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Evaluation Cost Guide

Autism Evaluation Cost in Delaware

In Delaware, a private-pay autism evaluation typically costs $1,800–$4,500 (typical: ~$3,000). Delaware Medicaid covers evaluations fully under EPSDT. Many Delaware families also use Philadelphia-area centers like CHOP, Drexel, and Penn Medicine.

Quick Answer

In Delaware, a private-pay autism evaluation typically costs $1,800–$4,500 (typical: ~$3,000). Delaware Medicaid covers evaluations fully under EPSDT. Many Delaware families also use Philadelphia-area centers like CHOP, Drexel, and Penn Medicine.

  • Private-pay range: $1,800-$4,500 (typical about $3,000).
  • Commercial insurance: $0–$1,500 depending on deductible and plan type.
  • Medicaid: covered with a typical copay of $0.

Private-pay (no insurance)

$1,800 – $4,500typical: ~$3,000

For a comprehensive pediatric evaluation (history, ADOS-2, cognitive testing, written report). Updated 2026-04-21.

Commercial Insurance

$0–$1,500 depending on deductible and plan type

Typical out-of-pocket

Delaware's state autism insurance mandate requires state-regulated plans to cover autism services for children. Self-funded ERISA plans (common with large employers) are exempt — verify your plan type.

Medicaid

$0

Typical copay

Delaware Medicaid (DMMA) covers diagnostic evaluations under EPSDT for enrolled children under 21. Services are delivered through Delaware's contracted Medicaid managed care organizations.

Wait Times

3–6 months

Private psychologist

Major center: 9–18 months (Nemours Swank Autism Center)

Editorial Review

Cost ranges on this page are directional estimates compiled from published price lists, public fee schedules, and manual review.

Actual charges depend on the provider, testing scope, insurance contract, and your deductible or network status. Confirm fees and prior authorization requirements before scheduling.

Last reviewed 2026-04-21 by Autism Hearts Editorial Team

Wait Times by Provider Type

Major medical center
9–18 months (Nemours Swank Autism Center)
Private psychologist
3–6 months
Telehealth
4–12 weeks

Getting on multiple waitlists simultaneously is strongly recommended. Telehealth and private-practice waits are often significantly shorter than academic medical centers.

Low-Cost & Free Evaluation Options in Delaware

Nemours Swank Autism Center

nonprofit

Wilmington

State's primary autism diagnostic and research center; accepts Medicaid and most commercial insurance.

Autism Delaware — Family Support

nonprofit

Statewide

Family navigation, parent training, and referral support; not a diagnostic clinic.

Delaware Birth to Three

state fundedFree if eligible

Free developmental services birth–3 for eligible children; no diagnosis required.

Related

Delaware Medicaid coverage details

Full breakdown of HCBS waivers, ABA benefit rules, and the state insurance mandate.

View Medicaid →

Sources

These sources support the current pricing and coverage context for Delaware. Always confirm the latest quote directly with the provider before booking.

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