A refraction eye exam is the part of your visit that measures your eyeglass prescription. The doctor has you look through a phoropter and asks “Which is clearer, 1 or 2?”
Refraction is often billed on its own (CPT 92015) because Original Medicare and many medical insurance plans don’t cover it. They treat it as “routine vision.” So even when your medical eye visit is covered, you may pay a separate refraction fee, commonly $25 to $75.
Good to know
Under the FTC Eyeglass Rule, your eye doctor must give you a copy of your glasses prescription right after the refraction, at no extra cost, whether you ask or not.
USA Eye Exam: Quick Facts
- Typical cost, no insurance
- About $75–$200 routine; $150–$300+ comprehensive
- Walmart (typical)
- About $75–$100 routine exam
- Costco (typical)
- About $70–$120 routine exam
- Sam’s Club (typical)
- About $60–$110 routine exam
- Contact lens fitting
- Often +$40–$100+
- How often (adults 18–64)
- At least every 2 years (every year at 65+)
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Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.