Myopia Management Cost: What Parents Pay in 2026
Ortho-K is $2,400 to $2,800 for the first year for a standard fit, then $1,200 to $1,500 a year with a fresh pair of lenses included — no two-year contract. Complex and specialty fits are priced by tier below. MiSight daily contacts are $1,300 to $1,500 per year for the lens supply, plus $500 a year for the exam and follow-up visits. Stellest spectacle lenses are $450 per pair (lenses only; frames and optional lens add-ons are additional). Everything clinical is included in each tier, and we confirm your exact fee in writing before you commit.
Myopia Management Treatment Costs Compared
| Treatment | Annual Cost | What Is Included |
|---|---|---|
| Ortho-K — Standard fit | $2,400–$2,800 first year then $1,200–$1,500/yr | Mild nearsightedness, no astigmatism. Year 1: exam, corneal mapping, axial length baseline, all fittings, first pair of custom lenses, training, all visits for 12 months. Each later year: a fresh pair of lenses and all tracking visits |
| Ortho-K — Complex fit | $3,200–$3,800 first year then $1,400–$1,800/yr | Higher myopia or astigmatism needing a toric (dual-axis) design. Same inclusions; later years include dual-axis lenses and tracking |
| Ortho-K — Specialty / post-refractive | $4,500–$5,000 first year then $1,800–$2,200/yr | Farsightedness, presbyopia, or irregular or post-surgical corneas. Highly customized lenses and monitoring |
| Stellest spectacle lenses | $450/pair (lenses only) | Myopia-slowing lens design, checkups every 6 months. Frames and optional add-ons (anti-reflective coating, photochromic tint, high-index material) are additional |
| MiSight daily contacts | $1,300–$1,500/year lenses + $500/year exam & follow-up | Annual supply of 730 daily lenses, set by prescription, plus a separate $500 yearly fee for the exam and all follow-up visits — $1,800–$2,000 a year in total, the same every year |
No two-year contract, nothing prepaid. Over four to six years of treatment, ortho-K costs the same or less than MiSight. Your child's plan is tailored to their age, prescription, and progression rate.
An Investment Like Braces for Their Eyes
Parents understand the value of braces — a multi-year investment that prevents bigger problems later. Myopia management works the same way. Once the eye grows too long, it cannot shrink back. The elongation is permanent.
Every diopter of myopia prevented now reduces your child's lifetime risk of retinal detachment, glaucoma, and myopic macular degeneration. These are not minor inconveniences — they are sight-threatening conditions that become increasingly likely as myopia worsens.
The cost of myopia management is comparable to orthodontics ($3,000–$7,000) and prevents permanent structural changes to the eye that no amount of money can reverse later.
40–60%
Average myopia progression slowed
Permanent
Eye elongation cannot be reversed
Ages 6–12
Ideal window to begin treatment
Insurance Coverage for Myopia Management
Some vision plans cover myopia management evaluations and a portion of specialty lenses. Medical insurance may cover the diagnostic evaluation when high myopia or rapid progression is documented. We verify your benefits before starting treatment.
Financing Options
We want cost to never be a barrier to protecting your child's vision. Several financing options are available.
CareCredit
Fixed-rate monthly payment plans for myopia management (interest applies). Ask us for current terms.
Learn moreFSA / HSA Eligible
Myopia management qualifies as a medical expense for pre-tax health spending accounts.
FSA/HSA detailsMyopia Management Cost FAQ
How much does myopia management cost?
Ortho-K is priced by fit. Standard — mild nearsightedness, no astigmatism: $2,400 to $2,800 for the first year, then $1,200 to $1,500 a year. Complex — higher myopia or astigmatism that needs a toric (dual-axis) design: $3,200 to $3,800 for the first year, then $1,400 to $1,800 a year. Specialty / post-refractive — farsightedness, presbyopia, or irregular or post-surgical corneas: $4,500 to $5,000 for the first year, then $1,800 to $2,200 a year. The first-year fee is one complete course of treatment: comprehensive exam with cycloplegic refraction, corneal mapping, baseline axial length, lens design, every fitting and refitting visit, the first pair of custom lenses, training, a starter kit, and all scheduled follow-up visits for 12 months. Each year after that includes a fresh pair of lenses and every progression-tracking visit. Within each tier, the exact fee depends on the prescription and lens design, and we confirm it in writing at the fitting evaluation before you commit. MiSight 1 day is $1,300 to $1,500 a year for the annual supply of 730 daily disposable lenses, set by prescription, plus $500 a year for the exam and all follow-up visits — $1,800 to $2,000 a year in total, the same each year. Stellest spectacle lenses are $450 per pair for the lenses; frames and optional lens add-ons are additional. There is no two-year contract.
Does insurance cover myopia management?
Some vision plans cover myopia management evaluations and a portion of specialty lenses. Medical insurance may cover diagnostic testing when high myopia or rapid progression is documented. FSA and HSA funds are eligible for myopia management expenses.
Is myopia management worth the cost?
Every diopter of myopia prevented reduces your child's lifetime risk of retinal detachment, glaucoma, and myopic macular degeneration. Like braces, myopia management is a preventive investment that avoids more costly problems later — both financially and in terms of vision quality.
What age should myopia management start?
As early as possible once myopia is diagnosed, typically ages 6 to 12. The eye grows most rapidly in childhood — once the eyeball elongates, the change is permanent and cannot be reversed.
How long does myopia management last?
Treatment continues until your child's measurements show the eye has stopped growing. That is a measurement, not an age — in the largest long-term study of myopic children, fewer than half had stabilized by 15 and about a quarter were still progressing at 18. Most children are in active management for four to six years, and we show you the axial length reading at every visit so you can see the finish line coming.
Which myopia treatment is most cost-effective?
Stellest lenses are $450 per pair (lenses only; frames and optional add-ons such as anti-reflective coating or photochromic tint are additional) and include checkups every 6 months. MiSight daily contacts are $1,300 to $1,500 a year for the lens supply (set by your child's prescription) plus $500 a year for the exam and follow-up visits — $1,800 to $2,000 a year, every year, because the lenses are disposable. Ortho-K for a standard fit is $2,400 to $2,800 in year one and $1,200 to $1,500 a year after that with a fresh pair of lenses included, so over the four to six years most children are in treatment a standard ortho-K fit costs the same or less than MiSight — and the child wears nothing during the day. The right choice depends on your child's age, lifestyle, and how well they handle each option.
Protect Your Child's Vision for Life
Early treatment makes the biggest difference. Schedule a myopia management evaluation today.