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Manual Reduction of Trimalleolar Ankle Fracture

South Carolina 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?

$1,772

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $1,772 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $1,259 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 7 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 $631
Facility feeThe hospital or surgery center$1,259$631 to $4,898

How much rates vary

Facilitymedian $1,259 · 10th to 90th $513 to $9,120Professionalmedian $513 · 10th to 90th $389 to $832
$500$1K$2K$5K$10K$20Kfacility $1,259professional $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
$512.86
Median
$2,951.21
Typical High
$16,595.87
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$380.19
Median
$426.58
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$794.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,445.44
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$3,890.45
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$812.83

Where South Carolina 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

South Carolina· 36th of 51

$1,772

$513 physician + $1,259 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.