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Manual Reduction of Trimalleolar Ankle Fracture

Florida 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?

$3,726

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

Insurers have agreed to pay about $3,726 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $3,236 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$427 to $603
Facility feeThe hospital or surgery center$3,236$1,380 to $6,607

How much rates vary

Facilitymedian $3,236 · 10th to 90th $603 to $10,715Professionalmedian $490 · 10th to 90th $380 to $851
$500$1K$2K$5K$10Kfacility $3,236professional $490

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
$549.54
Median
$2,884.03
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$269.15
Median
$302.00
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$588.84
AvMed
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,698.24
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$512.86
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$831.76
Typical High
$891.25
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
$389.05
Median
$588.84
Typical High
$954.99
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,897.79
Typical High
$9,772.37
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$389.05
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,290.87
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$977.24
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$616.60

Where Florida 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

Florida· 8th of 51

$3,726

$490 physician + $3,236 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.