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Light-Based Measurement Of Tissue Oxygen

Washington 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 does Light-Based Measurement Of Tissue Oxygen cost?

$110

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $110 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$110$110 to $513
FacilityA hospital or hospital-owned outpatient department$110$58.88 to $158

How much rates vary

Facilitymedian $110 · 10th to 90th $59 to $158Professionalmedian $110 · 10th to 90th $110 to $513
$100$200$500facility $110professional $110

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
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$70.79
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$70.79
Typical High
$79.43
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$158.49
Typical High
$162.18
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$109.65

Where Washington sits

The same service costs 52.5 times more in Kentucky than in Arkansas. 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.

Washington· 25th of 36

$110

KY $1,288AR $24.55

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.