go back

Vocal Cord Repositioning For A Paralyzed Cord

Nebraska 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?

$7,411

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

Insurers have agreed to pay about $7,411 for this procedure. That total is two separate charges: $2,399 to the doctor who performs it, and $5,012 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,399$1,950 to $2,818
Facility feeThe hospital or surgery center$5,012$2,818 to $7,586

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,514 to $10,965Professionalmedian $2,399 · 10th to 90th $1,380 to $4,467
$1K$2K$5K$10K$20Kfacility $5,012professional $2,399

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
Facility
Modifier
None
Typical Low
$5,011.87
Median
$7,943.28
Typical High
$19,952.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,584.89
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$8,317.64
Typical High
$16,982.44
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$3,162.28
Medica
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,818.38
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$2,238.72
Typical High
$8,128.31
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$3,162.28
Midlands
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$4,786.30
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$2,454.71
United
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$3,019.95
Typical High
$7,585.78
United
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$2,884.03

Where Nebraska 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

Nebraska· 10th of 51

$7,411

$2,399 physician + $5,012 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.