Savings Examples
Procedure | Average Cost* | Average Cost with Aetna Dental Access* | Member Savings |
---|---|---|---|
Periodic Oral Exam | $62 | $32 | $30 |
Comprehensive Oral Exam | $98 | $46 | $52 |
X-Ray, Intraoral–Complete Series Including Bitewing | $152 | $80 | $72 |
X-Ray, Bitewings– Four Films | $72 | $38 | $34 |
X-Ray Panoramic Film | $130 | $68 | $62 |
Cleaning (Prophylaxis)–Adult | $114 | $63 | $51 |
Cleaning (Prophylaxis)–Child | $83 | $46 | $37 |
Sealant Per Tooth | $66 | $32 | $34 |
Filling– 1 Surface Resin(White) Filling, Front (Anterior) Tooth | $185 | $94 | $91 |
Crown– Porcelain Fused to High Noble Metal (i.e. gold) | $1,186 | $801 | $385 |
Restorative Crown– Porcelain Fused to Noble Metal | $1,166 | $750 | $416 |
Root Canal Front Tooth (Anterior) Excluding Final Restoration | $823 | $484 | $339 |
Root Canal Premolar Tooth (Bicuspid) Excluding Final Restoration | $915 | $588 | $327 |
Root Canal Molar Excluding Final Restoration | $1,131 | $791 | $340 |
Scaling/Root Planing Four or More Contiguous Teeth | $254 | $154 | $100 |
Complete Upper Denture (Maxillary) | $1,341 | $959 | $382 |
Extraction of Erupted Tooth or Exposed Root - Includes Local Anesthesia and Suturing If Needed | $202 | $91 | $111 |
Comprehensive Orthodontic Treatment Child | $5,634 | $3,547 | $2087 |
*Actual costs and savings may vary by provider, service and geographic location. We use the average of negotiated fees from participating providers to determine the average costs, as shown on the chart. The select regional average cost represents the average fees for the procedures listed above in Los Angeles, Orlando, Chicago and New York City, as displayed in the cost of care tool as of March, 2015.