Average prices by extraction type, sedation options, and how to compare surgeons
Maryland pricing is heavily influenced by proximity to Washington D.C. Montgomery County and Prince George's County (DC suburbs) have the highest costs. Baltimore metro is 10–15% below suburban DC. Western Maryland and the Eastern Shore are the most affordable regions.
Costs vary based on how deeply your wisdom teeth are impacted, the type of anesthesia used, and where in Maryland you have the procedure done. This guide breaks down what to expect.
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| Procedure Type | Description | Maryland Average |
|---|---|---|
| Simple Extraction | Tooth is fully erupted, no bone removal | $120 – $230 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 | $310 – $580 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 | $1,400 – $3,050 |
| 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 Maryland 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 Maryland costs approximately $1,400 – $3,050 including IV sedation. Simple extractions run considerably less ($120 – $230 per tooth), while deeply impacted teeth cost more ($310 – $580 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 Maryland 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 Maryland.
← Back to National Wisdom Teeth Removal Cost Guide
Last Updated: June 2026. Prices are estimates based on market research across Maryland oral surgery practices. Costs vary by provider, location, and individual clinical needs. Always obtain written quotes before scheduling treatment.
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