90th $427 to $66,069Professionalmedian $316 · 10th to 90th $251 to $537
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$281.84
Professional
Global
$251.19
$251.19
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Facility
Global
$64,565.42
$75,857.76
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Professional
Global
$316.23
$316.23
$316.23
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$4,570.88
Facility
Global
$524.81
$524.81
$4,570.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$4,570.88
Professional
Global
$524.81
$524.81
$4,570.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$512.86
Facility
Global
$323.59
$380.19
$512.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$602.56
Professional
Global
$79.43
$85.11
$602.56
Where Montana sits
The same service costs 5.4 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.