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Vocal Cord Repositioning For A Paralyzed Cord

North Carolina 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?

$5,129

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $1,622 to $9,550.

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 $5,129 · 10th to 90th $1,072 to $10,471
$1K$2K$5K$10K$20Kfacility $5,129

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
$1,071.52
Median
$6,918.31
Typical High
$10,471.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,230.27
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$23,988.33
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$16,982.44
Typical High
$16,982.44

Where North Carolina 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.

North Carolina· 24th of 50

$5,129

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.