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Balloon-Assisted Spine Bone Repair, Mid-Back

North Carolina 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?

$11,396

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $11,396 for this procedure. That total is two separate charges: $5,370 to the doctor who performs it, and $6,026 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$5,370$661 to $9,333
Facility feeThe hospital or surgery center$6,026$1,660 to $9,772

How much rates vary

Facilitymedian $6,026 · 10th to 90th $562 to $12,589Professionalmedian $5,370 · 10th to 90th $501 to $15,136
$500$1K$2K$5K$10K$20Kfacility $6,026professional $5,370

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
$758.58
Median
$6,456.54
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$2,691.53
Typical High
$12,022.64
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$5,888.44
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,737.80
Typical High
$13,182.57
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$15,488.17
Medcost
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$4,570.88
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$13,803.84
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$4,073.80
Typical High
$11,748.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$20,892.96
Typical High
$20,892.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$52,480.75

Where North Carolina 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

North Carolina· 24th of 50

$11,396

$5,370 physician + $6,026 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.