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👁️ USA Eye Exam

What Happens During a Comprehensive Eye Exam?

  1. History and symptoms review
  2. Visual acuity test (the eye chart)
  3. Refraction to measure your prescription
  4. Eye pressure test (tonometry) to screen for glaucoma
  5. Slit-lamp exam of the front of the eye
  6. Dilated or imaging exam of the retina and optic nerve (comprehensive exams)

Original Medicare doesn’t cover routine eye exams for glasses. It does cover yearly diabetic eye exams and glaucoma tests for people at high risk. See the screening schedule from your annual wellness exam or physical exam.

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.