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Manual Reduction of Trimalleolar Ankle Fracture

Nebraska 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?

$4,183

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

Insurers have agreed to pay about $4,183 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $3,388 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$794$457 to $1,096
Facility feeThe hospital or surgery center$3,388$1,778 to $7,943

How much rates vary

Facilitymedian $3,388 · 10th to 90th $676 to $13,490Professionalmedian $794 · 10th to 90th $407 to $2,512
$500$1K$2K$5K$10K$20Kfacility $3,388professional $794

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
$1,548.82
Median
$4,073.80
Typical High
$13,489.63
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$309.03
Median
$309.03
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$794.33
Typical High
$2,511.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$724.44
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,000.00
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$2,137.96
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
$501.19
Median
$933.25
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,412.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,995.26
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$933.25
Typical High
$1,258.93

Where Nebraska 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

Nebraska· 7th of 51

$4,183

$794 physician + $3,388 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.