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Automated Vision Screening Using Brain Responses

Massachusetts 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 October 2026.

How much does Automated Vision Screening Using Brain Responses cost?

$77.62

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $3,090 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$56.23 to $83.18
FacilityA hospital or hospital-owned outpatient department$3,090$112 to $3,631

How much rates vary

Facilitymedian $3,090 · 10th to 90th $93 to $5,623Professionalmedian $78 · 10th to 90th $52 to $427
$50$200$1K$5Kfacility $3,090professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.13
Median
$15.85
Typical High
$15.85
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$77.62
Typical High
$426.58
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$112.20
Typical High
$5,888.44
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$112.20
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$58.88
Typical High
$97.72
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$77.62
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$58.88
Typical High
$102.33
Well Sense
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,630.78
Typical High
$4,897.79
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$4,897.79

Where Massachusetts sits

The same service costs 5.9 times more in Hawaii than in New York. 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.

Massachusetts· 9th of 51

$77.62

HI $117NY $19.95

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.