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Impacted Tooth Removal – Complex Bony Case

South Dakota 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 July 2026.

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

$288

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $288 to $295.

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.

How much rates vary

Facilitymedian $490 · 10th to 90th $257 to $4,365Professionalmedian $288 · 10th to 90th $251 to $447
$500$1K$2Kfacility $490professional $288

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. 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
Global
Typical Low
$257.04
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74

Where South Dakota 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.

South Dakota· 30th of 51

$288

MN $955VT $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.