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Light-Based Measurement Of Tissue Oxygen

South Dakota 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 July 2026.

How much rates vary

Facilitymedian $112 · 10th to 90th $76 to $204Professionalmedian $117 · 10th to 90th $79 to $513
$100$200$500facility $112professional $117

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
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$107.15