Last updated: March 2026
How Much Does Hemisection (Tooth Root Amputation) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Hemisection (removal of one root) | $500 – $1,200 | $200 – $450 |
| Root Amputation | $600 – $1,500 | $225 – $600 |
| Hemisection with Crown | $1,200 – $2,500 | $450 – $1,000 |
CPT/ADA Code: D3920
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/surgical — 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
A hemisection removes one root (and its associated crown portion) of a multi-rooted tooth. It preserves the healthy portion of the tooth and avoids full extraction.
Hemisection is considered when one root has a fracture, severe decay, bone loss, or failed root canal, but the other root(s) and crown portion are healthy and salvageable.
With proper restoration (usually a crown), a hemisected tooth can last 10+ years. Success depends on the health of the remaining root and supporting bone.