go back

Balloon-Assisted Spine Bone Repair, Mid-Back

New Jersey 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?

$13,759

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $13,759 for this procedure. That total is two separate charges: $5,248 to the doctor who performs it, and $8,511 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$5,248$537 to $8,128
Facility feeThe hospital or surgery center$8,511$6,310 to $11,482

How much rates vary

Facilitymedian $8,511 · 10th to 90th $3,311 to $13,490Professionalmedian $5,248 · 10th to 90th $468 to $12,882
$500$1K$2K$5K$10K$20K$50Kfacility $8,511professional $5,248

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
$2,754.23
Median
$8,511.38
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$5,248.07
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,995.26
Typical High
$17,378.01
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$7,244.36
Typical High
$10,000.00
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$25,703.96
Typical High
$36,307.81
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$6,165.95
Typical High
$18,620.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$9,549.93
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$4,365.16
Typical High
$13,489.63

Where New Jersey 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

New Jersey· 9th of 50

$13,759

$5,248 physician + $8,511 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.