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Nerve Reinnervation Surgery For A Paralyzed Voice Box

Alaska rates for HCPCS 31590

Surgery that restores nerve supply to a paralyzed voice box by transferring a small piece of working muscle together with its nerve to the muscle that moves the vocal cord. It is done to improve a weak, breathy voice or breathing trouble caused by vocal cord paralysis. Voice change is gradual, because the transferred nerve has to grow into its new position.

Rates data updated July 2026.

How much does Nerve Reinnervation Surgery For A Paralyzed Voice Box cost?

$3,090

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $2,239 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,090$2,042 to $4,169
FacilityA hospital or hospital-owned outpatient department$2,239$1,122 to $5,888

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,023 to $12,023Professionalmedian $3,090 · 10th to 90th $1,047 to $5,623
$100$500$2K$10Kfacility $2,239professional $3,090

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$9,772.37
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,570.40
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,754.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$5,888.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$5,888.44
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$5,128.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$5,888.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$2,187.76
Typical High
$5,495.41

Where Alaska sits

The same service costs 8.3 times more in California than in Delaware. 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.

Alaska· 5th of 51

$3,090

CA $7,586DE $912

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.