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Manual Reduction of Trimalleolar Ankle Fracture

Oregon 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?

$1,851

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

Insurers have agreed to pay about $1,851 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $1,000 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$537 to $1,096
Facility feeThe hospital or surgery center$1,000$776 to $1,318

How much rates vary

Facilitymedian $1,000 · 10th to 90th $589 to $3,467Professionalmedian $851 · 10th to 90th $427 to $1,349
$100$200$500$1K$2K$5Kfacility $1,000professional $851

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
$1,071.52
Median
$2,754.23
Typical High
$6,606.93
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$741.31
Median
$870.96
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,412.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,071.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$1,348.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$933.25
Typical High
$1,000.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,096.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$912.01
Typical High
$1,288.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$5,248.07
Typical High
$6,456.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,311.31
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,288.25

Where Oregon 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

Oregon· 34th of 51

$1,851

$851 physician + $1,000 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.