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Automated Vision Screening Using Brain Responses

Alaska rates for HCPCS 0333T

An automated vision screening test that measures the brain's electrical response to a visual pattern, so sight can be checked without the person having to describe what they see. Small sensors rest on the scalp while the patient watches a screen, and the equipment records and scores the response. It is especially useful in young children and anyone who cannot reliably take an eye-chart test.

Rates data updated July 2026.

Facilitymedian $62 · 10th–90th $40$830%10%10th90th$62Professionalmedian $72 · 10th–90th $62$1020%20%10th90th$72$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$81.28
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$83.18
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$269.15
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$199.53