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Manual Reduction of Trimalleolar Ankle Fracture

North Dakota 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?

$1,392

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

Insurers have agreed to pay about $1,392 for this procedure. That total is two separate charges: $891 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$490 to $1,122
Facility feeThe hospital or surgery center$501$447 to $1,660

How much rates vary

Facilitymedian $501 · 10th to 90th $437 to $1,995Professionalmedian $891 · 10th to 90th $437 to $1,230
$500$1K$2K$5Kfacility $501professional $891

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
$436.52
Median
$489.78
Typical High
$1,995.26
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$323.59
Median
$331.13
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$977.24
Typical High
$1,513.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$891.25
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$831.76
Typical High
$1,174.90

Where North Dakota 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 Dakota· 46th of 51

$1,392

$891 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.