*As of February 2024, **Actual costs and savings vary by provider, service and geographical area.
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*As of February 2024, **Actual costs and savings vary by provider, service and geographical area.
| Procedure | Average Cost* | Average Cost with Aetna Dental Access* | Member Savings |
|---|---|---|---|
| Periodic Oral Exam | $64 | $38 | $26 |
| Comprehensive Oral Exam | $104 | $62 | $42 |
| X-Ray, Intraoral–Complete Series Including Bitewing | $165 | $99 | $66 |
| X-Ray, Bitewings– Four Films | $76 | $46 | $30 |
| X-Ray Panoramic Film | $134 | $80 | $54 |
| Cleaning (Prophylaxis)–Adult | $111 | $67 | $44 |
| Cleaning (Prophylaxis)–Child | $86 | $52 | $34 |
| Fluoride Application |
$45 | $27 | $18 |
| Sealant Per Tooth | $67 | $40 | $27 |
| Filling– 1 Surface Resin (White) Filling, Front (Anterior) Tooth |
$191 | $115 | $76 |
| Crown- Porcelain Fused to High Nobel Metal (i.e. gold) | $1,284 | $770 | $514 |
| Restorative Crown- Porcelain Fused to Nobel Metal | $1,199 | $719 | $480 |
| Root Canal Front Tooth (Anterior) Excluding Final Restoration | $951 | $571 | $380 |
| Root Canal Premolar Tooth (Bicuspid), Excluding Final Restoration | $1,084 | $650 | $434 |
| Root Canal Molar, Excluding Final Restoration | $1,350 | $810 | $540 |
| Osseous Surgery, Four Or More Contiguous Teeth - Modifies Bony Support of Teeth | $1,477 | $886 | $591 |
| Scaling/Root Planing Four or More Contiguous Teeth | $289 | $173 | $116 |
| Periodontal Maintenance For Patients Who Have Been Previously Treated For Periodontal Disease. | $170 | $102 | $68 |
| Complete Upper Denture (Maxillary) | $1,616 | $970 | $646 |
| Extraction of Erupted Tooth or Exposed Root - Includes Local Anesthesia and Suturing If Needed | $200 | $120 | $80 |
| General Anesthesia | $241 | $145 | $96 |
| IV Sedation/Analgesia | $211 | $127 | $84 |
| Occlusal Guard – Hard Appliance, Full Arch | $613 | $368 | $245 |
*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. 1 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 February 2024.
How many times can I use the Dental benefit?
There is no limit to the amount of times this benefit can be used.
What if my dentist is not a participating provider?
Recommend a Provider through the app, online or by calling Member Support. Submit the provider’s information, and Aetna will contact the provider about joining the network.
"84.9% of children aged 2-17 years had a dental visit in the past year." CDC/National Center for Health Statistics, 2017
"64% of adults aged 18-64 had a dental visit in the past year." CDC/National Center for Health Statistics, 2017
"31.6% of adults aged 20-44 have untreated dental caries." CDC/National Center for Health Statistics, 2013-2017
"Annual U.S. spending on dental care is projected to reach $192 billion by 2026." Health Affairs, 2018
"Dental cavities are the most common chronic disease for children in the United States." Comprehensive Dental Reform Act, 2015
"25% of American adults who have attained 65 years of age have lost all their teeth." Comprehensive Dental Reform Act, 2015
"Untreated oral health problems contribute to an increased risk for serious medical conditions such as diabetes, hospital-acquired pneumonia, and poor birth outcomes." Comprehensive Dental Reform Act, 2015
"According to a report by the Surgeon General of the United States, students miss more than 51,000,000 hours of school and employed adults lose more than 164,000,000 hours of work each year due to dental diseases and dental visits." Comprehensive Dental Reform Act, 2015
"More than 47,000,000 people live in a dental Health Professional Shortage Area where the number of dentists for the population size is inadequate and people may face significant challenges accessing oral health care." Comprehensive Dental Reform Act, 2015
"More than 1 in 4 Americans do not have dental health insurance which is far greater than the number of individuals who lack general health insurance." Comprehensive Dental Reform Act, 2015
"The Medicare program and the Department of Veterans Affairs do not provide dental coverage to the majority of their beneficiaries, and States can elect whether to provide dental coverage to adults under the Medicaid program." Comprehensive Dental Reform Act, 2015
"A minority of practicing dentists in the United States provide care to individuals enrolled in Medicaid, and a very small percentage of dentists devote a substantial part of their practice towards caring for individuals who are underserved." Comprehensive Dental Reform Act, 2015
Dental Benefit is not available to VT residents.
The discount program provides access to the Aetna Dental Access® network, which is administered by Aetna Life Insurance Company (ALIC). ALIC does not offer or administer the discount program, and is not an affiliate, agent or principal of the discount program. Dental providers are independent contractors and not employees or agents of ALIC. ALIC does not provide dental care or treatment and is not responsible for outcomes.