Surgical Removal Of Leftover Tooth Root

Illinois rates for HCPCS D7250

Surgical removal of a root fragment left behind in the jawbone after the crown of a tooth is already gone, such as after a tooth broke off or was extracted incompletely. Because there is no visible tooth crown to grip, the gum has to be opened and some bone removed to reach and take out the root piece. It differs from a simple extraction, which removes a whole tooth that is still visible.

Rates data updated October 2026.

How much does Surgical Removal Of Leftover Tooth Root cost?

$105

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $692 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$97.72	$97.72 to $110
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$692	$562 to $933

How much rates vary

Facilitymedian $692 · 10th to 90th $490 to $977Professionalmedian $98 · 10th to 90th $30 to $316

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $104.71	Facility	None	$97.72	$97.72	$104.71
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49	Professional	None	$97.72	$97.72	$117.49
BCBS Illinois Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $977.24	Facility	None	$524.81	$724.44	$977.24
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $346.74 Typical High $416.87	Professional	None	$151.36	$346.74	$416.87
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00	Facility	None	$100.00	$100.00	$100.00
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20	Professional	None	$30.20	$30.20	$30.20

Where Illinois sits

The same service costs 61.7 times more in Oklahoma 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.

Illinois· 45th of 51

$105

OK $4,677VT $75.86

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.