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Automated Vision Screening Using Brain Responses

Nebraska 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?

$91.20

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $871 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$91.20$61.66 to $135
FacilityA hospital or hospital-owned outpatient department$871$661 to $977

How much rates vary

Facilitymedian $871 · 10th to 90th $117 to $1,820Professionalmedian $91 · 10th to 90th $58 to $170
$100$200$500$1Kfacility $871professional $91

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
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$61.66
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.84
Median
$28.84
Typical High
$30.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$11.48
Typical High
$12.30
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$891.25
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$138.04
Typical High
$162.18
Medica
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$302.00
Medica
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$91.20
Typical High
$426.58
Midlands
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$138.04
Typical High
$165.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$147.91
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$91.20
Typical High
$162.18

Where Nebraska 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.

Nebraska· 5th of 51

$91.20

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.