go back

Automated Vision Screening Using Brain Responses

South Dakota 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.

Facilitymedian $65 · 10th–90th $48$1150%10%20%10th90th$65Professionalmedian $65 · 10th–90th $48$1020%20%10th90th$65$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$323.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$426.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$125.89