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Yes, you should raise your optometry fees

Nathan Hayes

Director of financial services at IDOC

Published: Jul, 2025

Time to read: 3 min

Who this is for: office manager | optician | practice owner

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Key takeaways

  • Review and update optometry fees regularly—typically every one to two years—to keep pace with inflation and rising costs.
  • Check frame and contact lens markups at least twice a year to ensure pricing continues to support a healthy practice.
  • Research local market pricing to understand how your fees compare, but never coordinate rates with other practices.
  • Patient pushback is often less common than practice owners expect, especially when fee changes are handled confidently.
  • Prepare your team for fee updates by asking them not to apologize for or call extra attention to new prices.

An OD called me the other week after sending me a scan of his current fee schedule. His question: “Should I raise my fees? And by how much?” 

I asked him, “When was the last time you increased your optometry fees?” 

“2019, I think.” 

My response: “Yes, you should raise your fees.” 

But first, a disclosure on price fixing 

You should also periodically have staff check what various competitors are charging, including both similar practices and lower- or higher-cost alternatives. This can help you position your fees appropriately in your local market. 

When to raise optometry fees 

Raising your fees shouldn’t be a once-in-a-blue-moon event. Instead, make it a regular habit and raise your fees every one or two years.  

With inflation and tariff-driven increases in wholesale costs over the past several years, I would review your mark-ups on frames and contact lenses at least every six months. 

Many optometry practices hesitate to raise their prices because they fear patient complaints. But do your patients really remember what their fees and prices were when they came in 18 months ago? Ironically, the practice I spoke with recently was accused of raising his fees regularly, even when he hadn’t. 

Managing staff concerns during fee changes 

Here’s my last big suggestion for raising fees: you need to manage your team’s fear of dealing with awkward conversations ahead of time. 

Make a friendly agreement with your team to give a new price increase a six-week trial. If it doesn’t work out, you can always change it back; you’re a small business after all. During the six weeks: 

  • Staff shouldn’t call attention to the new fees. 
  • Staff shouldn’t apologize for the new fees. 

Is it time to update your optometry service prices? 

Download the 2025 Benchmark Report and see where your practice stands.

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2025 optometry benchmarks report

See how your practice compares.

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