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Manual Reduction of Trimalleolar Ankle Fracture

Utah 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?

$2,359

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

Insurers have agreed to pay about $2,359 for this procedure. That total is two separate charges: $661 to the doctor who performs it, and $1,698 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$661$479 to $1,000
Facility feeThe hospital or surgery center$1,698$603 to $3,388

How much rates vary

Facilitymedian $1,698 · 10th to 90th $525 to $4,571Professionalmedian $661 · 10th to 90th $427 to $2,399
$500$1K$2K$5Kfacility $1,698professional $661

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
$524.81
Median
$912.01
Typical High
$4,466.84
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$457.09
Median
$457.09
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,096.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$4,786.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,071.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$870.96
Typical High
$1,148.15
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$776.25

Where Utah 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

Utah· 21st of 51

$2,359

$661 physician + $1,698 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.