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Main sewer lines can clog for several reasons. For example, if you regularly dump oil or grease down your drain, it could eventually block your line. Sometimes, tree roots can penetrate and grow inside old sewer pipes, creating a major blockage. Flushing bulky items (like paper towels, diapers, or baby wipes) can also clog your plumbing system.

If your drain doesn’t have metal crosshairs or crossbars, you should use a tub drain extractor. These tools create a grip on the drain so you can turn it using a 1/2-inch ratchet drive, drain key, or wrench. Your drain may not have crosshairs if it's old and broken.

The cost to repair a main sewer line clog is about $3,110 on average. The average cost range is  $1,310 to $4,950, but it can go as low as $215 and as high as $9,300 or more. The cost factors for this repair include the severity of the clog, pipe accessibility, video inspection, removal method, permits, pipe material, labor rates in your area, and time of year. Repairs made from outside during the winter can be more difficult due to the frozen ground or during the spring if the ground is saturated from a lot of rain and snow melt.

There are a few things that can happen to your sewer system if you don’t fix it. These include rainwater entering it and causing rust and corrosion, dirt and debris leading to blockages, small animals getting stuck inside and clogging your sewer line or entering your home, and shortening the sewer system’s life span. 

Without a cap, nothing prevents toxic and non-toxic gasses like methane and hydrogen sulfide from slowly escaping your sewer system and entering your home and the surrounding atmosphere, resulting in a foul sewer odor throughout your house.