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Manual Reduction of Trimalleolar Ankle Fracture

West 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?

$1,709

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

Insurers have agreed to pay about $1,709 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $1,230 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$479$427 to $537
Facility feeThe hospital or surgery center$1,230$479 to $3,802

How much rates vary

Facilitymedian $1,230 · 10th to 90th $427 to $3,802Professionalmedian $479 · 10th to 90th $398 to $661
$500$1K$2Kfacility $1,230professional $479

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
$426.58
Median
$1,230.27
Typical High
$3,801.89
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$323.59
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$549.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$575.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$3,162.28
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$8,511.38
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$794.33

Where West 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

West Virginia· 38th of 51

$1,709

$479 physician + $1,230 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.