¿Cuánto Cuesta Endodoncia?
A root canal is an endodontic procedure that treats infection inside a tooth. The infected pulp is removed, the inside of the tooth is cleaned and disinfected, and then it is filled and sealed to prevent further infection.
Sin Seguro
$1,000
Con Seguro
$350
Medicare
$0
Promedio Nacional
$750
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: American Dental Association Fee Survey 2025 · Methodology · Editorial standards Resumen
A root canal (endodontic therapy) removes infected or inflamed pulp from inside a tooth, disinfects the canal system, and seals it to prevent reinfection. It is the standard alternative to extraction when a tooth has deep decay, a cracked crown, or an abscess. The procedure runs 60 to 90 minutes under local anesthesia and usually takes one or two appointments. After the root canal itself, the tooth almost always needs a post-and-core buildup and a crown to protect it from fracture — those are billed separately and often cost as much as the endodontic work. Cost depends heavily on which tooth is being treated: front teeth (incisors) have one canal and are least expensive; bicuspids have one or two canals; molars have three or four canals and are the most expensive. Specialist endodontists typically charge more than general dentists but have higher success rates on complex cases.
Qué afecta el costo
- Tooth type: anterior (front) teeth, bicuspids, and molars are priced differently because canal count and anatomical complexity differ substantially.
- Retreatment vs initial therapy: redoing a previously treated root canal is technically harder and costs more than a first-time root canal.
- Provider type: endodontists (specialists) typically charge 20-40% more than general dentists for the same CPT code.
- Imaging: CBCT (cone-beam) scans for complex anatomy or retreatment planning add a separate charge.
- Post-op restoration: the post, buildup, and crown needed to protect the tooth afterward are billed as separate procedures and typically exceed the root-canal fee.
- Insurance annual maximum: a root canal plus crown can exhaust a typical dental plan's annual cap in one episode.
Cómo Ahorrar
- Ask whether a general dentist comfortable with the case can do the root canal rather than referring to an endodontist.
- Consider a dental school endodontic clinic — supervised residents perform root canals at a fraction of private-practice pricing.
- Request a pre-determination from your insurer before scheduling; knowing your patient share in advance avoids surprises.
- Split the root canal and crown across two benefit years if an annual maximum is close to being exhausted.
- Ask for a cash-pay or prompt-pay discount if uninsured — many offices offer 5-10% off for payment at service.
- Use your HSA or FSA for the patient portion with pre-tax dollars.
Notas sobre seguro y cobertura
Most dental PPO plans cover root canals as a 'basic' or 'major' service and pay 50-80% after deductible, subject to the annual benefit maximum. HMO plans cover them at a fixed copay. The subsequent crown is billed separately and usually counts as a major service at around 50% coverage. Pre-determinations are strongly recommended. Original Medicare does not cover routine dental including root canals; Medicare Advantage plans increasingly include a dental benefit with an annual allowance. Many patients hit their annual maximum on a root canal plus crown and pay the remainder out of pocket — using HSA/FSA dollars for the balance is common.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- American Dental Association Fee Survey 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $720 to $1,380 · 50 states shown
Costo por Estado
| Estado | Sin Seguro | Con Seguro | Medicare |
|---|---|---|---|
| Mississippi | $720 | $252 | $0 |
| West Virginia | $740 | $259 | $0 |
| Arkansas | $750 | $263 | $0 |
| Oklahoma | $750 | $263 | $0 |
| Alabama | $775 | $271 | $0 |
| Kentucky | $840 | $294 | $0 |
| Louisiana | $860 | $301 | $0 |
| Iowa | $870 | $305 | $0 |
| New Mexico | $870 | $305 | $0 |
| South Carolina | $870 | $305 | $0 |
| South Dakota | $870 | $305 | $0 |
| Kansas | $880 | $308 | $0 |
| North Dakota | $880 | $308 | $0 |
| Idaho | $890 | $312 | $0 |
| Nebraska | $890 | $312 | $0 |
| Tennessee | $900 | $315 | $0 |
| Indiana | $920 | $322 | $0 |
| Utah | $920 | $322 | $0 |
| Wyoming | $920 | $322 | $0 |
| Missouri | $930 | $326 | $0 |
| Georgia | $940 | $329 | $0 |
| Michigan | $940 | $329 | $0 |
| Montana | $940 | $329 | $0 |
| North Carolina | $940 | $329 | $0 |
| Arizona | $980 | $343 | $0 |
| Ohio | $980 | $343 | $0 |
| Wisconsin | $980 | $343 | $0 |
| Maine | $990 | $347 | $0 |
| Texas | $1,000 | $350 | $0 |
| Florida | $1,020 | $357 | $0 |
| Illinois | $1,020 | $357 | $0 |
| Minnesota | $1,020 | $357 | $0 |
| Pennsylvania | $1,020 | $357 | $0 |
| Delaware | $1,040 | $364 | $0 |
| Nevada | $1,040 | $364 | $0 |
| Vermont | $1,040 | $364 | $0 |
| Virginia | $1,040 | $364 | $0 |
| Colorado | $1,060 | $371 | $0 |
| New Hampshire | $1,060 | $371 | $0 |
| Oregon | $1,060 | $371 | $0 |
| Maryland | $1,100 | $385 | $0 |
| Rhode Island | $1,100 | $385 | $0 |
| Washington | $1,100 | $385 | $0 |
| Connecticut | $1,200 | $420 | $0 |
| New Jersey | $1,200 | $420 | $0 |
| California | $1,300 | $455 | $0 |
| Massachusetts | $1,320 | $462 | $0 |
| Alaska | $1,350 | $473 | $0 |
| New York | $1,350 | $473 | $0 |
| Hawaii | $1,380 | $483 | $0 |
Preguntas Frecuentes
¿Cuánto cuesta endodoncia sin seguro?
El costo promedio de endodoncia sin seguro en Estados Unidos es $1,000. Los costos varían significativamente por estado.
¿El seguro cubre endodoncia?
La mayoría de los planes de seguro médico cubren endodoncia cuando es médicamente necesario. Con seguro, el costo promedio de bolsillo es $350.
¿Medicare cubre endodoncia?
Medicare Parte B generalmente cubre endodoncia cuando lo ordena un médico. El monto promedio aprobado por Medicare es $0.
Revisado por Elena Bellini · Última revisión: 2026-04-21
Datos obtenidos de American Dental Association Fee Survey 2025. Última actualización: 2026-03-01. Esta información es solo con fines educativos y no constituye asesoramiento médico. Este sitio web es solo para fines informativos y no constituye asesoramiento médico. Siempre consulta a un profesional de salud calificado.