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2026 Ortho-K Price Guide

How Much Do Ortho-K Lenses Cost?

Orthokeratology, often called Ortho-K, uses custom lenses worn during sleep to gently reshape the cornea, the eye's clear front surface.

Short answer

sleepSEE pricing is published. The comprehensive evaluation is $93 and is applied to the program fee if you enroll. The first-year program is $2,400 for children and adults. Post-LASIK Ortho-K for adults is $2,850. Most practices won't give you a number until you come in — here it is.

The useful question is not only “What is the price?” It is also “What does that price include?” This guide explains the fitting, follow-up, replacement, and monitoring costs that can change an Ortho-K quote.

Last reviewed: July 24, 2026 · Medically reviewed by James H. Singletary, OD, FIAOMC

What changes the price

Why Ortho-K costs vary

Ortho-K is not an off-the-shelf product. It is a fitted medical service, so the fee reflects clinical time, custom lens design, testing, and follow-up care.

Prescription complexity

Higher prescriptions, astigmatism, and more complex corneal shapes may require additional design work.

Fitting and follow-up visits

Custom lenses may need adjustment before the fit is finalized, so visit schedules affect the total fee.

What is bundled

Some programs include a year of follow-up care; others bill visits, testing, or replacement lenses separately.

Lens remakes

Ask whether design changes during the initial fitting period are included or billed separately.

Clinical technology

Corneal topography maps the eye's clear front surface for lens design. For children, the doctor may also measure axial length, or the eye's front-to-back growth.

Provider and region

Published prices vary by state, practice, clinical time, experience, and the services included.

A boy in eyeglasses holds a phone close while sitting in a softly lit room.

The whole picture

Why myopia can progress

Myopia means nearsightedness, or blurry distance vision. It can get worse as a child grows. Family history, the age when it starts, long periods of close-up work, and time outdoors may all matter. An eye doctor can track these changes over time.

A glasses-free child smiles while kicking a soccer ball outdoors.

Compare like with like

What should a first-year fee include?

Before comparing prices, ask each provider for a written list of what is included and what may be billed separately.

A lower quote can cost more if it excludes follow-up visits, testing, or lens remakes.

  • The initial evaluation and corneal topography
  • The custom Ortho-K lenses
  • Fitting and follow-up visits for the stated period
  • Lens remakes if the design needs adjustment
  • Ongoing monitoring and any separate testing fees

Published sleepSEE pricing

Know the fee before you decide

sleepSEE is currently available at Eye Medics Optometry, the program’s founding clinical home in Fayetteville, North Carolina.

Published sleepSEE program pricing and included services
ServicePriceIncluded
Comprehensive evaluation$93Applied to the program fee if you enroll
First-year program (children and adults)$2,400Includes first-year program visits and follow-ups, plus lens remakes needed during the initial 30-day fitting period
Post-LASIK Ortho-K (adults)$2,850Adult Ortho-K evaluation, fitting, and program care
Replacement lenses (after year one)$200 per lens (approximately)Typically needed up to every 2 years with proper care.
An adult wakes and looks out a bedroom window in gentle morning light.

sleepSEE is a private-pay program — insurance and TRICARE are not accepted for program fees. HSA/FSA funds may be used for eligible expenses, and CareCredit financing is available.

Program terms

30-Day Satisfaction Promise

If satisfactory vision cannot be achieved, you may request a refund within 30 days of your insertion-and-removal (I&R) training. The refund is 70% of the program fee after the $93 evaluation fee is deducted — approximately $1,615 on the $2,400 program.

You must complete I&R training within 60 days of paying your program fee. If you do not, the promise is void and the full amount — program fee and evaluation fee — becomes non-refundable.

Satisfactory vision is determined by clinical evaluation with your doctor.

Read the full terms

Program care

What the sleepSEE program fee includes

sleepSEE is a myopia management program, not just a contact lens. The first-year fee covers the clinical monitoring that makes it a program.

  • Custom lens design and fitting

    Lenses designed from your child's corneal measurements, with fitting visits and remakes needed during the initial 30-day fitting period.

  • Bi-annual axial-length measurement

    Tracks the eye's front-to-back growth, the most direct measure of whether myopia is progressing.

  • Bi-annual refraction with rate-of-change assessment

    Refraction is the test that measures a glasses prescription. This check tracks how fast it changes and compares that rate with expected changes for the child's age.

  • Binocular and accommodative evaluation

    Tests how the eyes team and focus. Any condition found is evaluated and treated on its own clinical merits.

  • First-year program visits and follow-ups

That's the difference between being handed a lens and being enrolled in a monitored program.

Value is personal

Is Ortho-K worth the cost?

That depends on your goals, candidacy, current vision-correction costs, and what is included in the provider’s program.

Compared with glasses or contacts

Compare the full cost over time, including glasses or lenses, solutions, examinations, fittings, and replacement schedules.

For children

Parents may weigh the fee against an individualized myopia-management plan. Ortho-K may help slow myopia progression in some children; individual outcomes vary.

Compared with surgery

Ortho-K is nonsurgical. If lens wear stops, the cornea gradually returns toward its pretreatment shape.

Frequently asked questions

Ortho-K cost questions

How much do Ortho-K lenses cost in the first year?

The comprehensive evaluation is $93 and is applied to the program fee if you enroll. The first-year program is $2,400 for children and adults. Post-LASIK Ortho-K for adults is $2,850.

How long do sleepSEE lenses last?

With proper care, sleepSEE lenses can last up to 2 years. Replacement timing depends on care, handling, and prescription changes.

Do I have to pay $2,400 again after two years?

No. The $2,400 covers your first year in the program. After that, replacement lenses are approximately $200 per lens when they're due — typically up to every two years with proper care — plus routine visits.

Does insurance cover sleepSEE Ortho-K?

sleepSEE is a private-pay program — insurance and TRICARE are not accepted for program fees. HSA/FSA funds may be used for eligible expenses, and CareCredit financing is available.

Is financing available?

CareCredit financing is available for the sleepSEE program, subject to credit approval and the financing terms in effect when you apply.

What if I am not an Ortho-K candidate?

An in-person evaluation determines candidacy based on prescription, corneal measurements, eye health, goals, and ability to follow the lens-care routine. Not everyone is a candidate.

What happens if we don't do anything?

Myopia usually keeps progressing while a child's eyes are still growing. Higher levels of myopia are linked to a greater chance of certain eye problems later in life — including retinal detachment, changes in the macula, glaucoma, and cataract.

That link doesn't mean any one child will develop these problems, and myopia by itself rarely causes blindness. We'd rather you look into it yourself than take our word for it. These are good places to start:

Know the cost before you go in

Check whether Ortho-K may be a fit, learn how overnight lenses work, or connect with Eye Medics, the founding clinical home of sleepSEE.