text: what do eye exams cost? i need a basic eye vision exam. what do the "chains" charge for these? i am comparison shopping. thanks! routine eye exams usually cost $35-70 in my area.  generally, you get what you pay for.  be careful of the bait and switch tactics of the cheapest places.  they will tell you $19 for the exam, then get you in the chair and tell you that you need $235 of additional testing or your eyes will fall out!  ask what the exam includes when you shop around.    i think the better question is to ask your friends and neighbors if they like their eye doctor!  if the doctor is nice, honest, and cares for your eyes, you are getting your money's worth, whatever the price.