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Balloon-Assisted Spine Bone Repair, Mid-Back

South 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?

$12,253

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

Insurers have agreed to pay about $12,253 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $10,965 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$1,288$562 to $6,457
Facility feeThe hospital or surgery center$10,965$6,310 to $18,621

How much rates vary

Facilitymedian $10,965 · 10th to 90th $575 to $25,704Professionalmedian $1,288 · 10th to 90th $468 to $9,333
$500$1K$2K$5K$10K$20K$50Kfacility $10,965professional $1,288

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
$575.44
Median
$10,964.78
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,412.54
Typical High
$9,120.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$19,952.62
Typical High
$37,153.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$933.25
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,288.25
Typical High
$12,022.64
Medcost
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$5,248.07
Typical High
$10,964.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$18,620.87
Typical High
$30,199.52
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$4,365.16
Typical High
$10,964.78

Where South 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

South Carolina· 16th of 50

$12,253

$1,288 physician + $10,965 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.