How much does a frenectomy (tongue-tie surgery) cost?

Although a frenectomy is considered a minor procedure, the cost for it may vary quite a bit. It may cost around $850 when performed in a doctor’s or dentist’s office. If this procedure is performed in a hospital under general anesthesia, total costs may reach $8,000.1

What is a frenectomy?

A frenectomy is a minor surgical procedure that snips or loosens the frenulum, a small piece of tissue that connects parts of the mouth. This may include the frenulum that connects the tongue to the bottom of the mouth or the frenulum that connects the lips to the gums. This is sometimes called “tongue tie” surgery, as a frenectomy loosens up the connections in the mouth.

Illustration of the frenulum, a small strand of tissue that connects the tongue to the bottom of the mouth
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This infographic provides a simple overview of what a frenectomy is and what it costs. A frenectomy is a simple surgical procedure that involves cutting the frenulum. Freeing up the tongue this way may make feeding easier for babies and may improve speech issues in older patients. Costs for this procedure may range from $850 to $8,000. This may depend on the age of the patient, where the procedure is performed and whether sedation is required.1

Does dental insurance cover a frenectomy?

Depending on your circumstances, a frenectomy may be covered either by medical or dental insurance. If the frenectomy is deemed medically necessary—such as to help with feeding issues, speech difficulties, or other health concerns—it's more likely to be covered under medical insurance. For example, if your doctor or dentist determines that the frenulum is restricting movement and causing complications, they can often provide documentation to support the claim.

Dental insurance may also cover the procedure, particularly if it impacts oral health, like gum recession or orthodontic concerns. However, if the frenectomy is performed primarily for cosmetic reasons, insurance might not provide coverage.

Bottom line? It's always a good idea to check in with your insurance provider to understand your coverage before you schedule a procedure. 

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Benefits of a frenectomy

For infants with tongue tie:

  • Improved breastfeeding
  • Reduced feeding frustration, as breastfeeding can be more difficult, affecting a child’s overall nutrition and ability to gain weight2

For children and adults:

  • Improved speech articulation
  • Improved eating or swallowing
  • Improved oral hygiene
  • Improved denture fit

Take control of your oral health

A frenectomy is a simple solution to issues that may have been bothering you for years, from trouble eating to discomfort with dentures. If you’re ready to take the next step, consult your dentist or oral surgeon today. It’s never too late to prioritize your health and comfort.

Frequently asked questions

What is the difference between a frenectomy and a frenotomy?

A frenectomy and a frenotomy are procedures that deal with the frenulum, a small fold of tissue in the mouth found under the tongue or between the upper lip and gums. A frenotomy is a simpler, less invasive procedure where the frenulum is snipped or cut to release tightness and improve movement. A frenectomy, on the other hand, involves fully removing the frenulum and is a bit more involved. Both are commonly done to treat tongue-tie or lip-tie, helping to improve oral function and overall comfort.2

At what age should a frenectomy be done?

Healthcare providers recommend doing a frenotomy when the patient is still a baby—as early as they baby’s first month.1 Adults who think they may benefit from the procedure should talk with their doctor or dentist. If the procedure is considered elective or primarily cosmetic, insurance is unlikely to provide coverage.

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Sources

  1. Office frenotomy for neonates: resolving dysphagia, parental satisfaction and cost-effectiveness,” National Institutes of Health National Library of Medicine, last accessed April 30, 2025.
  2. “Frenotomy (Tongue-Tie Procedure in Infants),” Cleveland Clinic, last accessed April 30, 2025.