go back

Balloon-Assisted Spine Bone Repair, Mid-Back

Kentucky 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?

$6,565

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

Insurers have agreed to pay about $6,565 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $5,888 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$676$501 to $5,754
Facility feeThe hospital or surgery center$5,888$3,802 to $10,471

How much rates vary

Facilitymedian $5,888 · 10th to 90th $794 to $13,183Professionalmedian $676 · 10th to 90th $457 to $8,511
$100.0$1.0K$10.0Kfacility $5,888professional $676

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
$537.03
Median
$4,570.88
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,047.13
Typical High
$8,511.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$2,344.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,182.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$707.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$812.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$7,244.36
Typical High
$28,840.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$7,413.10
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$4,466.84
Typical High
$11,220.18

Where Kentucky sits

The same service costs 8.5 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeKentucky $6,565 · 47th of 50
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.