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Light-Based Measurement Of Tissue Oxygen

South Carolina 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

Professionalmedian $76 · 10th to 90th $76 to $91
$100professional $76

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
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$75.86
Median
$75.86
Typical High
$91.20
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$30.20
Typical High
$53.70
Medcost
Setting
Professional
Modifier
50 · Both sides
Typical Low
$114.82
Median
$114.82
Typical High
$169.82
Medcost
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$38.02
Median
$38.02
Typical High
$57.54
Medcost
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$15.14
Median
$15.14
Typical High
$22.91
Medcost
Setting
Professional
Modifier
81 · Minimal assistant surgeon
Typical Low
$10.72
Median
$10.72
Typical High
$15.85
Medcost
Setting
Professional
Modifier
82 · Assistant surgeon, no resident
Typical Low
$10.72
Median
$10.72
Typical High
$15.85
Medcost
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$10.72
Median
$10.72
Typical High
$15.85
Medcost
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$45.71
Typical High
$79.43