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Vocal Cord Repositioning For A Paralyzed Cord

California rates for HCPCS 31591

Moves a paralyzed vocal cord inwards so it can meet its partner when the person speaks. Working through a small opening in the neck, the surgeon places a shaped implant or shim against the cord to hold it in the new position. It is done on one side, for a weak, breathy voice or choking on liquids caused by a cord that no longer moves.

Rates data updated July 2026.

How much does Vocal Cord Repositioning For A Paralyzed Cord cost?

$9,333

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $9,333 for this service. Most negotiated rates run $6,310 to $13,183.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9,772 · 10th to 90th $3,631 to $17,783Professionalmedian $1,288 · 10th to 90th $933 to $2,630
$100$500$2K$10Kfacility $9,772professional $1,288

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
$3,630.78
Median
$8,317.64
Typical High
$23,442.29
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$10,471.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,232.93
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$7,079.46
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$4,365.16
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,621.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$2,630.27
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$16,982.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,748.98
Typical High
$25,118.86

Where California sits

The same service costs 14.5 times more in Indiana 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.

California· 6th of 50

$9,333

IN $15,136WV $1,047

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.