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Manual Reduction of Trimalleolar Ankle Fracture

Arkansas 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?

$1,584

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

Insurers have agreed to pay about $1,584 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $1,072 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$513$437 to $603
Facility feeThe hospital or surgery center$1,072$646 to $1,698

How much rates vary

Facilitymedian $1,072 · 10th to 90th $537 to $1,995Professionalmedian $513 · 10th to 90th $407 to $676
$500$1K$2Kfacility $1,072professional $513

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
$537.03
Median
$794.33
Typical High
$1,862.09
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$389.05
Median
$436.52
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$512.86
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$660.69
Typical High
$831.76
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,148.15
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$851.14

Where Arkansas 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

Arkansas· 39th of 51

$1,584

$513 physician + $1,072 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.