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Balloon-Assisted Spine Bone Repair, Mid-Back

West 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?

$2,535

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

Insurers have agreed to pay about $2,535 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $1,413 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$525 to $6,457
Facility feeThe hospital or surgery center$1,413$501 to $5,370

How much rates vary

Facilitymedian $1,413 · 10th to 90th $501 to $5,370Professionalmedian $1,122 · 10th to 90th $490 to $7,586
$100.0$1.0K$10.0Kfacility $1,413professional $1,122

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
$501.19
Median
$1,412.54
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,122.02
Typical High
$7,585.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$660.69
CareSource
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$5,248.07
Typical High
$28,840.32
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,466.84
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$3,801.89
Typical High
$10,964.78

Where West Virginia sits

The same service costs 8.5 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeWest Virginia $2,535 · 50th of 50
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.