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Balloon-Assisted Spine Bone Repair, Mid-Back

Maine 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?

$1,622

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,622 for this service. Most negotiated rates run $575 to $7,413.

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.

How much rates vary

Facilitymedian $5,754 · 10th to 90th $5,754 to $14,791Professionalmedian $1,622 · 10th to 90th $501 to $9,550
$500$1K$2K$5K$10K$20Kfacility $5,754professional $1,622

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,659.59
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,174.90
Typical High
$12,302.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$6,165.95
Typical High
$11,481.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,659.59
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$5,248.07
Typical High
$11,748.98

Where Maine sits

The same service costs 7.4 times more in Hawaii than in Kentucky. 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.

Maine· 46th of 51

$1,622

HI $7,762KY $1,047

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.