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Impacted Tooth Removal – Complex Bony Case

Virginia 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?

$309

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $2,455 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$275 to $380
FacilityA hospital or hospital-owned outpatient department$2,455$275 to $8,318

How much rates vary

Facilitymedian $2,455 · 10th to 90th $229 to $11,482Professionalmedian $309 · 10th to 90th $263 to $479
$200$500$1K$2K$5K$10Kfacility $2,455professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$5,495.41
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$275.42
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$389.05
CareFirst
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$436.52
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$354.81
Typical High
$436.52
Medcost
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$331.13
Typical High
$416.87
Medcost
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Sentara
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$501.19
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$288.40
Typical High
$10,232.93

Where Virginia 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.

Virginia· 34th of 51

$309

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.