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Balloon-Assisted Spine Bone Repair, Mid-Back

Pennsylvania 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?

$9,001

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

Insurers have agreed to pay about $9,001 for this procedure. That total is two separate charges: $2,692 to the doctor who performs it, and $6,310 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,692$562 to $6,761
Facility feeThe hospital or surgery center$6,310$2,630 to $8,511

How much rates vary

Facilitymedian $6,310 · 10th to 90th $708 to $13,804Professionalmedian $2,692 · 10th to 90th $468 to $9,333
$100$1K$10Kfacility $6,310professional $2,692

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
$707.95
Median
$6,309.57
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$2,691.53
Typical High
$8,511.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$7,762.47
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,071.52
Typical High
$10,964.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$9,772.37
Typical High
$12,022.64
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$7,585.78
Typical High
$10,000.00
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$20,892.96
Typical High
$44,668.36
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$549.54
Typical High
$1,148.15
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$6,165.95
Typical High
$13,803.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$2,691.53
Typical High
$9,332.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$602.56
Typical High
$602.56
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$8,511.38
Typical High
$12,589.25
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$5,370.32
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,495.41
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$4,466.84
Typical High
$10,715.19

Where Pennsylvania 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

Pennsylvania· 33rd of 50

$9,001

$2,692 physician + $6,310 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.