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Automated Vision Screening Using Brain Responses

Pennsylvania 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?

$61.66

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $61.66 for this service. Most negotiated rates run $51.29 to $66.07.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $62 · 10th to 90th $51 to $62Professionalmedian $62 · 10th to 90th $51 to $74
$50$100facility $62professional $62

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
Facility
Modifier
None
Typical Low
$51.29
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$63.10
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$25.70
Typical High
$31.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$10.47
Typical High
$12.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$61.66
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$25.70
Typical High
$30.90
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$10.47
Typical High
$12.30
United
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$69.18
Typical High
$74.13

Where Pennsylvania 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.

Pennsylvania· 40th of 51

$61.66

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.