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Balloon-Assisted Spine Bone Repair, Mid-Back

Florida rates for HCPCS 22513

This procedure treats a compressed or fractured vertebra in the mid-back (thoracic spine) by inserting a small balloon through the skin to create space within the bone, then filling that space with a cement-like material to restore height and stability. It's typically used for compression fractures related to osteoporosis, injury, or tumors. The balloon step distinguishes it from a simpler cement-only version of vertebral repair.

Rates data updated July 2026.

How much does Balloon-Assisted Spine Bone Repair, Mid-Back cost?

$12,986

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

Insurers have agreed to pay about $12,986 for this procedure. That total is two separate charges: $4,074 to the doctor who performs it, and $8,913 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$4,074$537 to $6,918
Facility feeThe hospital or surgery center$8,913$4,074 to $13,804

How much rates vary

Facilitymedian $8,913 · 10th to 90th $1,230 to $22,909Professionalmedian $4,074 · 10th to 90th $468 to $9,550
$500$1K$2K$5K$10K$20K$50Kfacility $8,913professional $4,074

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
$1,202.26
Median
$7,943.28
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$4,570.88
Typical High
$9,549.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$776.25
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$6,025.60
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$4,786.30
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$3,467.37
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,348.96
Typical High
$10,715.19
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,128.61
Typical High
$7,762.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$407.38
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$11,481.54
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$4,073.80
Typical High
$10,471.29
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$4,073.80
Typical High
$5,888.44

Where Florida sits

The same service costs 8.5 times more in Minnesota than in West Virginia. 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

Florida· 13th of 50

$12,986

$4,074 physician + $8,913 facility

MN $21,603WV $2,535

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.