Autism Evaluation Cost in South Carolina
In South Carolina, private-pay autism evaluations cost $1,500–$4,500 (typical ~$2,800). Healthy Connections Medicaid covers evaluations under EPSDT, and TEFRA (Katie Beckett) extends that coverage to disabled children regardless of family income.
Quick Answer
In South Carolina, private-pay autism evaluations cost $1,500–$4,500 (typical ~$2,800). Healthy Connections Medicaid covers evaluations under EPSDT, and TEFRA (Katie Beckett) extends that coverage to disabled children regardless of family income.
- 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)
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
Ryan's Law (S.C. Code Ann. § 38-71-280) requires state-regulated plans to cover autism diagnosis and treatment. Self-funded ERISA plans are exempt — verify plan type.
Medicaid
$0
Typical copay
Healthy Connections Medicaid covers diagnostic evaluations under EPSDT. TEFRA-enrolled children have the same coverage regardless of family income.
Wait Times
3–6 months
Private psychologist
Major center: 9–18 months (MUSC, Prisma 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 (MUSC, Prisma Health)
- Private psychologist
- 3–6 months
- Telehealth
- 4–8 weeks
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 South Carolina
MUSC Project Rex
Charleston
USC Psychology Services Center
Columbia
BabyNet (birth–3)
Free developmental evaluations for children under 3.
Related
South Carolina 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 South Carolina. Always confirm the latest quote directly with the provider before booking.
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