I just had a new pair made. $400 plus frames. This for a guy who, if he had a real job, could get by with nothing for distance vision and 1.75 readers from the drug store. But the mix of near and intermediate vision needs in the cockpit, especially at night, make this a tougher nut to crack.

The difference between the standard progressive lenses and the premium lenses is that the latter do not require me to hunt for that one spot of good vision -- the area of the lenses "that work" for each task is much larger.

The Optometrist also moved the near vision area up a little bit, since in her experience "pilots like that better".

Here is a brief discussion:

Four Types of Progressive Lenses (No-Line Bifocals)

Everyone has their own situation and approach to this, but for me this has been a good solution. It took awhile to come to terms with spending the money, but in the end it simply works (for me).