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Manual Reduction of Trimalleolar Ankle Fracture

Missouri 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?

$2,076

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

Insurers have agreed to pay about $2,076 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $1,514 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$562$468 to $776
Facility feeThe hospital or surgery center$1,514$692 to $2,884

How much rates vary

Facilitymedian $1,514 · 10th to 90th $447 to $4,571Professionalmedian $562 · 10th to 90th $427 to $2,239
$500$1K$2K$5Kfacility $1,514professional $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
$446.68
Median
$1,174.90
Typical High
$5,623.41
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$281.84
Median
$316.23
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$2,511.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,288.25
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$933.25

Where Missouri 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

Missouri· 28th of 51

$2,076

$562 physician + $1,514 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.