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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 October 2026.

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

$372

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $490 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$288 to $468
FacilityA hospital or hospital-owned outpatient department$490$380 to $490

How much rates vary

Facilitymedian $490 · 10th to 90th $229 to $794Professionalmedian $372 · 10th to 90th $275 to $468
$500$1K$2Kfacility $490professional $372

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
$257.04
Median
$257.04
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$288.40
Typical High
$295.12
Medica
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$489.78
Typical High
$489.78
Medica
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$1,819.70
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$457.09
Midlands
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$562.34
Midlands
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74

Where South Dakota 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.

South Dakota· 22nd of 51

$372

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.