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Surgical Removal Of Leftover Tooth Root

Washington 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 July 2026.

How much does Surgical Removal Of Leftover Tooth Root cost?

$138

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $234 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$107 to $145
FacilityA hospital or hospital-owned outpatient department$234$151 to $295

How much rates vary

Facilitymedian $234 · 10th to 90th $135 to $4,677Professionalmedian $117 · 10th to 90th $102 to $269
$100$200$500$1K$2K$5K$10Kfacility $234professional $117

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$112.20
Typical High
$138.04
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$5,128.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$229.09
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$234.42
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84

Where Washington sits

The same service costs 60.3 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.

Washington· 12th of 51

$138

OK $4,571VT $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.