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Vocal Cord Repositioning For A Paralyzed Cord

Washington 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 $5,495 · 10th–90th $1,549$24,5470%5%10th90th$5,495$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$6,456.54
Typical High
$18,620.87
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$18,197.01
Typical High
$32,359.37
Asuris Northwest Health
Setting
Facility
Modifier
50 · Both sides
Typical Low
$19,498.45
Median
$28,183.83
Typical High
$47,863.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$6,918.31
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,570.40
Typical High
$15,848.93
Kaiser Permanente
Setting
Facility
Modifier
50 · Both sides
Typical Low
$14,454.40
Median
$20,892.96
Typical High
$41,686.94
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,187.76
Typical High
$2,187.76
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,513.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$17,378.01
Typical High
$31,622.78
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$19,498.45
Median
$26,915.35
Typical High
$47,863.01
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$18,197.01
Typical High
$33,884.42