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Automated Vision Screening Using Brain Responses

Washington 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 $132 · 10th–90th $110$1350%50%10th90th$132Professionalmedian $71 · 10th–90th $63$1070%20%10th90th$71$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$83.18
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$95.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$134.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$194.98
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$186.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61