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Automated Vision Screening Using Brain Responses

Montana 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 $115 · 10th–90th $76$1200%50%10th90th$115Professionalmedian $74 · 10th–90th $60$1150%20%10th90th$74$50.0$100.0

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$107.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$120.23
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$120.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$75.86
Typical High
$123.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$131.83