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Manual Reduction of Trimalleolar Ankle Fracture

Nevada 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?

$2,211

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

Insurers have agreed to pay about $2,211 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $1,698 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$513$457 to $661
Facility feeThe hospital or surgery center$1,698$851 to $3,631

How much rates vary

Facilitymedian $1,698 · 10th to 90th $427 to $5,129Professionalmedian $513 · 10th to 90th $417 to $1,000
$50$200$1K$5Kfacility $1,698professional $513

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
$1,584.89
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$316.23
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$870.96
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$562.34
Typical High
$891.25
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$870.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$524.81
Typical High
$575.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,513.56
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$891.25

Where Nevada 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

Nevada· 24th of 51

$2,211

$513 physician + $1,698 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.