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Manual Reduction of Trimalleolar Ankle Fracture

Virginia 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?

$1,344

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

Insurers have agreed to pay about $1,344 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $794 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$550$479 to $724
Facility feeThe hospital or surgery center$794$550 to $1,995

How much rates vary

Facilitymedian $794 · 10th to 90th $468 to $4,786Professionalmedian $550 · 10th to 90th $417 to $1,096
$500$1K$2K$5K$10Kfacility $794professional $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
$489.78
Median
$812.83
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$354.81
Median
$398.11
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,122.02
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$870.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,148.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$933.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$2,454.71
Sentara
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,089.30
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$549.54
Typical High
$912.01

Where Virginia 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

Virginia· 48th of 51

$1,344

$550 physician + $794 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.