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Cost of ophthalmologist visit by state

The following estimated costs are based on cash prices that providers have historically charged on average for ophthalmologist visit and will vary depending on where the service is done. The prices do not include the anesthesia, imaging, and other doctor visit fees that normally accompany ophthalmologist visit.

StateName Average Cash Price
$73 - $108
$99 - $147
$82 - $123
$72 - $107
$90 - $135
$80 - $118
$87 - $130
$85 - $126
$84 - $125
$80 - $119
$75 - $112
$76 - $113
$74 - $110
$84 - $124
$76 - $113
$69 - $103
$72 - $107
$73 - $109
$82 - $121
$74 - $110
$87 - $129
$89 - $133
$82 - $122
$93 - $138
$74 - $110
$73 - $109
$76 - $113
$74 - $111
$79 - $117
$79 - $117
$96 - $142
$73 - $108
$90 - $134
$72 - $107
$80 - $119
$75 - $112
$80 - $119
$82 - $122
$85 - $126
$90 - $134
$77 - $114
$72 - $107
$72 - $108
$78 - $116
$81 - $121
$80 - $119
$78 - $116
$87 - $129
$78 - $116
$82 - $122
$80 - $119

An ophthalmologist is a doctor that specializes in caring for your eyes and vision. Ophthalmologists are qualified to practice medicine and perform surgeries. Some ophthalmologists specialize in a particular eye condition, like glaucoma or retinal problems.

It’s important to have your eyes examined regularly. The condition of your eyes can give clues to other medical problems before there are other physical signs. The American Academy of Ophthalmology recommends that all adults have a comprehensive eye examination with eye dilation by the time they are age 40.

There are some things that you should immediately see an ophthalmologist for. These include:

  • Changes in vision or sudden blurry vision
  • Floaters or flashes in your vision
  • Double vision
  • Sudden loss of vision

When ophthalmologists look into your eye, they see structures in the back of the eye. These include blood vessels, the retina, and the optic disc. Changes in these structures can show an eye problem or a health problem affecting your eyes.

Besides problems with your vision, ophthalmologists can diagnose several things, including:

  • Aneurysm
  • Brain tumors
  • Cancers
  • Diabetes
  • Giant cell arteritis (an inflammatory condition)
  • Heart disease
  • High blood pressure
  • Lupus
  • Lyme disease
  • Medication toxicities
  • Multiple sclerosis
  • Myasthenia gravis
  • Rheumatoid arthritis
  • Sarcoidosis (an inflammatory condition)
  • Sexually transmitted diseases
  • Sjogren’s syndrome (an autoimmune disease)
  • Stroke
  • Thyroid disease
  • Vascular disease
  • Vitamin A deficiency

Some illnesses cause changes that can be seen in the eyes. Diabetes causes changes in blood vessels, including the ones in your eyes. These changes can lead to loss of vision. High blood pressure also causes changes in the blood vessels in the back of the eye. The conditions listed above all have classic characteristics that an ophthalmologist will see during an eye exam.

Optometrists are not medical doctors. They specialize in vision treatment through vision testing and correction of visual changes. Their training consists of college, followed by four years of optometry school. Ophthalmologists are doctors who care for all eye conditions and problems. They can also perform surgery. Often optometrists and ophthalmologists work together in the same office in a team care model.

* Savings estimate based on a study of more than 1 billion claims comparing self-pay (or cash pay) prices of a frequency-weighted market basket of procedures to insurer-negotiated rates for the same. Claims were collected between July 2017 and July 2019. R.Lawrence Van Horn, Arthur Laffer, Robert L.Metcalf. 2019. The Transformative Potential for Price Transparency in Healthcare: Benefits for Consumers and Providers. Health Management Policy and Innovation, Volume 4, Issue 3.

Sidecar Health offers and administers a variety of plans including ACA compliant and excepted benefit plans. Coverage and plan options may vary or may not be available in all states.

Your actual costs may be higher or lower than these cost estimates. Check with your provider and health plan details to confirm the costs that you may be charged for a service or procedure.You are responsible for costs that are not covered and for getting any pre-authorizations or referrals required by your health plan. Neither payments nor benefits are guaranteed. Provider data, including price data, provided in part by Turquoise Health.

The site is not a substitute for medical or healthcare advice and does not serve as a recommendation for a particular provider or type of medical or healthcare.