How Much Does It Cost to Fill a Cavity? (2026 Pricing & Complete Guide)

The average cost to fill a cavity in the United States ranges from $150 to $450 per tooth without insurance. But prices vary dramatically based on filling material (composite vs amalgam), cavity size (small vs big), location, and whether you have dental coverage. This 2026 guide breaks down exact prices by state, material type, and hidden fees — plus insider tips to save up to 60%.

If you're asking "how much does it cost to fill a cavity" in 2026, you're not alone. With inflation impacting dental supplies and labor, prices have shifted since 2025. Whether you need a small cavity filling or a big cavity filling on a molar, understanding the breakdown helps you budget and avoid overpaying. Below we cover how much does it cost to get a cavity filled with insurance vs cash, state-specific estimates (Ohio, Texas, California), and what to expect for children's cavities.

2026 Average Cavity Filling Costs by Material Type

The two most common filling materials are amalgam (silver) and composite resin (tooth-colored). Composite is now preferred for front teeth and smaller cavities but costs more. Here’s the national average range for how much does it cost to fill a tooth cavity in 2026:

Filling TypeCost per Surface (No Insurance)With Insurance (after deductible)LifespanBest For
Amalgam (Silver)$120 – $250$25 – $7010-15 yearsPosterior molars, large cavities
Composite Resin$180 – $450$50 – $1505-10 yearsVisible teeth, small to medium cavities
Glass Ionomer$150 – $300$40 – $1005 yearsChildren, baby teeth, non-biting surfaces
Gold Inlay/Onlay$600 – $2,500$300 – $80015-20+ yearsHigh durability, premium option

Note: Costs reflect per tooth, single surface. Two-surface or three-surface fillings add $50–$150 per additional surface.

How Much Does It Cost to Fill a Cavity by State? (Ohio, Texas, NY, FL)

Regional living costs and dentist competition drive price differences. For example, how much does it cost to fill a cavity Ohio is generally lower than coastal metros. Below are typical composite filling ranges (single surface, no insurance) for key states:

StateComposite Filling (Low–High)Amalgam (Low–High)
Ohio$160 – $290$110 – $190
Texas$170 – $310$120 – $200
California$240 – $480$160 – $280
New York$230 – $460$150 – $270
Florida$180 – $330$125 – $210
Illinois$175 – $320$115 – $205

Quick insight: In Ohio, you can find composite fillings for as low as $150 at dental schools or community clinics. For how much does it cost to fill a cavity ontario (Canada), prices average CAD $200–$400, but this guide focuses on US data — residents near the border may cross for savings.

Small Cavity vs Big Cavity Cost: Does Size Matter?

Yes. How much does it cost to fill a small cavity? A tiny occlusal (surface) cavity might cost as little as $120 (amalgam) or $170 (composite). But how much does it cost to fill a big cavity that involves two or three surfaces? Expect to pay $250–$600+ for composite, and sometimes a crown may be recommended instead. Surface cavities (smooth surface) are cheaper than proximal or deep decay requiring liner material.

Original insight: “Hidden costs” to ask about
Many dentists charge separate fees for: examination ($50–$120), X-rays ($25–$150), anesthesia (local is usually included, but nitrous oxide can add $40–$90), and polishing. Always request a written estimate before treatment.

Insurance vs. Out-of-Pocket: How Much Does It Typically Cost to Fill a Cavity?

Most dental plans cover 70%–80% of basic fillings after a $50 deductible. With insurance, how much does it usually cost to fill a cavity? You might pay $30–$120 for composite. Without insurance, full cash price applies. For a child's cavity, costs are similar but pediatric dentists sometimes charge 10-20% more due to behavior management. Also, how much does it cost to fill a moler cavity (molar) often requires stronger materials; composite for molars runs $200–$450.

Exclusive: Timeline of a Cavity Filling Procedure (Step-by-Step)

Understanding the process helps you know what you're paying for. Here’s a typical 30-45 minute timeline:

  1. Diagnosis & X-rays (5-10 min): Digital X-ray reveals cavity depth. Cost often separate.
  2. Local anesthesia (2-5 min): Numbing gel + injection. Usually included.
  3. Decay removal (5-15 min): High-speed drill removes infected dentin.
  4. Tooth preparation & liner (2-5 min): For deep cavities, a liner/base may be placed (+$25–$50).
  5. Filling placement & shaping (10-15 min): Composite is layered and cured with blue light.
  6. Bite adjustment & polish (5 min): Final contouring to avoid high spots.

If you need a big cavity filling or multiple surfaces, add 10-15 minutes — and higher fees accordingly.

Checklist: How to Minimize Your Cavity Filling Cost (Save 40–60%)

Dental schools
Universities offer fillings at 50% discount (supervised students).
Discount dental plans
Membership plans like Careington or Aetna Dental Access save 20–40%.
Ask for cash discount
Many dentists give 5–15% off for same-day payment in cash or check.
Community health centers
Federally funded clinics offer sliding scale fees (as low as $50).
Dental tourism (Mexico/Turkey)
For extensive work, but for single fillings, local is usually better.

How Much Did It Cost to Fill a Cavity in 2014 vs 2026?

Historical perspective: In 2014, the average composite filling cost about $150–$250. By 2026, due to inflation (+32% cumulative), material tech upgrades, and higher labor costs, the same filling now runs $180–$450. So if you searched "how much does it cost to fill a cavity 2014", expect to pay 25–40% more today. However, new adhesive techniques mean composites last longer, reducing long-term costs.

Pediatric Cavity Costs: How Much to Fill a Child's Cavity?

For children, smaller cavities on primary teeth often use glass ionomer or composite. How much does it cost to fill a child's cavity? Without insurance, $120–$300 per filling. Many states offer CHIP (Children’s Health Insurance Program) covering fillings at low or no cost. Silver diamine fluoride is an alternative non-invasive option for $30–$75 per tooth, but it stains decay black.

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Frequently Asked Questions: Cavity Filling Costs

How much does it cost to fill a cavity without insurance in 2026?

Typically $150–$450 for composite, $120–$250 for amalgam, depending on tooth location and cavity size.

How much does it cost to get a cavity filled with dental insurance?

After deductible, you’ll pay 20-30% coinsurance — roughly $30–$120 per composite filling.

How much does it cost to fill a cavity in Ohio specifically?

In Ohio, composite fillings range $160–$290; amalgam $110–$190. Cleveland and Columbus have competitive pricing.

Is filling a child's cavity different in price?

Pediatric fillings cost $120–$300, but many government programs cover children’s basic dental care at low cost.

How much does it typically cost to fill a surface cavity vs deep cavity?

Surface (one-surface) starts at $120; deep or multi-surface cavities can exceed $500 and may need a crown.

Have prices increased since 2025?

Yes, average composite fillings rose ~5% from early 2025 due to material inflation. 2026 rates reflect current market.

How much does it cost to fill a big cavity on a molar?

Large molar cavities requiring two or three surfaces: $350–$650 for composite, sometimes an inlay is recommended.

Disclaimer: The dental cost information provided is for general educational purposes and does not constitute medical or financial advice. Actual prices vary by provider, geographic location, insurance plan, and individual dental needs. Always consult a licensed dentist for an accurate diagnosis and treatment estimate. CostInsightHub is not a dental provider.