What an adult autism evaluation costs — the number, up front.

The fee, itemized honestly

The flat $2,000 covers the entire arc, start to finish: the free 15-minute consultation; the cross-battery evaluation — the MIGDAS-2 structured interview together with standardized rating scales and performance-based measures; the 3–5 hour evaluation session conducted personally by Dr. Burgoyne over HIPAA-secure video; the comprehensive written diagnostic report, ready about a week after your evaluation; and a one-hour feedback session to walk through every finding. There are no per-instrument charges, no report fee, no add-ons. If the answer turns out not to be autism, the fee is the same and so is the depth: a full differential explanation of what actually accounts for the pattern.

Why comprehensive evaluations cost what they do

The hours you see — the evaluation session itself — are a minority of the work. Behind them sit the review of your intake and history forms, the administration and scoring of multiple standardized instruments, the integration of all of it into a differential diagnostic formulation, and the writing of a report thorough enough to stand up to an employer, a graduate program, or another clinician years from now. A comprehensive adult evaluation represents many hours of doctoral-level clinical time; the report is not a printout, it is the product.

For context, comprehensive adult autism evaluations in the United States are commonly quoted anywhere from the low thousands to $5,000 or more, depending on region and scope — and publicly funded routes, where they exist for adults at all, frequently involve waitlists measured in months to years. A flat $2,000 with no waitlist is a deliberate position: rigorous, personally conducted, and priced so that the decision is serious but not prohibitive for the working professionals this practice serves.

Why insurance is not accepted — on purpose

This is the part most pages bury. Insurance is not accepted here, no claim is ever filed, and that is a feature, not a limitation, for three concrete reasons.

Confidentiality. A claim creates a permanent record of an autism evaluation — and any resulting diagnosis — inside your insurance history. For adults with professional licenses, security clearances, or simple privacy preferences, keeping the evaluation entirely off that record matters. Private pay means nothing is reported to anyone: not your employer, not an insurer, not a database. Whether anyone ever knows you were evaluated is entirely your decision.

Independence. Insurers impose their own requirements on what is evaluated, which instruments qualify, and how much time is reimbursable. A private evaluation is designed around one constraint only: answering your question properly.

Speed. No prior authorizations, no network scheduling queues, no waitlist. The whole process moves at the pace of your calendar.

What you are actually buying

Not a label — an answer, with documentation. If criteria are met: a formal diagnosis, language for a lifetime of experiences that finally fit together, documentation that supports workplace accommodations under the ADA, and recommendations for your actual life. If they are not: a clear differential answer about what does explain the pattern, the same comprehensive report, and an end to the wondering — which, after decades, has a value of its own. Either way, you are buying certainty from a psychologist whose practice is devoted entirely to assessment, with more than 500 comprehensive evaluations behind him.

Common questions about cost

Do you accept insurance?

No — deliberately, for the confidentiality, independence, and speed reasons above. Insurance is not accepted and no claim is filed on your behalf.

Can I use HSA or FSA funds?

Yes, both may be used for the evaluation.

Are there hidden costs?

No. The flat fee covers everything from the consultation through the report and feedback session.

Is the consultation really free?

Yes — fifteen minutes by video, no obligation, and it is where your state's PSYPACT eligibility is confirmed before any money changes hands.