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Manual Reduction of Trimalleolar Ankle Fracture

Connecticut 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?

$5,217

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

Insurers have agreed to pay about $5,217 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $4,571 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$646$447 to $1,072
Facility feeThe hospital or surgery center$4,571$3,388 to $5,248

How much rates vary

Facilitymedian $4,571 · 10th to 90th $2,754 to $8,511Professionalmedian $646 · 10th to 90th $407 to $1,820
$500$1K$2K$5K$10Kfacility $4,571professional $646

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
$2,137.96
Median
$4,570.88
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$630.96
Median
$630.96
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$1,258.93
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,677.35
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$707.95
Typical High
$1,258.93

Where Connecticut 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

Connecticut· 2nd of 51

$5,217

$646 physician + $4,571 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.