Last updated: March 2026
How Much Does Apicoectomy (Root End Surgery) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Anterior Tooth Apicoectomy | $800 – $1,500 | $300 – $600 |
| Premolar Apicoectomy | $900 – $1,700 | $350 – $700 |
| Molar Apicoectomy | $1,000 – $2,000 | $400 – $800 |
CPT/ADA Code: D3410
What Affects the Cost
- Geographic location (urban areas cost 20-40% more)
- Dentist experience and specialization
- Type of dental insurance plan (PPO vs HMO/DHMO)
- Whether the procedure is classified as preventive, basic, or major
- Lab and material costs
- Number of teeth or surfaces involved
Insurance Coverage
Typical coverage: Major endodontic — typically 50% after deductible
Most dental PPO plans have an annual maximum of $1,000-$2,500. Preventive care (cleanings, exams, X-rays) is typically covered at 100%. Basic procedures (fillings, simple extractions) at 70-80%. Major procedures (crowns, bridges, implants) at 50%. Many plans have a 6-12 month waiting period for major work.
How to Save Money
- Dental schools offer procedures at 50-70% discount
- Dental discount plans save 20-50% for $80-$200/year
- Ask about payment plans — many dentists offer CareCredit 0% financing
- Community health centers provide sliding-scale pricing
- Get quotes from 2-3 dentists in your area
- Consider dental tourism for expensive procedures
Related Procedures & Costs
Frequently Asked Questions
An apicoectomy is a surgical procedure that removes the tip of a tooth's root and surrounding infected tissue. It is performed when a root canal retreatment cannot resolve the infection.
The procedure is done under local anesthesia and is not painful during surgery. Post-operative discomfort is typically mild to moderate and managed with over-the-counter pain medication.
Apicoectomy success rates range from 85-97% depending on the tooth and surgeon experience. It can save a tooth that would otherwise need extraction.