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Light-Based Measurement Of Tissue Oxygen

Minnesota rates for HCPCS 0631T

Measures how much oxygen is present in the tissue just beneath the skin by imaging the area with a camera that reads many separate wavelengths of visible light. Nothing is inserted and no blood is taken, and the readings are interpreted and written up in a report.

Rates data updated October 2026.

How much rates vary

Facilitymedian $71 · 10th to 90th $35 to $141Professionalmedian $178 · 10th to 90th $93 to $513
$20$50$100$200$500facility $71professional $178

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
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$57.54
Typical High
$109.65
Medica
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$125.89
Typical High
$141.25
Medica
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$177.83
Typical High
$512.86