An apicoectomy removes the tip of a tooth’s root and the infected tissue around it. It is usually done when a tooth still has problems after a root canal, to save the tooth instead of pulling it.
What’s included
An endodontist or oral surgeon numbs the area, opens the gum over the root, removes the root tip and infection, seals the end of the root and stitches the gum.
Cost at a glance
| Cost | |
|---|---|
| Without insurance | $862-$1,962 per tooth |
| National average | $1,119 |
What affects the price
- Extent of the infection and how hard the root is to reach.
- Which tooth: back teeth are usually harder to treat.
- Specialist fees: endodontists usually charge more than general dentists.
- Location: state averages range from $949 (Alabama) to $1,606 (Hawaii).
With dental insurance
When it is needed for your dental health, many plans treat this as major care and pay part of it after your deductible, up to your annual maximum. Run your own numbers with the dental cost estimator.
Ways to pay less
- Most insurers cover part or all of an apicoectomy; ask for a pre-treatment estimate.
- Compare the cost with a root canal retreatment and with extraction plus an implant.
- Dental schools and community health centers offer reduced-fee care. See how to afford dental work.
Sources
- CareCredit, How Much Does an Apicoectomy Cost? (Jan 2025)
- CareCredit, Dentist Prices: Dental Procedure Cost List (Synchrony cost studies)
Prices are national figures from the sources above, checked October 14, 2026. Your dentist’s fees depend on your location, your mouth and their practice. This page is general information, not dental or medical advice.
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Frequently asked questions
Is an apicoectomy cheaper than an implant?
Usually. The national average for an apicoectomy is $1,119; an extraction plus an implant usually costs several times more.
Does insurance cover an apicoectomy?
Most dental plans cover part or all of it when it is needed to save the tooth.
Questions from readers
Question about Apicoectomy? Ask it here. We answer general questions on this page. For anything about your own teeth, ask your dentist.
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