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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 October 2026.

How much does Automated Vision Screening Using Brain Responses cost?

$95.50

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $117 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$91.20$89.13 to $95.50
FacilityA hospital or hospital-owned outpatient department$117$105 to $126

How much rates vary

Facilitymedian $117 · 10th to 90th $78 to $135Professionalmedian $91 · 10th to 90th $89 to $115
$100facility $117professional $91

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
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$66.07
Typical High
$79.43
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$95.50
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$117.49
Typical High
$134.90
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$123.03
Providence
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$125.89
Providence
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$95.50
United
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$112.20
Typical High
$125.89

Where Montana 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.

Montana· 3rd of 51

$95.50

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.