Autism Evaluation Cost in Texas
In Texas, a private-pay autism evaluation costs $1,500–$5,000 (typical: ~$3,000). With commercial insurance it ranges $0–$1,500 out-of-pocket. Medicaid covers evaluations fully for enrolled children under 21.
Quick Answer
In Texas, a private-pay autism evaluation costs $1,500–$5,000 (typical: ~$3,000). With commercial insurance it ranges $0–$1,500 out-of-pocket. Medicaid covers evaluations fully for enrolled children under 21.
- Private-pay range: $1,500-$5,000 (typical about $3,000).
- 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
Texas's autism insurance mandate (Chapter 1355) requires coverage for evaluations on state-regulated plans. Self-funded ERISA plans are exempt — verify your plan type.
Medicaid
$0
Typical copay
Texas Medicaid covers diagnostic evaluations under EPSDT for enrolled children under 21.
Wait Times
3–6 months
Private psychologist
Major center: 12–18 months (Texas Children's, Dell, Cook)
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
- 12–18 months (Texas Children's, Dell, Cook)
- Private psychologist
- 3–6 months
- Telehealth
- Via TCHATT program: often 2–4 weeks for qualifying families
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 Texas
UT Austin ABA Clinic (graduate training program)
Austin
Baylor Psychology Clinic
Houston
TCHATT (Texas Child Health Access Through Telemedicine)
Free telehealth evaluations via participating school districts.
Related
Texas 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 Texas. Always confirm the latest quote directly with the provider before booking.
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