Autism Evaluation Cost in Michigan
In Michigan, private-pay autism evaluations run $2,000–$4,800 (typical $3,000). Public Acts 99 & 100 tier coverage by age ($50K for 0–6, down to $30K for 13–18). Michigan's Medicaid Autism Benefit covers evaluations and ABA for children under 21 via local CMHSPs.
Quick Answer
In Michigan, private-pay autism evaluations run $2,000–$4,800 (typical $3,000). Public Acts 99 & 100 tier coverage by age ($50K for 0–6, down to $30K for 13–18). Michigan's Medicaid Autism Benefit covers evaluations and ABA for children under 21 via local CMHSPs.
- Private-pay range: $2,000-$4,800 (typical about $3,000).
- Commercial insurance: $0–$1,400.
- 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–$1,400
Typical out-of-pocket
Michigan PAs 99 & 100 of 2012 tier coverage: $50K/year (ages 0–6), $40K (7–12), $30K (13–18). Self-funded ERISA plans are exempt.
Medicaid
$0
Typical copay
Michigan's Medicaid Autism Benefit (launched 2013) covers ABA and diagnostic evaluations via Medicaid Health Plans and local CMHSPs for children under 21.
Wait Times
3–5 months
Private psychologist
Major center: 8–14 months (Mott Children's, Children's Hospital of Michigan)
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
- 8–14 months (Mott Children's, Children's Hospital of Michigan)
- Private psychologist
- 3–5 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 Michigan
University of Michigan Mott Children's Developmental Behavioral Pediatrics
Ann Arbor
Accepts Medicaid.
Children's Hospital of Michigan / DMC
Detroit
Accepts Medicaid.
Hurley Children's Hospital — Developmental Pediatrics
Flint
Community Mental Health Services Programs (CMHSPs)
Statewide — one per county or cluster
Entry point for Medicaid Autism Benefit — evaluation coordination and no-cost for Medicaid-enrolled families.
Related
Michigan 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 Michigan. Always confirm the latest quote directly with the provider before booking.
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