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Manual Reduction of Trimalleolar Ankle Fracture

South Dakota 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?

$2,436

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

Insurers have agreed to pay about $2,436 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $1,660 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$776$447 to $1,000
Facility feeThe hospital or surgery center$1,660$851 to $2,239

How much rates vary

Facilitymedian $1,660 · 10th to 90th $692 to $2,291Professionalmedian $776 · 10th to 90th $417 to $1,259
$500$1K$2Kfacility $1,660professional $776

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
$1,659.59
Median
$1,659.59
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$323.59
Median
$323.59
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$1,000.00
Avera
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,122.02
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,023.29
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,000.00
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$954.99
Typical High
$1,071.52
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$1,288.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$1,479.11

Where South Dakota 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 Dakota· 18th of 51

$2,436

$776 physician + $1,660 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.