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Manual Reduction of Trimalleolar Ankle Fracture

Montana 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?

$1,489

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

Insurers have agreed to pay about $1,489 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $813 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$676$490 to $813
Facility feeThe hospital or surgery center$813$759 to $891

How much rates vary

Facilitymedian $813 · 10th to 90th $646 to $1,000Professionalmedian $676 · 10th to 90th $437 to $933
$100$1K$10Kfacility $813professional $676

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
$660.69
Median
$812.83
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$2,511.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$812.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$912.01
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$912.01
Providence
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$954.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$660.69
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$741.31
Typical High
$912.01

Where Montana 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

Montana· 42nd of 51

$1,489

$676 physician + $813 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.