How Much is a Root Canal Cost With and Without Insurance
#1How much is a Root Canal Treatment Cost?
The cost of a root canal treatment can vary widely depending on several factors, including the location of the dental practice, the tooth that needs the procedure, the complexity of the case, and whether you have dental insurance.
On average the cost of a root canal treatment can range from $800 to $1,500 per tooth.
#2The Factors Affecting How Much does a Root Canal Treatment Cost
Keep in mind that this is a general estimate, and actual costs can be higher or lower. Some factors that can influence the cost of a root canal treatment include:
- Tooth location: Molars typically cost more to treat than front teeth because they have more roots and are more challenging to access.
- Endodontist vs. general dentist: An endodontist is a specialist in root canal procedures and may charge more for their expertise.
- Geographic location: The cost of root canal treatment can vary significantly from one region to another, with urban areas generally having higher prices.
- Dental insurance: If you have dental insurance, your out-of-pocket costs for a root canal may be significantly lower.
- Additional procedures: Sometimes, a root canal may be followed by the need for a dental crown, which can add to the overall cost.
Is the price of same day root canal different?
The price of a same-day root canal procedure is typically not significantly different from a traditional root canal treatment.
The term “same-day root canal” often refers to completing the entire root canal treatment in a single visit, whereas traditional root canals may involve multiple appointments.
The decision to perform a root canal in one day or multiple visits depends on the complexity of the case and the dentist’s or endodontist’s judgment.
#3How Much Is the Average Root Canal Cost with Insurance?
Dental insurance plans vary in terms of coverage, copayments, and deductibles, so it’s important to review your specific plan to understand how much of the cost is covered.
- Coverage Percentage: Dental insurance plans often cover a percentage of the cost of a root canal, typically ranging from 50% to 80%. The exact percentage depends on your specific plan.
- Annual Maximum: Dental insurance plans may have an annual maximum benefit, which is the maximum amount they will pay for dental procedures within a calendar year. Once you reach this maximum, you’ll be responsible for any additional costs.
- Deductible: You may have to pay a deductible before your dental insurance coverage kicks in. The deductible is a set amount you must pay out of pocket before your insurance starts covering expenses.
- In-Network vs. Out-of-Network: Dental insurance plans often have a network of preferred providers. If you visit an in-network dentist or endodontist, you may receive a higher level of coverage. Going out of network can result in higher out-of-pocket costs.
- Pre-Authorization: Some dental insurance plans require pre-authorization or pre-approval for certain procedures, including root canals. Be sure to check if this is necessary before undergoing the procedure.
- Waiting Periods: Some dental insurance plans have waiting periods for certain procedures, including root canals. This means you may need to wait for a specified period before the insurance will cover the cost of root canal.
Hypothetical Scenario for a Patient Covered by Dental Insurance:
Insurance Plan: Patient has a dental insurance plan with the following terms:
- Coverage Percentage: 80%
- Annual Maximum Benefit: $1,000
- Deductible: $50
- In-Network Provider
Root Canal Treatment: The patient needs a root canal on a molar tooth. The cost of the root canal treatment is $1,000.
Step 1: Deductible: The patient pays the $50 deductible out of pocket at the beginning of the year.
Step 2: Procedure Cost: Since the patient is using an in-network provider, the insurance plan covers 80% of the procedure cost.
- Procedure cost: $1,000
- Insurance covers: 80% of $1,000, which is $800.
Step 3: Out-of-Pocket Costs: After insurance coverage, the patient is responsible for the remaining 20% of the procedure cost:
- Patient’s share: 20% of $1,000, which is $200.