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Manual Reduction of Trimalleolar Ankle Fracture

Arizona 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?

$2,451

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

Insurers have agreed to pay about $2,451 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $1,950 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$501$437 to $692
Facility feeThe hospital or surgery center$1,950$933 to $3,090

How much rates vary

Facilitymedian $1,950 · 10th to 90th $575 to $5,129Professionalmedian $501 · 10th to 90th $398 to $1,413
$500$1K$2K$5Kfacility $1,950professional $501

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
$691.83
Median
$2,089.30
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$2,238.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,819.70
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$870.96

Where Arizona 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

Arizona· 17th of 51

$2,451

$501 physician + $1,950 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.