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Evaluation Cost Guide

Autism Evaluation Cost in North Dakota

In North Dakota, 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. ND Medicaid covers evaluations fully for children under 21 under EPSDT. The standout ND ASD Voucher provides state-funded dollars for autism services, usable alongside insurance. Many families also travel to Mayo Clinic or the University of Minnesota.

Quick Answer

In North Dakota, 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. ND Medicaid covers evaluations fully for children under 21 under EPSDT. The standout ND ASD Voucher provides state-funded dollars for autism services, usable alongside insurance. Many families also travel to Mayo Clinic or the University of Minnesota.

  • 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

North Dakota's autism insurance mandate requires state-regulated plans to cover autism services including evaluations. Self-funded ERISA plans are exempt — confirm your plan type before scheduling.

Medicaid

$0

Typical copay

ND Medicaid covers diagnostic evaluations under EPSDT for enrolled children under 21. Families above standard income limits should ask about the Medicaid for Children with Disabilities (Katie Beckett–style) pathway.

Wait Times

3–6 months in Fargo, Bismarck, Grand Forks

Private psychologist

Major center: 9–15 months (Sanford Fargo, Essentia, Anne Carlsen Center, Sanford Bismarck)

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
9–15 months (Sanford Fargo, Essentia, Anne Carlsen Center, Sanford Bismarck)
Private psychologist
3–6 months in Fargo, Bismarck, Grand Forks
Telehealth
4–8 weeks at Sanford, Mayo, and UND telehealth programs

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 North Dakota

ND Autism Spectrum Disorder (ASD) Voucher

state fundedFree if eligible

State-funded voucher that can be applied to autism evaluations, therapies, respite, and training. Usable alongside commercial insurance.

Anne Carlsen Center

nonprofitSliding scale

Jamestown / Bismarck / Fargo

Statewide nonprofit with multiple diagnostic and therapy sites; accepts Medicaid.

UND School of Medicine — Center for Rural Health

university

Grand Forks

Coordinates rural telehealth diagnostic access.

Mayo Clinic Children's Center

university

Rochester, MN (out of state)

Most common out-of-state referral for ND families.

Related

North Dakota 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 North Dakota. Always confirm the latest quote directly with the provider before booking.

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