Apicoectomy cost overview (with and without insurance)

Typical self-pay pricing (no insurance)

Apicoectomy pricing varies widely by geography, tooth type (front tooth vs molar), and surgical complexity. Many practices quote a typical self-pay range around the low-to-mid four figures (often roughly around $800 to $2,000 for many cases), but the true price can be higher when molars, multiple roots, advanced imaging, grafting, or sedation are involved.

Published fee benchmarks (reference point)

One published benchmark cited by Humana references the ADA fee survey and notes an average molar apicoectomy fee (first root of a molar) in the mid-$1,000s. This is best used as a reference point, not a quote for your specific case.

With insurance

With dental insurance, your out-of-pocket depends on plan structure (deductible, coinsurance percentage, annual maximum, in-network vs out-of-network rules) and the allowed fee for your plan. Humana notes that many dental plans cover apicoectomy, but benefits vary by plan.

If you are seeing online searches like "apicoectomy with cheap price" or location-specific queries such as "apicoectomy price in California for second molar": treat these as starting points only. A second molar can be more complex, and local fee schedules differ. The only reliable number is a written estimate based on your X-rays/CBCT and your insurance.

How dental insurance typically covers apicoectomy

In many dental plans, apicoectomy is treated like a major service (or sometimes a specialized endodontic/surgical benefit). Coverage often works like this:

• Deductible: you may pay the first $50-$200 (varies widely) before coinsurance applies.
• Coinsurance: the plan may pay a percentage of the allowed amount; you pay the remainder.
• Annual maximum: many dental plans cap how much they pay per year; major procedures can hit that cap quickly.
• Waiting periods: some plans require a waiting period for major services.
• Frequency and clinical rules: insurers may require documentation that the tooth is restorable and that the procedure is medically/dentally necessary.

Practical note: if your plan has a low annual maximum, a portion of the bill may shift to you even when "covered." Also, in some public benefit programs, coverage rules can be very specific (for example, some guidance documents explicitly describe when apicoectomy/periradicular services are allowable and what documentation is needed).

Payment tools: Humana notes that some patients may be able to use an FSA or HSA for eligible dental expenses, depending on account rules.

Cost and insurance FAQs

Does dental insurance cover apicoectomy?

Many plans do, but coverage varies. Always verify benefits, waiting periods, annual maximum remaining, and in-network status before scheduling.

Why do online prices vary so much?

Online prices often mix "office fee" vs "allowed amount," and may exclude imaging, grafting decisions, sedation, or follow-up care. Tooth type (molar vs front tooth) and the number of roots also influence complexity and fee structure.

Is apicoectomy cheaper than extraction + implant?

Cost comparisons depend on your insurance benefits and the restorative plan. If the tooth is restorable, an apicoectomy may be a cost-effective way to preserve the natural tooth. If the tooth is not restorable, extraction and replacement planning becomes the focus. (We covered the broader comparisons in prior articles.)

What if the apicoectomy fails?

Failure can happen, and next steps are case-specific. If symptoms persist or return, your clinician will review imaging and discuss options. (Common patient search terms include "apicoectomy failure signs" and "signs of a failed apicoectomy.")