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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 October 2026.

How much does Surgical Removal Of Leftover Tooth Root cost?

$263

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $479 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$138 to $537
FacilityA hospital or hospital-owned outpatient department$479$204 to $955

How much rates vary

Facilitymedian $479 · 10th to 90th $112 to $1,023Professionalmedian $263 · 10th to 90th $100 to $1,072
$50$100$200$500$1Kfacility $479professional $263

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
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$138.04
Typical High
$138.04
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$741.31
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$245.47
Typical High
$295.12
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$50.12
Typical High
$50.12
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$208.93
Typical High
$234.42
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$954.99
Typical High
$1,122.02
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where Washington 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.

Washington· 7th of 51

$263

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.