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Manual Reduction of Trimalleolar Ankle Fracture

Oklahoma 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?

$1,992

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

Insurers have agreed to pay about $1,992 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $1,479 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$437 to $589
Facility feeThe hospital or surgery center$1,479$1,000 to $2,399

How much rates vary

Facilitymedian $1,479 · 10th to 90th $513 to $3,890Professionalmedian $513 · 10th to 90th $407 to $708
$500$1K$2K$5K$10Kfacility $1,479professional $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
$501.19
Median
$1,380.38
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$346.74
Median
$346.74
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,698.24
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$645.65
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
$165.96
Median
$575.44
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$2,754.23
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
$407.38
Median
$549.54
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,258.93
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$676.08

Where Oklahoma 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

Oklahoma· 30th of 51

$1,992

$513 physician + $1,479 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.