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Vocal Cord Repositioning For A Paralyzed Cord

Iowa 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?

$5,012

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $5,012 for this service. Most negotiated rates run $3,467 to $7,943.

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 $5,370 · 10th to 90th $1,622 to $13,490Professionalmedian $2,399 · 10th to 90th $1,380 to $3,890
$200$500$1K$2K$5K$10Kfacility $5,370professional $2,399

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
$1,621.81
Median
$5,248.07
Typical High
$10,964.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$7,413.10
Typical High
$16,218.10
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,630.27
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,715.19
Typical High
$15,488.17

Where Iowa 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.

Iowa· 25th of 50

$5,012

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.