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Manual Reduction of Trimalleolar Ankle Fracture

Alaska rates for HCPCS 27818

A provider manually realigns a broken ankle that involves fractures on multiple sides of the ankle joint, without making a surgical incision. Manipulation is used to restore proper bone position, and the ankle is then typically immobilized in a cast or splint while it heals. This addresses a more complex ankle fracture pattern than a break on just one side.

Rates data updated July 2026.

How much does Manual Reduction of Trimalleolar Ankle Fracture cost?

$2,380

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $2,380 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $1,000 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$457 to $2,138
Facility feeThe hospital or surgery center$1,000$646 to $2,399

How much rates vary

Facilitymedian $1,000 · 10th to 90th $457 to $4,677Professionalmedian $1,380 · 10th to 90th $398 to $2,570
$500$1K$2K$5K$10Kfacility $1,000professional $1,380

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$3,235.94
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$977.24
Median
$1,047.13
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$724.44
Typical High
$1,548.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$2,398.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$2,754.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$2,754.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$2,398.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$660.69
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,905.46
Typical High
$2,570.40

Where Alaska sits

The same service costs 6.3 times more in Indiana than in Delaware. 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

Alaska· 20th of 51

$2,380

$1,380 physician + $1,000 facility

IN $6,113DE $969

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.