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Vocal Cord Repositioning For A Paralyzed Cord

Hawaii 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?

$1,413

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,259 to $1,514.

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.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,950 to $5,754Professionalmedian $1,413 · 10th to 90th $195 to $1,514
$200$500$1K$2K$5K$10Kfacility $5,495professional $1,413

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
$1,949.84
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,258.93
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,621.81
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$1,513.56
Typical High
$1,513.56

Where Hawaii sits

The same service costs 6.6 times more in Oklahoma than in Utah. 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.

Hawaii· 30th of 51

$1,413

OK $4,677UT $708

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.