Autism Evaluation Cost in Hawaii
In Hawaii, a private-pay autism evaluation typically costs $2,000–$4,500. Med-QUEST covers evaluations fully for enrolled children under 21. Neighbor Island families frequently travel to Oahu or use telehealth because comprehensive diagnostic capacity is concentrated on Oahu.
Quick Answer
In Hawaii, a private-pay autism evaluation typically costs $2,000–$4,500. Med-QUEST covers evaluations fully for enrolled children under 21. Neighbor Island families frequently travel to Oahu or use telehealth because comprehensive diagnostic capacity is concentrated on Oahu.
- Private-pay range: $2,000-$4,500 (typical about $3,200).
- Commercial insurance: $0–$1,500 depending on deductible and plan type.
- Medicaid: covered with a typical copay of $0.
Private-pay (no insurance)
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
Luke's Law (Act 235 of 2015) requires state-regulated plans to cover autism diagnosis and treatment for children. Self-funded ERISA plans (common with large employers) are exempt — verify your plan type.
Medicaid
$0
Typical copay
Med-QUEST covers diagnostic evaluations under EPSDT for enrolled children under 21. Services are delivered through Med-QUEST's contracted managed care health plans.
Wait Times
3–6 months on Oahu; longer on Neighbor Islands
Private psychologist
Major center: 12–18 months (Kapiolani Medical 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
- 12–18 months (Kapiolani Medical Center)
- Private psychologist
- 3–6 months on Oahu; longer on Neighbor Islands
- Telehealth
- 4–12 weeks via Oahu and Lower 48 practices
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 Hawaii
University of Hawai'i — Center on Disability Studies
Honolulu
UCEDD; family navigation and training; can sometimes facilitate evaluations via training clinics.
Shriners Hospitals for Children — Honolulu
Honolulu
Provides developmental evaluations as part of broader rehabilitation-oriented care plans.
Hawaii Early Intervention Section (EIS)
Free developmental services birth–3 for eligible children on all major islands; no diagnosis required.
Related
Hawaii Medicaid coverage details
Full breakdown of HCBS waivers, ABA benefit rules, and the state insurance mandate.
Sources
These sources support the current pricing and coverage context for Hawaii. Always confirm the latest quote directly with the provider before booking.
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