go back

Texas rates for HCPCS 22513

Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic

Facilitymedian $5,370 · 10th–90th $955–$14,7910%5%10%10th90th$5,370Professionalmedian $3,890 · 10th–90th $468–$8,7100%10%10th90th$3,890$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $4,466.84 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $4,570.88 / $8,709.64
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $630.96 / $7,413.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $9,549.93 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $3,890.45 / $6,760.83
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,456.54 / $16,218.10
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,174.90 / $11,481.54
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $20,892.96
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $52,480.75 / $52,480.75
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,890.45 / $11,481.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $4,897.79 / $10,471.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $407.38 / $4,897.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $4,677.35 / $11,220.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,148.15 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $7,079.46 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $4,073.80 / $10,232.93
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,754.40 / $5,754.40