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Balloon-Assisted Spine Bone Repair, Mid-Back

Utah 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?

$12,615

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

Insurers have agreed to pay about $12,615 for this procedure. That total is two separate charges: $5,370 to the doctor who performs it, and $7,244 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$5,370$776 to $9,333
Facility feeThe hospital or surgery center$7,244$4,169 to $10,000

How much rates vary

Facilitymedian $7,244 · 10th to 90th $794 to $11,220Professionalmedian $5,370 · 10th to 90th $490 to $17,783
$100$500$2K$10Kfacility $7,244professional $5,370

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
$794.33
Median
$6,025.60
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$5,370.32
Typical High
$26,302.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$5,495.41
Typical High
$10,715.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,047.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$21,379.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,584.89
Typical High
$15,135.61
Select Health
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$912.01
Typical High
$11,220.18
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,128.61
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$4,786.30
Typical High
$10,232.93

Where Utah 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

Utah· 15th of 50

$12,615

$5,370 physician + $7,244 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.