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Manual Reduction of Trimalleolar Ankle Fracture

Tennessee 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?

$2,209

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

Insurers have agreed to pay about $2,209 for this procedure. That total is two separate charges: $550 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$550$457 to $741
Facility feeThe hospital or surgery center$1,660$977 to $2,570

How much rates vary

Facilitymedian $1,660 · 10th to 90th $603 to $5,012Professionalmedian $550 · 10th to 90th $407 to $977
$500$1K$2K$5K$10Kfacility $1,660professional $550

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
$7,585.78
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$323.59
Median
$426.58
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$954.99
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$977.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$19,498.45
Lucent Health
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,365.16
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$954.99

Where Tennessee 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

Tennessee· 25th of 51

$2,209

$550 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.