LASIK pricing ads quote per-eye numbers. Cataract quotes get complicated fast once premium IOLs enter the picture. Medicare covers some procedures and not others. The calculator below gives you a grounded 2026 estimate across 19 vision procedures.
2026 national averages. LASIK and refractive prices are per eye unless noted. Medicare covers medically necessary procedures after deductible and 20% coinsurance. Cosmetic/refractive procedures are not covered by medical insurance.
Key Pricing Principles
LASIK and refractive surgery: Elective/cosmetic. Not covered by medical insurance or Medicare under any circumstances. FSA and HSA funds can be used. Typical prices are per eye — most patients treat both.
Cataract surgery: Covered by Medicare Part B and most medical insurance as medically necessary. Standard monofocal IOLs are covered; premium lenses (multifocal, toric, extended depth-of-focus) are not — that upgrade runs $1,500–$3,000 per eye out-of-pocket.
Glaucoma procedures: Covered by Medicare and medical insurance when medically documented. Laser treatments (SLT) often require just your 20% coinsurance after deductible.
Covered by Medicare Part B:
- Cataract surgery (standard IOL; premium IOL upgrade is OOP)
- Glaucoma treatment (laser and surgical)
- Retinal detachment surgery (vitrectomy)
- Diabetic retinopathy treatment
- Macular degeneration injections
NOT covered by Medicare:
- Routine eye exams (unless diabetic)
- Eyeglasses (except after cataract surgery, one pair)
- LASIK, PRK, ICL, SMILE
- Contact lenses (except post-surgery therapeutic)
Frequently Asked Questions
Is LASIK worth it financially? For someone spending $300–$600/year on glasses and contacts, LASIK at $4,000–$6,000 (both eyes) typically breaks even in 7–10 years. For heavy contact lens wearers ($500+/year), the break-even is shorter. The bigger argument for most people is lifestyle quality, not pure financial ROI.
What’s the difference between standard and premium cataract surgery? Standard cataract surgery replaces your natural lens with a monofocal IOL — you’ll likely still need reading glasses afterward. Premium IOLs (multifocal, EDOF, toric) can reduce or eliminate glasses dependence. The upgrade is $1,500–$3,000 per eye on top of what Medicare/insurance covers.
Does vision insurance cover LASIK? Most vision insurance (VSP, EyeMed, Cigna Vision) doesn’t cover LASIK but offers a negotiated discount — typically 15–25% off retail price at participating LASIK centers. Check your plan’s specific LASIK benefit before consulting.