Quality estimation is omnipresent in machine translation, for both evaluation and generation. Unfortunately, quality estimation models are often opaque and computationally expensive, making them impractical to be part of large-scale pipelines. In this work, we tackle two connected challenges: (1) reducing the cost of quality estimation at scale, and (2) developing an inexpensive uncertainty estimation method for quality estimation. To address the latter, we introduce Instant Confidence COMET, an uncertainty-aware quality estimation model that matches the performance of previous approaches at a fraction of their costs. We extend this to Early-Exit COMET, a quality estimation model that can compute quality scores and associated confidences already at early model layers, allowing us to early-exit computations and reduce evaluation costs. We also apply our model to machine translation reranking. We combine Early-Exit COMET with an upper confidence bound bandit algorithm to find the best candidate from a large pool without having to run the full evaluation model on all candidates. In both cases (evaluation and reranking) our methods reduce the required compute by 50% with very little degradation in performance. Finally, we show how Instant Confidence COMET can be used to decide which translations a human evaluator should score rather than relying on the COMET score.