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Automated Vision Screening Using Brain Responses

New Hampshire 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?

$69.18

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $64.57 to $83.18.

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.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $3,631 to $4,898Professionalmedian $69 · 10th to 90th $51 to $102
$20.0$100.0$500.0$2.0Kfacility $3,981professional $69

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. 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
Global
Typical Low
$51.29
Median
$69.18
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$158.49
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,981.07
Typical High
$4,897.79
Well Sense
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,884.03

Where New Hampshire sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Hampshire $69.18 · 10th of 51
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.