go back

Balloon-Assisted Spine Bone Repair, Mid-Back

Tennessee 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?

$9,915

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

Insurers have agreed to pay about $9,915 for this procedure. That total is two separate charges: $4,786 to the doctor who performs it, and $5,129 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$4,786$603 to $7,762
Facility feeThe hospital or surgery center$5,129$2,630 to $7,586

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,000 to $9,772Professionalmedian $4,786 · 10th to 90th $479 to $10,715
$10$100$1K$10Kfacility $5,129professional $4,786

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
$1,000.00
Median
$3,090.30
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$4,466.84
Typical High
$9,549.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,606.93
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,698.24
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,348.96
Typical High
$11,481.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$20,892.96
Typical High
$20,892.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$8,128.31
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$4,786.30
Typical High
$11,748.98

Where Tennessee 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

Tennessee· 30th of 50

$9,915

$4,786 physician + $5,129 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.