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Vocal Cord Repositioning For A Paralyzed Cord

West 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 October 2026.

How much does Vocal Cord Repositioning For A Paralyzed Cord cost?

$4,608

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $4,608 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $3,162 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$1,445$1,047 to $1,905
Facility feeThe hospital or surgery center$3,162$1,738 to $6,166

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,413 to $12,023Professionalmedian $1,445 · 10th to 90th $891 to $2,884
$50$200$1K$5Kfacility $3,162professional $1,445

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
$1,412.54
Median
$1,412.54
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,071.52
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$1,737.80
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$4,786.30
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$12,022.64
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$3,162.28
Typical High
$16,595.87
United
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,348.96
Typical High
$2,691.53

Where West Virginia 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

West Virginia· 35th of 51

$4,608

$1,445 physician + $3,162 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.