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Vocal Cord Repositioning For A Paralyzed Cord

North Dakota 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?

$4,908

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $4,908 for this procedure. That total is two separate charges: $2,089 to the doctor who performs it, and $2,818 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$2,089$1,778 to $2,344
Facility feeThe hospital or surgery center$2,818$1,072 to $4,266

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,072 to $4,571Professionalmedian $2,089 · 10th to 90th $1,122 to $2,692
$100$200$500$1K$2K$5Kfacility $2,818professional $2,089

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
$1,071.52
Median
$1,071.52
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,258.93
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,290.87
Typical High
$2,691.53
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$2,089.30
Median
$2,754.23
Typical High
$3,235.94
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$1,862.09
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$177.83
Median
$229.09
Typical High
$269.15
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,884.03
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,949.84
Typical High
$2,344.23
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$4,168.69
Typical High
$4,677.35
United
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,949.84
Typical High
$2,290.87

Where North Dakota 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

North Dakota· 30th of 51

$4,908

$2,089 physician + $2,818 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.