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Vocal Cord Repositioning For A Paralyzed Cord

Virginia 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?

$4,467

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $4,467 for this service. Most negotiated rates run $1,445 to $8,511.

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.

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,175 to $11,482Professionalmedian $1,175 · 10th to 90th $977 to $2,570
$50$200$1K$5K$20Kfacility $4,677professional $1,175

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. 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
Global
Typical Low
$1,348.96
Median
$5,370.32
Typical High
$10,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,445.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$2,137.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$22,387.21

Where Virginia 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.

Virginia· 30th of 50

$4,467

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.