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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 July 2026.

How much does Automated Vision Screening Using Brain Responses cost?

$67.61

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $61.66 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$63.10 to $93.33
FacilityA hospital or hospital-owned outpatient department$61.66$41.69 to $95.50

How much rates vary

Facilitymedian $62 · 10th to 90th $42 to $155Professionalmedian $68 · 10th to 90th $43 to $158
$50$100$200facility $62professional $68

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
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$128.82
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$151.36
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$61.66
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$131.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$218.78
Quartz
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$426.58
Quartz
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$154.88

Where Wisconsin sits

Rates are fairly even across states for this service. 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· 17th of 51

$67.61

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.