go back

Surgical Removal Of Leftover Tooth Root

South Dakota 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?

$162

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $195 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$162$115 to $229
FacilityA hospital or hospital-owned outpatient department$195$162 to $195

How much rates vary

Facilitymedian $195 · 10th to 90th $100 to $468Professionalmedian $162 · 10th to 90th $112 to $229
$100$200$500facility $195professional $162

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
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$114.82
Typical High
$117.49
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$194.98
Typical High
$194.98
Medica
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$741.31
Typical High
$741.31
Midlands
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$186.21
Midlands
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$562.34
Midlands
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Wellmark
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09

Where South Dakota 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.

South Dakota· 23rd of 51

$162

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.