go back

Manual Reduction of Trimalleolar Ankle Fracture

Michigan 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?

$2,424

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

Insurers have agreed to pay about $2,424 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $1,862 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$562$457 to $741
Facility feeThe hospital or surgery center$1,862$741 to $2,570

How much rates vary

Facilitymedian $1,862 · 10th to 90th $617 to $3,467Professionalmedian $562 · 10th to 90th $407 to $977
$500$1K$2K$5Kfacility $1,862professional $562

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
$616.60
Median
$1,862.09
Typical High
$3,467.37
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$426.58
Median
$478.63
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$812.83
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,230.27
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,137.96
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$741.31

Where Michigan 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

Michigan· 19th of 51

$2,424

$562 physician + $1,862 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.