Autism Evaluation Cost in Utah
In Utah, private-pay autism evaluations typically run $2,000–$5,000. Clay's Law requires commercial plans to cover evaluations for autism. Medicaid covers evaluations fully for enrolled children, but Utah has no Katie Beckett option — middle-income families without coverage rely on the long DSPD waitlist or private pay.
Quick Answer
In Utah, private-pay autism evaluations typically run $2,000–$5,000. Clay's Law requires commercial plans to cover evaluations for autism. Medicaid covers evaluations fully for enrolled children, but Utah has no Katie Beckett option — middle-income families without coverage rely on the long DSPD waitlist or private pay.
- Private-pay range: $2,000-$5,000 (typical about $3,200).
- 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
Utah's Clay's Law (2014) requires state-regulated plans to cover diagnosis and treatment of autism (including ABA), subject to statutory limits. Self-funded ERISA plans are exempt — verify plan type.
Medicaid
$0
Typical copay
Utah Medicaid covers diagnostic evaluations under EPSDT for enrolled children under 21. Prior auth typically required for subsequent ABA services.
Wait Times
3–6 months along the Wasatch Front; longer elsewhere
Private psychologist
Major center: 9–15 months (University of Utah Neurobehavior HOME, Primary Children's Hospital, USU ASSERT)
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 (University of Utah Neurobehavior HOME, Primary Children's Hospital, USU ASSERT)
- Private psychologist
- 3–6 months along the Wasatch Front; longer elsewhere
- Telehealth
- 4–8 weeks at telehealth-first practices
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 Utah
University of Utah — Neurobehavior HOME Program
Salt Lake City
Medicaid-accepting; primary academic diagnostic hub.
Utah State University ASSERT Program
Logan
Diagnostic evaluations and early-intensive ABA.
BYU Comprehensive Clinic — Department of Psychology
Provo
University-trainee clinic; reduced-fee evaluations.
Kids On The Move
Orem
Nonprofit with diagnostic and early intervention services in Utah County.
Related
Utah 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 Utah. Always confirm the latest quote directly with the provider before booking.
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