Last updated: March 2026
How Much Does Scleral Lenses Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Standard Scleral Lenses (per pair) | $1,000 – $2,500 | $500 – $1,200 |
| Custom Scleral Lenses (per pair) | $1,500 – $3,000 | $750 – $1,500 |
| Scleral Lens Fitting (multiple visits) | $300 – $800 | $100 – $300 |
CPT/ADA Code: 92310, V2531
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: Scleral lenses may be covered by medical insurance when prescribed for conditions like keratoconus or severe dry eye. Vision insurance rarely covers the full cost.
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
Scleral lenses are custom-made for each eye, require specialized fitting equipment, and often need multiple adjustments. The materials and manufacturing are more complex than standard contacts.
Scleral lenses are prescribed for keratoconus, irregular corneas, severe dry eye, post-surgical corneas, and cases where standard contacts fail to provide adequate vision.
Scleral lenses typically last 1 to 3 years with proper care, making the annual cost lower than the initial investment suggests.