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Balloon-Assisted Spine Bone Repair, Mid-Back

Illinois 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.

Facilitymedian $4,898 · 10th–90th $977$12,3030%10%10th90th$4,898Professionalmedian $4,786 · 10th–90th $501$10,7150%10%10th90th$4,786$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,715.35
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$3,235.94
Typical High
$10,715.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$10,471.29
Typical High
$13,182.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,621.81
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,230.27
Typical High
$9,772.37
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$6,760.83
Typical High
$11,748.98
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$6,918.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,456.54
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$4,786.30
Typical High
$11,748.98