Average prices by extraction type, sedation options, and how to compare surgeons
California has the highest oral surgery costs nationally. Inland areas (Fresno, Riverside, Bakersfield) run 20–30% below Los Angeles and San Francisco prices.
Costs vary based on how deeply your wisdom teeth are impacted, the type of anesthesia used, and where in California you have the procedure done. This guide breaks down what to expect.
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| Procedure Type | Description | California Average |
|---|---|---|
| Simple Extraction | Tooth is fully erupted, no bone removal | $150 – $275 per tooth |
| Soft Tissue Impaction | Gum tissue over tooth must be removed | Est. $200 – $450 per tooth |
| Partial Bony Impaction | Tooth partially embedded in jaw bone | $350 – $650 per tooth |
| Full Bony Impaction | Tooth fully encased in jaw bone | Est. $350 – $700 per tooth |
| All Four (with IV Sedation) | Complete removal of all wisdom teeth | $1,600 – $3,500 |
| Sedation Type | What It Is | Typical Add-On Cost |
|---|---|---|
| Local Anesthesia | Numbing injections only — you're awake | Included in procedure cost |
| Nitrous Oxide | Laughing gas — light relaxation | $50 – $150 |
| Oral Sedation | Prescription pill taken before procedure | $150 – $500 |
| IV Sedation | Deep sedation — most common for wisdom teeth | $300 – $1,000 |
Prices within California vary by metro area. Urban practices in larger cities typically run higher than suburban or rural offices.
Insurance coverage for wisdom teeth removal varies significantly:
Without insurance, removing all four wisdom teeth in California costs approximately $1,600 – $3,500 including IV sedation. Simple extractions run considerably less ($150 – $275 per tooth), while deeply impacted teeth cost more ($350 – $650 per tooth).
Yes — removing all four at once is standard practice and usually recommended. You pay for anesthesia once, recover once, and total cost is typically less than four separate visits. Most oral surgeons in California routinely perform all-four extractions in a single appointment.
Ask: (1) What's the all-in price including sedation and X-rays? (2) What type of impaction do I have? (3) Do you offer payment plans? (4) What's included in follow-up care if there are complications?
Missing teeth after extraction? Compare implant costs in California.
← Back to National Wisdom Teeth Removal Cost Guide
Last Updated: June 2026. Prices are estimates based on market research across California oral surgery practices. Costs vary by provider, location, and individual clinical needs. Always obtain written quotes before scheduling treatment.
