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Manual Reduction of Trimalleolar Ankle Fracture

North Carolina 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?

$1,422

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,422 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $776 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$646$479 to $891
Facility feeThe hospital or surgery center$776$490 to $1,514

How much rates vary

Facilitymedian $776 · 10th to 90th $427 to $4,467Professionalmedian $646 · 10th to 90th $427 to $1,318
$500$1K$2K$5K$10Kfacility $776professional $646

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
$426.58
Median
$891.25
Typical High
$5,495.41
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$323.59
Median
$562.34
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$1,202.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$812.83
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,148.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,238.72
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$954.99
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,365.16

Where North Carolina 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

North Carolina· 43rd of 51

$1,422

$646 physician + $776 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.