Glaucoma Test Cost in 2026: $0-$250 Depending on Workup
Most routine eye exams include a basic glaucoma screening (the puff test) at no extra charge. A full glaucoma workup adds visual field testing, pachymetry, gonioscopy, and OCT, totalling $100-$250 out of pocket. Medicare Part B covers annual screening for high-risk patients.
Glaucoma Test Pricing (2026)
| Test | Typical 2026 Cost | Notes |
|---|---|---|
| Basic tonometry (puff test) | $0 - $25 | Included in most $50-$150 eye exams |
| Visual field test (perimetry) | $50 - $80 | Add-on or standalone diagnostic |
| Pachymetry (corneal thickness) | $25 - $40 | Add-on, often bundled |
| Gonioscopy (drainage angle) | $30 - $50 | Add-on, often bundled |
| Full glaucoma workup (all of the above + OCT) | $100 - $250 | Out-of-pocket without insurance |
| Medicare annual glaucoma screening (high-risk) | Covered | Part B benefit; eligibility above |
Medicare Glaucoma Screening Eligibility
Medicare Part B covers one glaucoma screening every 12 months for high-risk patients. Per CMS, high risk is defined as:
- People with diabetes
- People with a family history of glaucoma
- African Americans aged 50 or older
- Hispanic Americans aged 65 or older
The screening must be performed or supervised by an eye care professional (optometrist or ophthalmologist) legally authorised in your state to provide glaucoma screening services. The deductible and 20% coinsurance apply.
FAQ
How much does a glaucoma test cost in 2026?
Basic puff test included in $50-$150 eye exam; full workup $100-$250 out of pocket. Medicare covers annual screening for high-risk patients.
Does Medicare cover glaucoma screening?
Yes. Part B covers an annual screening for high-risk patients (diabetes, family history, African American 50+, Hispanic 65+). Deductible and 20% coinsurance apply.
What is included in a full workup?
Tonometry, pachymetry, gonioscopy, visual field test, and OCT of the optic nerve. 60-90 minute appointment.
How often should I have a glaucoma test?
Per AAO guidance, adults at average risk get screening as part of comprehensive exams at age-appropriate intervals. Higher-risk individuals may benefit from annual testing. Discuss with your eye doctor.
Is the puff test the same as a glaucoma test?
The puff test (non-contact tonometry) measures eye pressure, one indicator of glaucoma risk. A diagnosis requires additional testing (visual field, OCT, gonioscopy).
Sources
- Glaucoma Research Foundation — diagnosis
- American Academy of Ophthalmology — glaucoma
- CMS — Medicare glaucoma screening
- National Eye Institute (NIH) — glaucoma
This page is informational, not medical advice. Discuss glaucoma testing frequency with a licensed eye care professional.