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Automated Vision Screening Using Brain Responses

Wisconsin 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?

$72.44

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $61.66 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$64.57 to $115
FacilityA hospital or hospital-owned outpatient department$61.66$61.66 to $74.13

How much rates vary

Facilitymedian $62 · 10th to 90th $62 to $79Professionalmedian $72 · 10th to 90th $62 to $200
$50$100$200facility $62professional $72

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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$66.07
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$33.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.30
Median
$12.30
Typical High
$13.49
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$151.36
Typical High
$151.36
DeanCare
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$74.13
Typical High
$138.04
Medica
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$74.13
Typical High
$138.04
Medica
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$74.13
Typical High
$426.58
Prevea360
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$74.13
Typical High
$138.04
Quartz
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$89.13
Typical High
$181.97
Quartz
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$72.44
Typical High
$154.88

Where Wisconsin 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.

Wisconsin· 14th of 51

$72.44

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.