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Ankle Manipulation Under Anesthesia

Hawaii rates for HCPCS 27860

Moves and stretches a stiff ankle while the patient is asleep under anesthesia, breaking down scar tissue and adhesions so the joint moves further. No incision is made. It is used when stiffness after injury, surgery or a long period in a cast has not responded to physiotherapy.

Rates data updated October 2026.

How much does Ankle Manipulation Under Anesthesia cost?

$1,169

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $1,169 for this procedure. That total is two separate charges: $214 to the doctor who performs it, and $955 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$214$204 to $263
Facility feeThe hospital or surgery center$955$813 to $1,738

How much rates vary

Facilitymedian $955 · 10th to 90th $724 to $2,884Professionalmedian $214 · 10th to 90th $30 to $275
$50$100$200$500$1K$2Kfacility $955professional $214

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
$691.83
Median
$2,818.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$162.18
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$812.83
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
HMSA
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$263.03
Typical High
$275.42
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$114.82
Median
$128.82
Typical High
$134.90
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$39.81
Median
$44.67
Typical High
$46.77
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$190.55
Typical High
$263.03
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,737.80
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$208.93
Typical High
$208.93
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$29.51
Typical High
$3,090.30

Where Hawaii sits

The same service costs 11.0 times more in Colorado than in Montana. 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

Hawaii· 44th of 51

$1,169

$214 physician + $955 facility

CO $5,858MT $532

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.