Last updated: March 2026
How Much Does SMILE Eye Surgery Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| SMILE Surgery (per eye) | $1,250 – $2,500 | $1,000 – $2,000 |
| SMILE Surgery (both eyes) | $2,500 – $5,000 | $2,000 – $4,000 |
CPT/ADA Code: 0616T
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: SMILE (Small Incision Lenticule Extraction) is elective refractive surgery and is not covered by insurance. Discount programs may apply.
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
SMILE uses a smaller incision and does not create a flap, which may reduce dry eye risk. However, LASIK allows for enhancements more easily. Both achieve similar visual outcomes.
SMILE typically costs $2,500 to $5,000 for both eyes, which is slightly more than LASIK on average.
No, SMILE is considered elective and not covered by health or vision insurance. Some employers offer FSA or HSA funds that can be used.