go back

Balloon-Assisted Spine Bone Repair, Mid-Back

Montana 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?

$13,140

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

Insurers have agreed to pay about $13,140 for this procedure. That total is two separate charges: $5,012 to the doctor who performs it, and $8,128 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$5,012$794 to $9,772
Facility feeThe hospital or surgery center$8,128$871 to $10,233

How much rates vary

Facilitymedian $8,128 · 10th to 90th $871 to $12,023Professionalmedian $5,012 · 10th to 90th $537 to $12,023
$100$1K$10Kfacility $8,128professional $5,012

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
Professional
Modifier
Global
Typical Low
$489.78
Median
$5,011.87
Typical High
$10,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$11,481.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$9,549.93
Typical High
$12,022.64
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$9,549.93
Typical High
$12,022.64
Providence
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$4,677.35
Typical High
$11,481.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,023.29
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$2,570.40
Typical High
$12,589.25

Where Montana 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

Montana· 12th of 50

$13,140

$5,012 physician + $8,128 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.