Average prices by extraction type, sedation options, and how to compare surgeons
North Carolina has a competitive oral surgery market, especially in the Charlotte and Research Triangle (Raleigh-Durham-Chapel Hill) areas. Coastal cities like Wilmington and the western mountains are slightly pricier per capita due to fewer specialists.
Costs vary based on how deeply your wisdom teeth are impacted, the type of anesthesia used, and where in North Carolina you have the procedure done. This guide breaks down what to expect.
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| Procedure Type | Description | North Carolina Average |
|---|---|---|
| Simple Extraction | Tooth is fully erupted, no bone removal | $95 – $185 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 | $255 – $515 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 | $1,150 – $2,650 |
| 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 North Carolina 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 North Carolina costs approximately $1,150 – $2,650 including IV sedation. Simple extractions run considerably less ($95 – $185 per tooth), while deeply impacted teeth cost more ($255 – $515 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 North Carolina 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 North Carolina.
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Last Updated: June 2026. Prices are estimates based on market research across North Carolina oral surgery practices. Costs vary by provider, location, and individual clinical needs. Always obtain written quotes before scheduling treatment.
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