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Vocal Cord Repositioning For A Paralyzed Cord

Delaware 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 October 2026.

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

$3,687

Typical total for the visit. In Delaware, October 2026.

Insurers have agreed to pay about $3,687 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $2,512 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,175$1,072 to $1,445
Facility feeThe hospital or surgery center$2,512$1,738 to $4,074

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,202 to $5,888Professionalmedian $1,175 · 10th to 90th $955 to $1,862
$500$1K$2K$5K$10Kfacility $2,512professional $1,175

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
Facility
Modifier
None
Typical Low
$1,071.52
Median
$6,025.60
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$3,311.31
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,318.26
Typical High
$1,949.84
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$9,120.11
United
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$3,981.07
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,778.28

Where Delaware sits

The same service costs 3.4 times more in Alaska than in Montana. 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.

Physician feeFacility fee

Delaware· 50th of 51

$3,687

$1,175 physician + $2,512 facility

AK $11,546MT $3,436

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.