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Manual Reduction of Trimalleolar Ankle Fracture

Iowa 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?

$3,278

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

Insurers have agreed to pay about $3,278 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $2,570 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$708$490 to $1,122
Facility feeThe hospital or surgery center$2,570$1,148 to $3,981

How much rates vary

Facilitymedian $2,570 · 10th to 90th $708 to $6,761Professionalmedian $708 · 10th to 90th $427 to $2,399
$500$1K$2K$5K$10Kfacility $2,570professional $708

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
$794.33
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$524.81
Median
$524.81
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,047.13
Typical High
$1,479.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$1,513.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,122.02
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,000.00
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$1,380.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,380.38
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$891.25
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,715.35
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,288.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,258.93

Where Iowa 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

Iowa· 13th of 51

$3,278

$708 physician + $2,570 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.