Autism Evaluation Cost in New York
In New York, private-pay autism evaluations cost $2,500–$6,000. NY commercial insurance must cover evaluations without age or dollar caps, and NY Medicaid covers evaluations fully under EPSDT.
Quick Answer
In New York, private-pay autism evaluations cost $2,500–$6,000. NY commercial insurance must cover evaluations without age or dollar caps, and NY Medicaid covers evaluations fully under EPSDT.
- Private-pay range: $2,500-$6,000 (typical about $4,000).
- Commercial insurance: $0–$1,500.
- 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
Typical out-of-pocket
NY requires evaluation coverage with no age cap or dollar cap on state-regulated plans.
Medicaid
$0
Typical copay
Wait Times
3–6 months (longer in NYC metro)
Private psychologist
Major center: 9–18 months (Columbia, Mount Sinai, NYU)
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 (Columbia, Mount Sinai, NYU)
- Private psychologist
- 3–6 months (longer in NYC metro)
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 York
Einstein Center for Autism
Bronx
OPWDD Front Door — free eligibility evaluation
Eligibility determination is free; clinical evaluation may be referred externally.
Related
New York 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 York. Always confirm the latest quote directly with the provider before booking.
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