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Light-Based Measurement Of Tissue Oxygen

Wisconsin 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?

$219

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $117 to $513.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89 · 10th to 90th $63 to $166Professionalmedian $219 · 10th to 90th $93 to $513
$100$200$500facility $89professional $219

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
DeanCare
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$165.96
Medica
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$89.13
Typical High
$165.96
Medica
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$218.78
Typical High
$512.86
Prevea360
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$165.96

Where Wisconsin 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.

Wisconsin· 10th of 36

$219

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.