A gum graft costs $600 to $1,570 per site in 2026
Pearl's May 2026 figures, built on ADA fee survey data, put a gum graft at $600 to $1,570 per site, about $920 on average. Each site is billed separately, so treating several teeth adds up. Most PPO plans pay about 50 percent when the graft is medically needed.
What you may pay
| One site | $600 to $1,570, about $920 (Pearl, May 2026). |
|---|---|
| Two sites | About $1,200 to $3,140. |
| Four sites | About $2,400 to $6,280. |
| With insurance | Often about half when medically needed. |
| Healing | About 2 to 4 weeks. |
What pushes a quote up
| Graft type | Tissue from your palate costs most, donor tissue less. |
|---|---|
| Number of teeth | Each site is billed. |
| Periodontist | Specialists charge more. |
| Sedation | Extra beyond numbing. |
| Imaging | Sometimes billed separately. |
Gum graft cost by region
| Lower cost states | $475 to $1,250. Alabama, Arkansas, Indiana, Iowa, Kansas, Kentucky, Mississippi, Missouri, Oklahoma, Tennessee, West Virginia and most rural areas. |
|---|---|
| Average cost states | $600 to $1,570. Arizona, Florida, Georgia, Michigan, North Carolina, Ohio, Pennsylvania, Texas, Virginia and most mid size cities. |
| Higher cost states | $775 to $2,000. California, Connecticut, Hawaii, Massachusetts, New Jersey, New York, Washington, plus big metros such as Chicago, Denver and Washington DC. |
These rows are our estimate. We took the typical national range and adjusted it for local labor costs, which run about 20 percent lower in the cheapest states and about 30 percent higher in the dearest ones. Suburban and community offices often charge 15 to 30 percent less than dense metro practices.
Why gum grafts are billed per tooth
A gum graft covers roots that are showing because the gum has pulled back. The tissue can come from the roof of your mouth, from a donor or from a synthetic material. Pearl notes tissue from your own palate has the best success rate but means two surgical spots.
Receding gums tend to get worse, and exposed roots decay and feel sensitive. Treating recession early usually means fewer sites and a smaller bill. Fixing the cause, such as hard brushing, grinding or gum disease, keeps it from coming back. See deep cleaning and night guard prices.
How to judge the quote in your hand
- Ask how many sites and the per site fee.
- Ask which graft type.
- Ask the success rate for your case.
- Ask about sedation.
- Get pre-authorization.
Ways to pay less
- Treat recession early.
- Use insurance when it is medically needed.
- Ask about donor tissue as an option.
- Get a second opinion for many sites.
Before you decide
This page covers prices only. It is not medical or dental advice. Talk to a licensed provider about what treatment you need, and ask for a written estimate and your insurer's pre-authorization before you start.
What will this cost me?
Pick the job, your state's cost level and the last detail. The estimate updates as you change them.
An estimate built from published 2026 cost guides. It is not a quote. Get a written quote before work starts.
Common questions
How much is a gum graft?
About $600 to $1,570 per site, around $920 on average.
Does insurance cover gum grafts?
Most PPO plans pay about 50 percent when medically needed.
How long is recovery?
Initial healing takes about 2 to 3 weeks.
How long does a gum graft last?
Often decades if the cause is fixed.