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Manual Reduction of Trimalleolar Ankle Fracture

New Hampshire 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?

$1,571

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,571 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $794 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$776$550 to $1,047
Facility feeThe hospital or surgery center$794$550 to $1,660

How much rates vary

Facilitymedian $794 · 10th to 90th $501 to $2,951Professionalmedian $776 · 10th to 90th $479 to $1,259
$100$200$500$1K$2K$5K$10Kfacility $794professional $776

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
$501.19
Median
$794.33
Typical High
$2,951.21
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,412.54
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$1,479.11
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$616.60

Where New Hampshire 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

New Hampshire· 40th of 51

$1,571

$776 physician + $794 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.