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Manual Reduction of Trimalleolar Ankle Fracture

Wyoming 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?

$1,893

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

Insurers have agreed to pay about $1,893 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $1,380 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$468 to $977
Facility feeThe hospital or surgery center$1,380$794 to $3,236

How much rates vary

Facilitymedian $1,380 · 10th to 90th $269 to $3,311Professionalmedian $513 · 10th to 90th $447 to $1,479
$500$1K$2Kfacility $1,380professional $513

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
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,412.54
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,235.94
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$812.83
Typical High
$1,698.24

Where Wyoming 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

Wyoming· 32nd of 51

$1,893

$513 physician + $1,380 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.