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Balloon-Assisted Spine Bone Repair, Mid-Back

Oregon 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?

$16,211

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

Insurers have agreed to pay about $16,211 for this procedure. That total is two separate charges: $5,495 to the doctor who performs it, and $10,715 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$5,495$912 to $11,482
Facility feeThe hospital or surgery center$10,715$7,586 to $13,804

How much rates vary

Facilitymedian $10,715 · 10th to 90th $977 to $17,783Professionalmedian $5,495 · 10th to 90th $525 to $14,454
$100$500$2K$10Kfacility $10,715professional $5,495

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
$1,258.93
Median
$13,489.63
Typical High
$23,442.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$5,495.41
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,778.28
Typical High
$15,135.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$5,754.40
Typical High
$14,791.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$4,677.35
Typical High
$13,803.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$8,709.64
Typical High
$13,803.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$10,715.19
Typical High
$13,182.57
Providence
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$4,786.30
Typical High
$14,125.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,412.54
Typical High
$15,135.61
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$23,442.29
Typical High
$30,199.52
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,737.80
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$20,892.96
Typical High
$25,118.86
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$5,495.41
Typical High
$15,135.61

Where Oregon 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

Oregon· 4th of 50

$16,211

$5,495 physician + $10,715 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.