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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 July 2026.

Facilitymedian $115 · 10th–90th $25$1580%20%10th90th$115Professionalmedian $151 · 10th–90th $110$2290%10%20%10th90th$151$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$67.61
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$79.43
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$158.49
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$77.62