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Balloon-Assisted Spine Bone Repair, Mid-Back

Georgia 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?

$7,406

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

Insurers have agreed to pay about $7,406 for this procedure. That total is two separate charges: $1,096 to the doctor who performs it, and $6,310 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$1,096$589 to $7,413
Facility feeThe hospital or surgery center$6,310$3,890 to $9,550

How much rates vary

Facilitymedian $6,310 · 10th to 90th $2,188 to $12,023Professionalmedian $1,096 · 10th to 90th $490 to $11,220
$50$200$1K$5K$20Kfacility $6,310professional $1,096

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
$1,380.38
Median
$6,309.57
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$5,128.61
Typical High
$12,022.64
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$11,220.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$6,025.60
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,412.54
Typical High
$12,589.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$5,888.44
Typical High
$12,882.50
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$7,244.36
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$5,248.07
Typical High
$12,882.50

Where Georgia 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

Georgia· 42nd of 50

$7,406

$1,096 physician + $6,310 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.