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Manual Reduction of Trimalleolar Ankle Fracture

Kansas 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?

$2,536

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

Insurers have agreed to pay about $2,536 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $1,905 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$631$468 to $794
Facility feeThe hospital or surgery center$1,905$851 to $4,074

How much rates vary

Facilitymedian $1,905 · 10th to 90th $603 to $7,413Professionalmedian $631 · 10th to 90th $427 to $813
$500$1K$2K$5K$10Kfacility $1,905professional $631

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
$630.96
Median
$3,162.28
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$426.58
Median
$478.63
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$794.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$512.86
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,905.46
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$2,187.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$724.44
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,202.26
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$776.25

Where Kansas 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

Kansas· 16th of 51

$2,536

$631 physician + $1,905 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.