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Vocal Cord Repositioning For A Paralyzed Cord

Maryland 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?

$1,202

Typical facility fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $1,047 to $2,512.

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.

How much rates vary

Facilitymedian $1,202 · 10th to 90th $575 to $7,586Professionalmedian $1,230 · 10th to 90th $1,047 to $1,950
$1K$2K$5K$10Kfacility $1,202professional $1,230

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
$575.44
Median
$1,202.26
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$12,022.64

Where Maryland 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.

Maryland· 48th of 50

$1,202

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.