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Manual Reduction of Trimalleolar Ankle Fracture

Washington, DC 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?

$537

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $468 to $1,096.

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.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $468 to $7,762Professionalmedian $537 · 10th to 90th $447 to $832
$500$1K$2K$5Kfacility $2,138professional $537

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
$467.74
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$354.81
Median
$354.81
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$724.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,071.52
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,288.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$3,311.31
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$1,318.26

Where Washington, DC sits

The same service costs 3.1 times more in California 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.

Washington, DC· 42nd of 51

$537

CA $1,514DE $490

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.