Wisdom teeth, located at the very back of the mouth on either side of both upper and lower jaws, are notorious for erupting at strange angles or becoming impacted, a condition in which the tooth does not fully erupt but remains fully or partially submerged below the gum line. Wisdom tooth removal (AKA wisdom teeth surgery) is often necessary to prevent dental complications such as overcrowding, infection, and misalignment. 

Without insurance, the cost of extracting a wisdom tooth can be a significant burden. This guide aims to provide a comprehensive breakdown of the expenses involved and how to manage them effectively.

Average cost for wisdom teeth extraction without insurance

National average cost range for wisdom tooth removal without insurance

The cost of wisdom tooth extraction without insurance varies widely across the United States. On average, without insurance, the cost of wisdom tooth removal ranges from $720 for a simple extraction to $4,000 for extraction of a partially erupted or impacted wisdom tooth.  (With insurance, wisdom tooth removal costs an average of $641 per tooth.)

Costs for wisdom tooth extraction will also vary according to where you live – if the cost of living in your city is high, you can expect that dental care fees will run high in comparison to lower cost of living regions. Fees will likely be higher if you need an oral surgeon to do the extractions, as opposed to a general dentist.

Factors influencing the cost of wisdom tooth extractions

Impacted vs. non-impacted teeth

As noted above, one of the primary factors affecting the cost of wisdom tooth removal is whether the teeth are impacted. If your wisdom teeth are impacted, it means that they’re trapped in your jaw or under the gums. Impacted wisdom teeth can cause pain, infection, and the development of cysts that can damage the roots of your other teeth, and even cause bone loss. 

And even if they are not impacted, wisdom teeth can erupt from under the gums at odd angles. They may press against other teeth and require especially careful maneuvering to extract them without impacting your other teeth. 

Complexity of the extraction

As you have probably guessed, the complexity of the extraction also affects the price. Simple extractions are less expensive as they involve removing fully erupted teeth that are easier to access. In contrast, surgical extractions, which may require cutting through the gum or bone, are more complex and costly.

Type of anesthesia used

Anesthesia is another additional cost factor. Local anesthesia is usually Included in the extraction cost, but if you need more than local (such as sedation/anesthesia for removal of an impacted wisdom tooth), expect to pay:

Additional wisdom teeth removal costs

Additional costs of the wisdom teeth removal procedure may include preoperative consultations, X-rays, and follow-up care. Post-operative care may also add additional costs to your bill, such as prescriptions for antibiotics and pain, which can be priced from $20-$100, depending on the type and quantity prescribed.

Managing the costs of wisdom tooth extraction

Multiple wisdom teeth extractions

Removing multiple wisdom teeth at once is a common practice – the common tendency to say “They are getting their wisdom teeth out/ having a wisdom teeth extraction” as opposed to “wisdom tooth extraction” reflects this fact. 

Having multiple wisdom teeth extracted in one procedure can offer several advantages, typically including cost savings – you don’t have to pay for repeated consultations, x-rays, anesthesia, after-care and follow-up appointments. You also can reduce multiple recovery times to one consolidated healing period, which may be less disruptive to your work schedule and time-off needs. Follow your dentist’s guidance about getting multiple wisdom teeth extracted in one procedure.  

Insurance alternatives to save money

For those without traditional dental insurance, dental savings plans (also known as dental discount plans) are a great option. These plans provide discounts on various dental procedures, including wisdom tooth extraction, in exchange for an annual fee. 

And while dental insurance does cover wisdom tooth extraction, your annual spending cap is likely to be between $1,000 to $1,500. If you need multiple wisdom teeth extracted, you could easily exhaust your dental insurance plan for the year and be left paying the rest out of pocket.

Dental savings plans provide quick activation, and unlike dental insurance coverage there are no annual limits, and no restrictions based on current health conditions.  Plan members report saving an average of 50%* on their dental care. 

Risks of delaying wisdom tooth removal

Potential Complications from Untreated Wisdom Teeth

Delaying the removal of problematic wisdom teeth can lead to several complications. These include infections, cysts, damage to adjacent teeth, and periodontal disease. These issues can become more severe and costly to treat over time.

And while an impacted wisdom tooth may not cause pain (a person may not even be aware of it), it could still wreak havoc below the surface. The abnormally positioned tooth presses on other structures—like neighboring second molar teeth, gums, or nerves—potentially affecting their health and disrupting their function. This commonly results in periodontal (gum) disease with loss of bone around the second molars because cleaning the area between the impacted tooth and its neighbor becomes very difficult—for both the patient and the dental hygienist. 

Long-term health implications and associated costs

The long-term health implications of untreated wisdom teeth can be significant. Chronic infections and inflammation can spread, potentially leading to systemic health problems. The costs associated with treating these complications can far exceed the initial expense of wisdom tooth removal.

Other tips for reducing the costs of wisdom teeth extractions

Negotiating Prices with Dental Providers

Patients can often negotiate the cost of dental services/procedures with their providers. Dentists may offer discounts for upfront payments or reduced fees for multiple extractions performed in a single visit.

Comparing costs

You may want to compare the overall cost/prices between different dental providers. Prices can vary significantly, and obtaining quotes from multiple dentists can help identify the most affordable option. 

Joining a dental savings plan

Unlike dental insurance, dental savings plans don’t have deductibles, annual limits or waiting before you qualify for reduced rates. You can use your plan within 1-3 business days of joining to save on virtually all your dental care. 

There are plans that fit every dental care need and budget. The quickest way to find the perfect dental plan for your needs is with our online dental plan finder — just answer a few quick questions and you’ll receive a personalized plan recommendation in minutes. Want a quick peek at how much you can save on your dental care right now? Use our calculator below. 

Final thoughts: Saving money on wisdom teeth extraction

Removing wisdom teeth is an important procedure that can prevent numerous dental issues. However, the cost of wisdom teeth removal without insurance can be a significant concern. By understanding the factors influencing the wisdom teeth removal cost and exploring various affordable care options, patients can make informed decisions and manage their expenses effectively. It’s crucial not to delay a necessary dental procedure to avoid more severe health complications and higher costs in the future. Seek affordable care options, negotiate with providers, and prioritize preventive care to ensure your oral health remains in optimal condition.

All cost averages obtained from DentalPlans.com procedure search tool, and independent research.

*Discount health program consumer and provider surveys indicate average savings of 50%. savings may vary by provider, location, and plan.