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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.

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

$9,684

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

Insurers have agreed to pay about $9,684 for this procedure. That total is two separate charges: $4,786 to the doctor who performs it, and $4,898 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$4,786$676 to $7,586
Facility feeThe hospital or surgery center$4,898$1,738 to $8,511

How much rates vary

Facilitymedian $4,898 · 10th to 90th $977 to $12,303Professionalmedian $4,786 · 10th to 90th $501 to $10,715
$1$10$100$1K$10Kfacility $4,898professional $4,786

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
$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

Where Illinois 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

Illinois· 31st of 50

$9,684

$4,786 physician + $4,898 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.