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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.

How much does Balloon-Assisted Spine Bone Repair, Mid-Back cost?

$10,146

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

Insurers have agreed to pay about $10,146 for this procedure. That total is two separate charges: $4,898 to the doctor who performs it, and $5,248 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$4,898$977 to $10,471
Facility feeThe hospital or surgery center$5,248$4,898 to $5,248

How much rates vary

Facilitymedian $5,248 · 10th to 90th $832 to $9,550Professionalmedian $4,898 · 10th to 90th $490 to $13,183
$500$1K$2K$5K$10K$20K$50Kfacility $5,248professional $4,898

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
$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

Where South Dakota 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 Dakota· 28th of 50

$10,146

$4,898 physician + $5,248 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.