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Manual Reduction of Trimalleolar Ankle Fracture

Vermont 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?

$575

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $525 to $589.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $933 · 10th to 90th $933 to $1,202Professionalmedian $575 · 10th to 90th $490 to $724
$500$1Kfacility $933professional $575

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$660.69
Typical High
$977.24
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$1,174.90

Where Vermont sits

The same service costs 3.1 times more in California 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.

Vermont· 34th of 51

$575

CA $1,514DE $490

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.