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Manual Reduction of Trimalleolar Ankle Fracture

Louisiana 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?

$1,838

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

Insurers have agreed to pay about $1,838 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $1,288 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$550$457 to $708
Facility feeThe hospital or surgery center$1,288$631 to $2,692

How much rates vary

Facilitymedian $1,288 · 10th to 90th $479 to $3,467Professionalmedian $550 · 10th to 90th $407 to $871
$500$1K$2K$5Kfacility $1,288professional $550

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
$537.03
Median
$1,288.25
Typical High
$3,467.37
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$407.38
Median
$446.68
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,412.54
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$812.83
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,258.93
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$891.25

Where Louisiana 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

Louisiana· 35th of 51

$1,838

$550 physician + $1,288 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.