Last updated: March 2026
How Much Does Pediatric Eye Exam Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Infant Eye Exam (InfantSEE, 6-12 months) | $0 – $0 | $0 – $0 |
| Pediatric Comprehensive Eye Exam | $75 – $200 | $0 – $30 |
| Pediatric Eye Exam with Dilation | $100 – $250 | $0 – $40 |
CPT/ADA Code: 92002, 92004
What Affects the Cost
- Type of provider (optometrist vs. ophthalmologist)
- Retail chain vs. private practice
- Vision insurance vs. health insurance coverage
- Geographic location
- Technology and equipment used
- Whether the condition is routine or medical
Insurance Coverage
Typical coverage: Pediatric eye exams are covered under the ACA as an essential health benefit for children under 19. Most plans cover annual exams with no copay.
Vision insurance (VSP, EyeMed) covers routine eye exams ($0-$30 copay) and provides allowances for glasses ($100-$200) or contacts ($100-$200) annually. Medical eye conditions (glaucoma, cataracts, infections) are covered by health insurance, not vision insurance. The ACA mandates pediatric vision coverage.
How to Save Money
- Walmart, Costco, and America's Best offer competitive pricing
- Online retailers (Zenni, EyeBuyDirect) save 50-80% on glasses
- Vision insurance plans start at $10-$15/month
- HSA/FSA funds can cover vision expenses tax-free
- Check for free eye care programs (EyeCare America, VISION USA)
- Buy frames at one place, lenses at another for best pricing
Related Procedures & Costs
Frequently Asked Questions
The AOA recommends eye exams at 6 months, 3 years, and before first grade. Annual exams should continue throughout school years.
Yes, InfantSEE is a public health program providing free eye assessments for infants 6 to 12 months old, regardless of income or insurance status.
Yes, the ACA requires all health plans to cover pediatric eye exams as an essential health benefit for children under 19, typically with no copay.