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Nerve Reinnervation Surgery For A Paralyzed Voice Box

Vermont 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?

$1,096

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $1,096 for this service. Most negotiated rates run $1,096 to $1,175.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,096 · 10th to 90th $1,096 to $1,738
$500$1K$2Kprofessional $1,096

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
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,258.93
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$3,801.89

Where Vermont 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.

Vermont· 47th of 51

$1,096

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.