It makes a difference in Spiderman 2
The more realistic, correct reflections add a lot of depth to a city full of windows. Yet 60 fps comes first, fidelity pro mode adds some better lighting and more precise reflections, not worth dropping to 30 fps for.
For lighting I haven't really seen the benefits yet. Horizon FW Burning Shores is the best looking game so far this gen and it doesn't have any RT afaik. RT could probably add a lot more shadows, yet the lack of more accurate shadows doesn't feel as 'missing' as Spiderman without reflections would change the look of NY.
It does make a difference but the difference between pre baked RT lighting (GT7) and real time is minimal. Yet in horror games where a flash light is your primary source of light, RT for light and shadows does make a big difference. TloU with full RT would definitely enhance the stealth sections.
It depends on the game, however 60fps and HDR should come first. And if RT doesn't work with 'performance' mode, then it kinda defeats the purpose of less work to add it in separately in a 30fps fidelity mode.