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Manual Reduction of Trimalleolar Ankle Fracture

Colorado 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?

$4,228

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

Insurers have agreed to pay about $4,228 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $3,715 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$457 to $708
Facility feeThe hospital or surgery center$3,715$871 to $6,761

How much rates vary

Facilitymedian $3,715 · 10th to 90th $513 to $8,318Professionalmedian $513 · 10th to 90th $417 to $1,230
$500$1K$2K$5K$10Kfacility $3,715professional $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
$457.09
Median
$3,235.94
Typical High
$7,413.10
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$338.84
Median
$338.84
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$977.24
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$1,862.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$977.24
Typical High
$1,258.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,041.74
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$1,122.02

Where Colorado 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

Colorado· 6th of 51

$4,228

$513 physician + $3,715 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.