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Manual Reduction of Trimalleolar Ankle Fracture

Hawaii 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?

$676

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $676 for this service. Most negotiated rates run $457 to $4,467.

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 $2,884 · 10th to 90th $1,000 to $7,079Professionalmedian $617 · 10th to 90th $417 to $5,370
$50$100$200$500$1K$2K$5Kfacility $2,884professional $617

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
$1,000.00
Median
$2,884.03
Typical High
$7,079.46
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$707.95
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$4,073.80
Typical High
$5,623.41

Where Hawaii 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.

Hawaii· 20th of 51

$676

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.