go back

Balloon-Assisted Spine Bone Repair, Mid-Back

South Dakota 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.

Facilitymedian $5,248 · 10th–90th $832$9,5500%50%10th90th$5,248Professionalmedian $4,898 · 10th–90th $490$13,1830%5%10%10th90th$4,898$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,248.07
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,548.82
Typical High
$12,022.64
Avera
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,000.00
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,778.28
Typical High
$16,218.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$7,079.46
Typical High
$13,489.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$15,488.17
Typical High
$52,480.75
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$15,488.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$16,218.10
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$8,128.31
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$3,235.94
Typical High
$18,197.01
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$14,791.08