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Balloon-Assisted Spine Bone Repair, Mid-Back

Virginia 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?

$7,147

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

Insurers have agreed to pay about $7,147 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $5,888 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$1,259$589 to $7,586
Facility feeThe hospital or surgery center$5,888$759 to $9,772

How much rates vary

Facilitymedian $5,888 · 10th to 90th $575 to $14,791Professionalmedian $1,259 · 10th to 90th $501 to $10,000
$500$1K$2K$5K$10K$20Kfacility $5,888professional $1,259

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
$630.96
Median
$6,918.31
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$5,128.61
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$19,498.45
Typical High
$19,952.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,258.93
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,318.26
Typical High
$11,481.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$7,244.36
Typical High
$8,912.51
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$15,488.17
Medcost
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$4,786.30
Typical High
$10,232.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$9,120.11
Typical High
$14,791.08
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$12,589.25
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$4,073.80
Typical High
$12,302.69

Where Virginia 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

Virginia· 44th of 50

$7,147

$1,259 physician + $5,888 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.