Autism Evaluation Cost in Maine
In Maine, private-pay autism evaluations typically run $1,800–$4,500 (~$3,000 average). MaineCare covers evaluations fully for enrolled children under 21, and Maine's genuine Katie Beckett / TEFRA option lets middle-income families access MaineCare regardless of income. Maine Medical Center in Portland is the primary in-state center; Boston children's hospitals are common out-of-state options.
Quick Answer
In Maine, private-pay autism evaluations typically run $1,800–$4,500 (~$3,000 average). MaineCare covers evaluations fully for enrolled children under 21, and Maine's genuine Katie Beckett / TEFRA option lets middle-income families access MaineCare regardless of income. Maine Medical Center in Portland is the primary in-state center; Boston children's hospitals are common out-of-state options.
- 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)
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
Maine's autism insurance mandate requires state-regulated plans to cover autism services including evaluations. Self-funded ERISA plans are exempt — confirm your plan type with the Maine Bureau of Insurance.
Medicaid
$0
Typical copay
MaineCare covers diagnostic evaluations under EPSDT for enrolled children under 21. Families using the Katie Beckett / TEFRA eligibility category can access MaineCare regardless of family income for children with significant disabilities.
Wait Times
4–8 months
Private psychologist
Major center: 9–15 months (Maine Medical Center, Northern Light EMMC)
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
- 9–15 months (Maine Medical Center, Northern Light EMMC)
- Private psychologist
- 4–8 months
- Telehealth
- 4–8 weeks at telehealth-first practices; benefits from MaineCare telehealth parity
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 Maine
Maine Medical Center (MaineHealth) — Pediatric Specialty Care
Portland
Primary in-state diagnostic resource; accepts MaineCare.
Spurwink
Portland and statewide
Accepts MaineCare; long-established Maine autism nonprofit.
Northern Light Eastern Maine Medical Center — Pediatric Specialty Clinic
Bangor
Primary developmental-pediatrics resource in northern Maine.
Katie Beckett / TEFRA category (MaineCare)
Apply through MaineCare Member Services — children with qualifying disabilities access MaineCare regardless of family income.
Boston Children's Hospital — Autism Spectrum Center
Boston, MA
Common out-of-state referral destination for Maine families.
Related
Maine 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 Maine. Always confirm the latest quote directly with the provider before booking.
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