Evaluation Flat Rate Fees [We do not accept insurance]:

Neuropsych Evaluation [TBI, Medical Concerns, Neurological Insults, Complicated Medical/Psych etc.]: A full evaluation costs between $3,500-$4,500 (Sliding Scale < $50,000 per household). *This does NOT include IEP meetings, or any additional clinical work. IEP meetings are $350.00 per hour portal to portal. **Expedited report fees ($500.00).

TBI, Medical Concerns, Neurological Insults, Complicated Medical/Psych.

**Some younger children or less demanding neuropsychological testing batteries are between $2000 [6-7 year-olds]-$2,500-$3,500 [8-year-olds and up].

Children’s ADHD Testing: $2,000.00-$2,500.00

Adult ADHD Testing: $2,500.00

Adult Autism Testing: $2,500.00

Childhood Autism Testing: $3,500.00

Forensic WorkCourt Testimony for Forensic & Court Based Neuropsych Testing: $400 per hour, Portal to Portal/ Wait Time (Full Evals are $4,000-$5,500).**Expedited report fees ($600.00-$1,000). Deposition charges are ($400 hourly, no minimum). Court testimony is $400.00 per hour with a 4-hour or half-day minimum. Out of area related travel is billed $400.00 hourly.

Your insurance, if it is a PPO plan, may give you some reimbursement for a neuropsych evaluation. Typically, with standard out of network benefits, you will receive 65% of the contracted rate which is around $500.00-$600.00. Sometimes you can obtain an out of network exemption, and receive approximately $900.00-$1,000.00. We will bill the insurance company for you. However, our fees are due up front on the first visit. The check from the insurance company will be sent to you. If it is sent to us, we will cut you a check for that amount. 

Below are the codes you can use to inquire about your insurance coverage and out of network coverage. Please use both the probable diagnostic code, and the procedure codes as well.

Diagnostic Codes (Updated ICD-10):

  • Learning Disabilities are NEVER covered by insurance, neither are court-related, court-ordered, or accommodation evaluations
  • 314.00 (F90.0) ADHD
  • 299.00 (F84.0) Autism
  • 294.9 (F09) Cognitive Problems (e.g., Brain Injury, Complicated Medical Concerns)
  • 312.81 (F91.1) Behavior Problems
  • 311 (F32.9) Depression
  • 300.00 (F41.9) Anxiety
  • 296.80 (F31.9) Bipolar Disorder
  • 295.90 (F20.9) Schizophrenia

*Additional diagnostic codes can be found by searching the disorder you are inquiring about + “ICD-10 code” on Google.

Neuropsych Evaluation Current Procedural Terminology Codes: (CPT)

  1. 96116 – Neurobehavioral status exam typically [1-2] hours
  2. 90791 – Diagnostic Interview always [1] hour
  3. 96101 – Psychological Testing (For Psych Evaluation) [6-12] hours
  4. 96118 – Neuropsychological Testing (May be under your Medical Plan) [6-12] hours

Give these codes to your PPO provider to determine your reimbursement rates.