Autism Evaluation Cost in Vermont
In Vermont, a private-pay autism evaluation typically runs $1,800–$4,500. Vermont's insurance mandate covers state-regulated plans with $0–$1,200 out-of-pocket typical. Medicaid under the Global Commitment to Health waiver fully covers evaluations for children under 21 via EPSDT. Many families use Dartmouth Health Children's or Boston-area providers for faster access.
Quick Answer
In Vermont, a private-pay autism evaluation typically runs $1,800–$4,500. Vermont's insurance mandate covers state-regulated plans with $0–$1,200 out-of-pocket typical. Medicaid under the Global Commitment to Health waiver fully covers evaluations for children under 21 via EPSDT. Many families use Dartmouth Health Children's or Boston-area providers for faster access.
- Private-pay range: $1,800-$4,500 (typical about $3,000).
- Commercial insurance: $0–$1,200 depending on deductible.
- 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–$1,200 depending on deductible
Typical out-of-pocket
Vermont's autism insurance mandate requires state-regulated commercial plans to cover autism diagnosis and treatment including ABA. Self-funded ERISA plans are exempt — confirm your plan type.
Medicaid
$0
Typical copay
Vermont Medicaid (Green Mountain Care / Dr. Dynasaur) covers diagnostic evaluations under EPSDT for enrolled children under 21. Katie Beckett-enrolled children have the same benefit regardless of family income.
Wait Times
3–6 months
Private psychologist
Major center: 6–12 months (UVM Medical Center Child Development Center)
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
- 6–12 months (UVM Medical Center Child Development Center)
- Private psychologist
- 3–6 months
- 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 Vermont
UVM Medical Center — Child Development Center
Burlington
Vermont's flagship multidisciplinary pediatric diagnostic resource.
Howard Center
Burlington
Community mental health agency; accepts Medicaid.
Vermont LEND / UVM Autism Collaborative
Burlington
Research and training collaboration; families may qualify for studies.
Dartmouth Health Children's Autism Assessment Program
Lebanon, NH
Commonly used by central and southern VT families.
Regional Designated Agencies
Statewide
Designated Agencies provide service coordination and some evaluation for families qualifying for DDS supports.
Related
Vermont 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 Vermont. Always confirm the latest quote directly with the provider before booking.
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