Autism Evaluation Cost in West Virginia
In West Virginia, a private-pay autism evaluation typically runs $1,500–$4,000. WV's insurance mandate covers state-regulated plans with $0–$1,200 out-of-pocket typical. Medicaid fully covers evaluations for children under 21 via EPSDT. Many families travel to Nationwide Children's, Cincinnati Children's, UPMC Pittsburgh, or UVA for specialty diagnostics.
Quick Answer
In West Virginia, a private-pay autism evaluation typically runs $1,500–$4,000. WV's insurance mandate covers state-regulated plans with $0–$1,200 out-of-pocket typical. Medicaid fully covers evaluations for children under 21 via EPSDT. Many families travel to Nationwide Children's, Cincinnati Children's, UPMC Pittsburgh, or UVA for specialty diagnostics.
- Private-pay range: $1,500-$4,000 (typical about $2,500).
- 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
WV'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
WV Medicaid (administered by the Bureau for Medical Services) covers diagnostic evaluations under EPSDT for enrolled children under 21. Katie Beckett-enrolled children have the same benefit regardless of family income.
Wait Times
4–8 months
Private psychologist
Major center: 9–15 months (WVU Medicine Children's, CAMC Women and Children's, Marshall 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
- 9–15 months (WVU Medicine Children's, CAMC Women and Children's, Marshall Health)
- Private psychologist
- 4–8 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 West Virginia
WVU Center for Excellence in Disabilities (CED)
Morgantown
WV's UCEDD; interdisciplinary evaluations and training-clinic sliding scale.
Marshall University Autism Training Center
Huntington
Family support, training, and evaluation referral.
Prestera Center
Charleston / Huntington region
Community behavioral health organization; accepts Medicaid.
Nationwide Children's Hospital (Columbus, OH)
Columbus, OH
Common out-of-state referral for northern and eastern WV families.
UPMC Children's Hospital of Pittsburgh
Pittsburgh, PA
Common out-of-state referral for northern WV families.
Related
West Virginia 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 West Virginia. Always confirm the latest quote directly with the provider before booking.
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