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Evaluation Cost Guide

Autism Evaluation Cost in Montana

In Montana, private-pay autism evaluations typically run $1,500–$4,500 (~$2,800 average). Commercial insurance covers evaluations under the state mandate; out-of-pocket runs $0–$1,500. Montana Medicaid covers evaluations fully for children under 21 under EPSDT. In-state waits of 9–18 months are common; many families travel to Seattle, Spokane, Salt Lake City, or Minneapolis.

Quick Answer

In Montana, private-pay autism evaluations typically run $1,500–$4,500 (~$2,800 average). Commercial insurance covers evaluations under the state mandate; out-of-pocket runs $0–$1,500. Montana Medicaid covers evaluations fully for children under 21 under EPSDT. In-state waits of 9–18 months are common; many families travel to Seattle, Spokane, Salt Lake City, or Minneapolis.

  • Private-pay range: $1,500-$4,500 (typical about $2,800).
  • Commercial insurance: $0–$1,500 depending on deductible and plan type.
  • Medicaid: covered with a typical copay of $0.

Private-pay (no insurance)

$1,500 – $4,500typical: ~$2,800

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

Montana's autism insurance mandate (M.C.A. § 33-22-515) requires coverage for autism services including evaluations on state-regulated plans. Self-funded ERISA plans are exempt — confirm your plan type before scheduling.

Medicaid

$0

Typical copay

Montana Medicaid covers diagnostic evaluations under EPSDT for enrolled children under 21. Healthy Montana Kids (CHIP) also covers evaluations for eligible children.

Wait Times

3–6 months in Billings/Missoula/Bozeman; longer in rural areas

Private psychologist

Major center: 9–18 months (Shodair, Billings Clinic, Logan Health, Bozeman Health)

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 (Shodair, Billings Clinic, Logan Health, Bozeman Health)
Private psychologist
3–6 months in Billings/Missoula/Bozeman; longer in rural areas
Telehealth
4–8 weeks at regional telehealth-first 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 Montana

Montana State University — Psychology Clinic

universitySliding scale

Bozeman

Graduate-training clinic; availability varies by semester.

Shodair Children's Hospital

nonprofitSliding scale

Helena

Accepts Medicaid; financial assistance available for qualifying families.

Child Development Centers (statewide network)

nonprofitSliding scale

Regional CDCs across Montana provide service coordination and lower-cost evaluations or referrals.

Seattle Children's Autism Center (WA)

university

Seattle, WA (out of state)

Common out-of-state referral for Montana families; accepts some MT Medicaid via prior auth.

Related

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

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