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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.

How much does Automated Vision Screening Using Brain Responses cost?

$74.13

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $115 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$67.61 to $79.43
FacilityA hospital or hospital-owned outpatient department$115$115 to $115

How much rates vary

Facilitymedian $115 · 10th to 90th $76 to $120Professionalmedian $74 · 10th to 90th $60 to $115
$50$100facility $115professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Montana sits

Rates are fairly even across states for this service. 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· 2nd of 51

$74.13

MN $74.13MS $63.10

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.