go back

Manual Reduction of Trimalleolar Ankle Fracture

New Jersey 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?

$4,392

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

Insurers have agreed to pay about $4,392 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $3,890 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$501$437 to $776
Facility feeThe hospital or surgery center$3,890$1,549 to $6,026

How much rates vary

Facilitymedian $3,890 · 10th to 90th $603 to $9,772Professionalmedian $501 · 10th to 90th $398 to $1,995
$500$1K$2K$5K$10Kfacility $3,890professional $501

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
$3,981.07
Typical High
$10,232.93
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$331.13
Median
$457.09
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,479.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,023.29
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$7,413.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$1,122.02

Where New Jersey 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 Jersey· 5th of 51

$4,392

$501 physician + $3,890 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.