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Balloon-Assisted Spine Bone Repair, Mid-Back

Vermont 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 October 2026.

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

$6,457

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $6,457 for this service. Most negotiated rates run $851 to $9,772.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $468 to $8,318Professionalmedian $6,457 · 10th to 90th $692 to $11,749
$500$1K$2K$5K$10K$20Kfacility $2,692professional $6,457

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$6,456.54
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,047.13
Typical High
$10,964.78
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$6,760.83
Median
$9,549.93
Typical High
$10,471.29
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
United
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$7,943.28
Typical High
$12,302.69

Where Vermont sits

The same service costs 13.5 times more in Iowa than in Kentucky. 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.

Vermont· 7th of 51

$6,457

IA $8,318KY $617

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.