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Manual Reduction of Trimalleolar Ankle Fracture

Maryland 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?

$1,002

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

Insurers have agreed to pay about $1,002 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $501 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$501$457 to $646
Facility feeThe hospital or surgery center$501$347 to $1,047

How much rates vary

Facilitymedian $501 · 10th to 90th $282 to $1,778Professionalmedian $501 · 10th to 90th $417 to $1,259
$200$500$1K$2Kfacility $501professional $501

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
$281.84
Median
$501.19
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$1,288.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$1,023.29
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$891.25

Where Maryland 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

Maryland· 50th of 51

$1,002

$501 physician + $501 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.