Geographic Pricing Guide
Wisdom Teeth Removal Cost by State in 2026: All 50 States + DC
California runs 25-30% above national average. Mississippi runs 20-25% below. Most variance is metro density, not state policy.
Metro Cost Premiums
These apply on top of the state average. Manhattan, SF, and DC are the most expensive markets in the country for this procedure.
| Metro | Premium vs State Average | All Four (Impacted, IV Sedation) |
|---|---|---|
| Manhattan (NYC) | +35% | $3,800-$5,600 |
| San Francisco | +30% | $3,600-$4,900 |
| Los Angeles | +25% | $3,200-$4,700 |
| Boston | +20% | $3,100-$4,300 |
| Chicago | +15% | $2,800-$3,800 |
| Houston / Dallas | +10% | $2,400-$3,400 |
| Atlanta | +10% | $2,400-$3,200 |
| Phoenix | +5% | $2,200-$3,100 |
All 50 States + DC
All four teeth. Erupted scenario excludes sedation. Impacted scenario includes IV sedation and consultation/X-ray.
| State | vs National | All Four Erupted | All Four Impacted + IV |
|---|---|---|---|
| Alabama | -15% | $480-$1,130 | $1,050-$2,520 |
| Alaska | +10% | $620-$1,460 | $1,360-$3,260 |
| Arizona | +5% | $590-$1,395 | $1,300-$3,110 |
| Arkansas | -18% | $465-$1,090 | $1,010-$2,430 |
| California | +28% | $720-$1,700 | $1,580-$3,790 |
| Colorado | +12% | $630-$1,490 | $1,380-$3,310 |
| Connecticut | +22% | $690-$1,620 | $1,500-$3,610 |
| Delaware | +10% | $620-$1,460 | $1,360-$3,260 |
| Florida | +8% | $610-$1,440 | $1,340-$3,200 |
| Georgia | 0% | $565-$1,330 | $1,240-$2,960 |
| Hawaii | +18% | $665-$1,570 | $1,460-$3,490 |
| Idaho | -10% | $510-$1,200 | $1,120-$2,660 |
| Illinois | +12% | $630-$1,490 | $1,380-$3,310 |
| Indiana | -10% | $510-$1,200 | $1,120-$2,660 |
| Iowa | -12% | $497-$1,170 | $1,090-$2,600 |
| Kansas | -13% | $492-$1,155 | $1,080-$2,570 |
| Kentucky | -17% | $469-$1,100 | $1,030-$2,450 |
| Louisiana | -12% | $497-$1,170 | $1,090-$2,600 |
| Maine | +5% | $593-$1,395 | $1,300-$3,110 |
| Maryland | +20% | $678-$1,596 | $1,488-$3,552 |
| Massachusetts | +22% | $689-$1,623 | $1,513-$3,611 |
| Michigan | -5% | $537-$1,264 | $1,178-$2,812 |
| Minnesota | +5% | $593-$1,397 | $1,302-$3,108 |
| Mississippi | -22% | $441-$1,037 | $967-$2,309 |
| Missouri | -12% | $497-$1,170 | $1,091-$2,605 |
| Montana | -8% | $520-$1,224 | $1,141-$2,723 |
| Nebraska | -12% | $497-$1,170 | $1,091-$2,605 |
| Nevada | +10% | $622-$1,463 | $1,364-$3,256 |
| New Hampshire | +10% | $622-$1,463 | $1,364-$3,256 |
| New Jersey | +25% | $706-$1,663 | $1,550-$3,700 |
| New Mexico | -10% | $509-$1,197 | $1,116-$2,664 |
| New York | +32% | $746-$1,756 | $1,637-$3,907 |
| North Carolina | -5% | $537-$1,264 | $1,178-$2,812 |
| North Dakota | -10% | $509-$1,197 | $1,116-$2,664 |
| Ohio | -8% | $520-$1,224 | $1,141-$2,723 |
| Oklahoma | -18% | $464-$1,092 | $1,017-$2,427 |
| Oregon | +12% | $633-$1,490 | $1,389-$3,315 |
| Pennsylvania | +5% | $593-$1,397 | $1,302-$3,108 |
| Rhode Island | +15% | $650-$1,530 | $1,426-$3,404 |
| South Carolina | -10% | $509-$1,197 | $1,116-$2,664 |
| South Dakota | -12% | $497-$1,170 | $1,091-$2,605 |
| Tennessee | -13% | $492-$1,158 | $1,079-$2,575 |
| Texas | +5% | $593-$1,397 | $1,302-$3,108 |
| Utah | 0% | $565-$1,330 | $1,240-$2,960 |
| Vermont | +8% | $610-$1,436 | $1,339-$3,197 |
| Virginia | +8% | $610-$1,436 | $1,339-$3,197 |
| Washington | +18% | $667-$1,569 | $1,463-$3,493 |
| West Virginia | -20% | $452-$1,064 | $992-$2,368 |
| Wisconsin | -5% | $537-$1,264 | $1,178-$2,812 |
| Wyoming | -10% | $509-$1,197 | $1,116-$2,664 |
| Washington DC | +40% | $791-$1,862 | $1,736-$4,144 |
Estimates based on ADA CDT fee survey regional data, cross-referenced with Authority Dental and oral surgery practice sampling. Individual provider variation within a state can exceed state-level variance.
Why Your Zip Code Matters More Than Your State
The variance within a single metropolitan area can exceed the variance between two adjacent states. A practice in Manhattan charges $800-$1,200 for a single full bony impaction. A practice 40 miles away in suburban Connecticut charges $450-$650 for the same procedure, coded identically.
Three factors drive geographic variance, in order of impact:
- Overhead costs: practice rent, staff wages, and malpractice insurance premiums in high-density markets are 30-80% higher than rural areas.
- Competitive density: markets with few oral surgeons per capita sustain higher prices than markets with abundant providers and price competition.
- Patient demographics: high-income zip codes support higher prices because patients are less price-sensitive and insurance coverage is more comprehensive.
The implication: if you live in a high-cost metro, a 20-30 mile drive to a suburban practice may save $400-$800 on a four-tooth case, more than any insurance optimisation.