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Vocal Cord Repositioning For A Paralyzed Cord

South 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 July 2026.

Facilitymedian $2,570 · 10th–90th $1,072$4,4670%20%10th90th$2,570Professionalmedian $1,862 · 10th–90th $1,445$2,3990%20%10th90th$1,862$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,398.83
Typical High
$2,398.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64