Autism Evaluation Cost in New Jersey
In New Jersey, private-pay autism evaluations typically run $2,500–$5,500 (~$3,800 average). NJ FamilyCare covers evaluations fully for children under 21 via EPSDT and CSOC/PerformCare. Commercial insurance covers evaluations under the state mandate with no dollar cap.
Quick Answer
In New Jersey, private-pay autism evaluations typically run $2,500–$5,500 (~$3,800 average). NJ FamilyCare covers evaluations fully for children under 21 via EPSDT and CSOC/PerformCare. Commercial insurance covers evaluations under the state mandate with no dollar cap.
- Private-pay range: $2,500-$5,500 (typical about $3,800).
- Commercial insurance: $0–$1,500 depending on deductible.
- 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
Typical out-of-pocket
NJ's autism insurance mandate requires state-regulated plans to cover diagnosis and medically necessary treatment with no dollar cap. Self-funded ERISA plans are exempt — confirm your plan type before scheduling.
Medicaid
$0
Typical copay
NJ FamilyCare covers evaluations under EPSDT. The Children's System of Care (CSOC) via PerformCare coordinates referrals to in-network providers.
Wait Times
3–6 months
Private psychologist
Major center: 9–18 months (Children's Specialized, Rutgers DDDC, Hackensack Meridian)
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 (Children's Specialized, Rutgers DDDC, Hackensack Meridian)
- Private psychologist
- 3–6 months
- Telehealth
- 4–8 weeks at 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 New Jersey
Rutgers Douglass Developmental Disabilities Center (DDDC)
New Brunswick
Long-standing autism specialty program with evaluation services.
Rutgers Boggs Center on Developmental Disabilities
New Brunswick
Children's Specialized Hospital (RWJBarnabas)
Statewide
Accepts Medicaid; multiple locations.
Autism New Jersey Helpline
Statewide
1-800-4-AUTISM — family navigation, referrals, not direct evaluation.
Related
New Jersey 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 New Jersey. Always confirm the latest quote directly with the provider before booking.
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