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Does LASIK pay for itself compared with glasses and contacts?

Enter the price of surgery for both eyes, what insurance or a vision plan pays, what you spend a year on glasses, contacts and solutions, and the years you compare over: get the net cost, the years to break even, the cost per year over the period and the savings.

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Results

Net cost of surgery

$4,000

Savings over the period

$5,000

Most people still need reading glasses from their mid-40s, and some need a touch-up; ask a surgeon whether your corneas and prescription suit LASIK, PRK or SMILE, and what follow-up the price includes
Years to break even
8.9 years
Surgery cost per year over the period
$200

This calculator gives estimates for education and planning. It is not investment, tax or legal advice; for decisions about your own situation, talk to a qualified financial professional.

Laser eye surgery costs thousands up front, while glasses and contacts cost a little every year for decades. Whether surgery saves money depends on how much you spend on vision correction now and how long you compare over. This calculator works out the net cost, the years to break even and the savings.

How the calculation works

  • Net cost = surgery price − insurance or vision plan contribution
  • Years to break even = net cost ÷ yearly spending on glasses and contacts
  • Cost per year over the period = net cost ÷ years
  • Savings = yearly spending × years − net cost

LASIK at $4,500 for both eyes, with $500 from a vision plan, costs $4,000 net. If you spend $450 a year on glasses, contacts and solutions, the surgery pays for itself after about 8.9 years. Over 20 years, it works out to $200 a year and saves about $5,000.

Typical yearly spending

Correction Per year
Glasses only, every 2 years $150 to $300
Daily contacts $500 to $800
Monthly contacts and solution $250 to $400
Contacts plus backup glasses $400 to $900

Daily contact lens wearers usually reach break-even fastest; people who wear one inexpensive pair of glasses for years may never save money.

What the comparison leaves out

  • Reading glasses: around age 45, almost everyone needs them for close work, surgery or not.
  • Enhancements: a small share of patients need a touch-up; ask whether it is included.
  • Risks: dry eyes, glare and halos at night are common at first and occasionally last.
  • Convenience: for many people, sports, travel and waking up seeing clearly matter more than the money.

Before you decide

  • Get a full exam: corneal thickness, a stable prescription for a year or two, and healthy eyes are required.
  • Compare LASIK, PRK and SMILE; a surgeon may recommend one over another for your eyes.
  • Ask what the price includes: both eyes, follow-up visits, enhancements and medication.
  • Use FSA or HSA funds, which can lower the real cost.

Frequently asked questions

Does LASIK pay for itself?

In the example, $4,000 net breaks even after about 8.9 years against $450 a year of glasses and contacts.

How much does LASIK cost?

Often $4,000 to $5,000 for both eyes in the US, before any vision plan discount.

How much can LASIK save over 20 years?

About $5,000 in the example, or $200 a year of surgery cost against $450 of glasses and contacts.

Will I still need glasses after LASIK?

Most people need reading glasses from their mid-40s, whether or not they had surgery.

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Results are estimates provided for information purposes. They do not replace professional advice.