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Open Repair of a Break at the Ankle End of the Lower Leg

South Dakota rates for HCPCS 27826

Surgery that opens the lower leg just above the ankle to line up a break that runs into the weight-bearing surface of the joint, holding the pieces with plates and screws. Restoring the joint surface as smoothly as possible is the aim, because leftover steps or gaps lead to early arthritis. Swelling often has to settle before the operation can be done safely.

Rates data updated October 2026.

How much does Open Repair of a Break at the Ankle End of the Lower Leg cost?

$5,014

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $5,014 for this procedure. That total is two separate charges: $1,778 to the doctor who performs it, and $3,236 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$1,778$1,259 to $2,089
Facility feeThe hospital or surgery center$3,236$1,230 to $3,548

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,096 to $5,370Professionalmedian $1,778 · 10th to 90th $851 to $2,344
$1K$2K$5Kfacility $3,236professional $1,778

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$851.14
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$851.14
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$3,467.37
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,995.26
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,905.46
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$3,467.37
Typical High
$6,760.83
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,862.09
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,659.59
Typical High
$2,344.23
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$2,089.30

Where South Dakota sits

The same service costs 5.7 times more in Colorado than in Hawaii. 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

South Dakota· 35th of 51

$5,014

$1,778 physician + $3,236 facility

CO $14,385HI $2,542

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.