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Vocal Cord Repositioning For A Paralyzed Cord

Montana 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?

$3,436

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

Insurers have agreed to pay about $3,436 for this procedure. That total is two separate charges: $1,698 to the doctor who performs it, and $1,738 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,698$1,148 to $1,778
Facility feeThe hospital or surgery center$1,738$1,698 to $2,089

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,698 to $4,898Professionalmedian $1,698 · 10th to 90th $79 to $1,905
$100$200$500$1K$2K$5K$10Kfacility $1,738professional $1,698

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,230.27
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$4,897.79
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,737.80
Typical High
$1,995.26
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,698.24
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$4,897.79
Typical High
$13,803.84
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,513.56
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,819.70
Typical High
$2,511.89

Where Montana 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

Montana· 51st of 51

$3,436

$1,698 physician + $1,738 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.