The Complete Pair Gap - Takeaways - MDSpire

The Complete Pair Gap

  • January 1, 2026

  • 4 min

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  • 1

    The national complete pair rate has declined from 28% in 2023 to 26% in 2025, affecting all regions and months.

  • 2

    The top 10% of eyecare practices achieve a complete pair rate of 50.1% or higher, nearly double the national median of 29%.

  • 3

    One in 3 practices captures fewer than 1 in 5 complete eyeglass pairs, with 33.6% falling below a 20% complete pair rate.

  • 4

    High-MVC practices achieve a 29.1% complete pair rate, while low-MVC practices only reach 13.5%, indicating internal practice factors drive performance.

  • 5

    Tracking and improving complete pair rates is crucial, as it is the most controllable metric in optical practices without needing new investments.

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