Tooth Extraction Cost in Texas (2026): Full Fee Breakdown
Tooth Extraction in Texas typically costs $295, with real-world totals ranging from $145 to $835 once 3 mandatory fees are included.
Updated September 4, 2026 · Typical turnaround 1 day · Estimates in USD
Price range
Low
$145
Simple extraction (erupted tooth), cash-pay at an independent provider, no optional add-ons.
Average · typical
$295
Most people pay close to this once mandatory add-ons are included.
High
$835
Impacted tooth (bony), hospital-affiliated provider, every add-on billed.
Estimate your out-of-pocket total
Pick your option and toggle the add-ons that apply to you.
Why the tooth extraction price varies so much
A single "average" price for a tooth extraction hides a 476% spread between the cheapest and most expensive way to have it done in Texas. The base fee depends on which option you need (4 tiers below), and the final bill adds 3 mandatory line items worth about $200 that most price lists leave out. Use the calculator to build the number that applies to you, then compare it with the tier table before you agree to treatment.
What drives the number in Texas
Texas runs about 2% below the national average for tooth extraction pricing, driven mainly by lower facility and labor costs. All figures are cash-pay estimates before any insurance; a surgical extraction is coded differently from a simple one and roughly doubles the fee.
Tooth Extraction price by option
Base price for each tier before the add-on fees listed below.
| Option / tier | Price (USD) |
|---|---|
| Simple extraction (erupted tooth) | $195 |
| Surgical extraction (bone removal) | $390 |
| Impacted tooth (soft tissue) | $490 |
| Impacted tooth (bony) | $635 |
Hidden fees and surcharges
Mandatory line items add about $200 on top of the base price. Optional items only apply if you use them.
| Line item | Status | Typical cost | |
|---|---|---|---|
| Comprehensive exam (new patient) | Mandatory | $95 | |
| Diagnostic X-rays (bitewing/periapical) | Mandatory | $60 | |
| Local anesthesia | Mandatory | $45 | |
| Nitrous oxide sedation | Optional | $90 | |
| Emergency / same-day visit surcharge | Optional | $120 | |
| Follow-up visit | Optional | $75 | |
| Mandatory add-ons total | $200 | ||
How to use this estimate
- Start from the tier that matches your situation rather than the average. Simple extraction (erupted tooth) is the floor at $195; Impacted tooth (bony) sits at $635.
- Ask the provider for an itemized cash-pay quote that names each of the 3 mandatory add-ons above. If a quote is far below $145, it almost certainly excludes one of them.
- Compare at least two providers in Texas. The $145–$835 range on this page exists because the same procedure is priced very differently by hospital-owned and independent practices.
Tooth Extraction in Texas: questions people ask
How much does a tooth extraction cost without insurance in Texas?
Without insurance, a tooth extraction in Texas typically costs $295, with real quotes ranging from $145 (simple extraction at a general dentist) to $835 (bony impaction by an oral surgeon with sedation). A surgical extraction is coded differently from a simple one and roughly doubles the fee.
What hidden fees are added to a tooth extraction bill?
Expect 3 mandatory add-ons totalling about $200: Comprehensive exam (new patient) ($95), Diagnostic X-rays (bitewing/periapical) ($60), Local anesthesia ($45). Optional extras such as nitrous oxide sedation and emergency / same-day visit surcharge are billed only if you use them.
Which tooth extraction option is the cheapest?
Simple extraction (erupted tooth) is the lowest-cost option at about $195 in Texas, while Impacted tooth (bony) runs around $635. The right option depends on the clinical situation, so ask the provider to quote each tier separately.
Is a tooth extraction more expensive in Texas than elsewhere?
Texas runs about 2% below the national average for tooth extraction pricing, driven mainly by lower facility and labor costs. Within the state, hospital-affiliated providers in major metros sit at the top of the $145–$835 range, while independent clinics and suburban practices are usually near the bottom.
How can I lower the cost of a tooth extraction if I am paying cash?
Dental schools charge 30–50% less for supervised work, in-house membership plans cut fees 15–25%, and most offices give a cash-pay discount if you ask before treatment.
how much is tooth extraction without insurance?
For Tooth Extraction in Texas, the typical out-of-pocket cost is $295, with a realistic range of $145 to $835 depending on the option you choose and which mandatory add-ons apply.
how much is tooth extraction with insurance?
For Tooth Extraction in Texas, the typical out-of-pocket cost is $295, with a realistic range of $145 to $835 depending on the option you choose and which mandatory add-ons apply.
how much is tooth extraction for dogs?
For Tooth Extraction in Texas, the typical out-of-pocket cost is $295, with a realistic range of $145 to $835 depending on the option you choose and which mandatory add-ons apply.
how much is tooth extraction for cats?
For Tooth Extraction in Texas, the typical out-of-pocket cost is $295, with a realistic range of $145 to $835 depending on the option you choose and which mandatory add-ons apply.