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Open Repair of a Break at the Back of the Ankle

Hawaii rates for HCPCS 27769

Open surgery to repair a break in the back edge of the lower shinbone where it forms the ankle joint. The fragment is exposed through an incision, put back into place, and held with screws or a plate. Restoring this piece matters because it carries part of the joint surface and helps keep the ankle stable.

Rates data updated October 2026.

How much does Open Repair of a Break at the Back of the Ankle cost?

$4,735

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $4,735 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $3,802 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$933$126 to $933
Facility feeThe hospital or surgery center$3,802$3,090 to $4,467

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,778 to $4,467Professionalmedian $933 · 10th to 90th $30 to $1,000
$50$100$200$500$1K$2K$5Kfacility $3,802professional $933

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$724.44
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$831.76
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$933.25
Typical High
$933.25
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$125.89
Typical High
$1,000.00

Where Hawaii sits

The same service costs 6.1 times more in Colorado than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Hawaii· 37th of 51

$4,735

$933 physician + $3,802 facility

CO $14,183KY $2,314

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.