Average prices by extraction type, sedation options, and how to compare surgeons
Texas offers competitive pricing despite its large metro areas. Houston and Dallas have the widest provider selection; San Antonio and Austin are slightly below DFW pricing.
Costs vary based on how deeply your wisdom teeth are impacted, the type of anesthesia used, and where in Texas you have the procedure done. This guide breaks down what to expect.
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| Procedure Type | Description | Texas Average |
|---|---|---|
| Simple Extraction | Tooth is fully erupted, no bone removal | $100 – $190 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 | $275 – $525 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 | $1,200 – $2,700 |
| 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 Texas 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 Texas costs approximately $1,200 – $2,700 including IV sedation. Simple extractions run considerably less ($100 – $190 per tooth), while deeply impacted teeth cost more ($275 – $525 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 Texas 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 Texas.
← Back to National Wisdom Teeth Removal Cost Guide
Last Updated: June 2026. Prices are estimates based on market research across Texas oral surgery practices. Costs vary by provider, location, and individual clinical needs. Always obtain written quotes before scheduling treatment.
