The optometrist recommended seamless bifocals. I have a very painful nerve condition in my face (atypical trigeminal neuralgia), so this is what I need with glasses: the lightest weight frames possible- known as ultra light- with the lightest weight lenses possible and automatically darkening lenses so I don’t need the weight of sunglasses. The cheapest frames brought the total to $250 on the site the insurance worked with.
The frames are $20 on the cheap site. Everything else in the cost is the lenses.
As for why I have to buy them online- I don’t want anyone touching my face unless it’s absolutely necessary. The exam was painful enough.
American for-profit healthcare is fucking awesome.
I get mine at the vision center in Walmart every two years for around $110-150 without any insurance which gets me an eye exam, contact lens prescription, glasses prescription, and one trial pair of contacts. I believe they are all third party, optometrist-owned practices that just rent space in the buildings so YMMV.