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Manual Reduction of Trimalleolar Ankle Fracture

Kentucky 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?

$2,155

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

Insurers have agreed to pay about $2,155 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $1,698 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$457$417 to $603
Facility feeThe hospital or surgery center$1,698$813 to $2,344

How much rates vary

Facilitymedian $1,698 · 10th to 90th $525 to $2,951Professionalmedian $457 · 10th to 90th $372 to $851
$500$1K$2K$5Kfacility $1,698professional $457

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
$416.87
Median
$812.83
Typical High
$2,238.72
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$309.03
Median
$354.81
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$912.01
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$724.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$724.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
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
$467.74
Median
$676.08
Typical High
$3,162.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,445.44
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$891.25

Where Kentucky 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

Kentucky· 27th of 51

$2,155

$457 physician + $1,698 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.