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Manual Reduction of Trimalleolar Ankle Fracture

Indiana 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?

$6,113

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

Insurers have agreed to pay about $6,113 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $5,623 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$437 to $603
Facility feeThe hospital or surgery center$5,623$2,344 to $8,913

How much rates vary

Facilitymedian $5,623 · 10th to 90th $912 to $10,471Professionalmedian $490 · 10th to 90th $398 to $851
$500$1K$2K$5K$10Kfacility $5,623professional $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
$588.84
Median
$1,412.54
Typical High
$5,623.41
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$323.59
Median
$562.34
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$794.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$8,128.31
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$954.99
CareSource
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,318.26
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
$436.52
Median
$575.44
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,818.38
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$501.19
Typical High
$851.14

Where Indiana 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

Indiana· 1st of 51

$6,113

$490 physician + $5,623 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.