How much does an autism evaluation cost in Maryland?

In Maryland, a comprehensive private-pay autism evaluation typically costs $2,200–$5,500, with a typical price around $3,500.

Does Maryland Medicaid cover evaluations?

Yes. Maryland Medicaid covers autism evaluations ($0 copay) under EPSDT.

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Evaluation Cost Guide

Autism Evaluation Cost in Maryland

Q: Does insurance cover autism evaluations in Maryland?

$0–$1,500 depending on deductible. Maryland's autism insurance mandate requires coverage on most state-regulated plans. Self-funded ERISA plans are exempt — confirm your plan type.

In Maryland, private-pay autism evaluations typically run $2,200–$5,500. Maryland Medical Assistance covers evaluations fully under EPSDT, and Kennedy Krieger Institute (Baltimore) is a globally recognized autism diagnostic center accepting Medicaid.

Quick Answer

Private-pay range: $2,200-$5,500 (typical about $3,500).
Commercial insurance: $0–$1,500 depending on deductible.
Medicaid: covered with a typical copay of $0.

Private-pay (no insurance)

$2,200 – $5,500typical: ~$3,500

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

Commercial Insurance

$0–$1,500 depending on deductible

Typical out-of-pocket

Maryland's autism insurance mandate requires coverage on most state-regulated plans. Self-funded ERISA plans are exempt — confirm your plan type.

Medicaid

Typical copay

Maryland Medical Assistance covers evaluations for enrolled children under 21 through Managed Care Organizations under EPSDT.

Wait Times

3–6 months

Private psychologist

Major center: 9–14 months (Kennedy Krieger CARD, Johns Hopkins Children's)

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: 9–14 months (Kennedy Krieger CARD, Johns Hopkins Children's)
Private psychologist: 3–6 months
Telehealth: 4–8 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 Maryland

Kennedy Krieger Institute — Center for Autism and Related Disorders

nonprofit

Baltimore

Accepts Medicaid and most commercial insurance; research studies may offer lower-cost access.

Johns Hopkins Children's Center — Developmental Medicine

university

Baltimore

Children's National Hospital — Center for Autism Spectrum Disorders

nonprofit

DC / MD suburbs

Serves Montgomery and Prince George's counties.

Maryland Autism Waiver Registry

state fundedFree if eligible

Registry entry supports later service access; does not cover evaluation directly.

Maryland 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 Maryland. Always confirm the latest quote directly with the provider before booking.

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