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Evaluation Cost Guide

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)

$2,500 – $6,000typical: ~$4,000

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

universitySliding scale

Bronx

OPWDD Front Door — free eligibility evaluation

state fundedFree if eligible

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.

View Medicaid →

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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