Rates & Insurance

We Care Support Services Is An In-Network Provider For

The standard out-of-network fee for evaluation is $160/hour for the initial session, testing administration, scoring, interpretation, written summary, feedback session, and consultation with your pertinent professionals and significant others. A comprehensive assessment usually totals between 12-18 billable hours.
We Care Support Services fees for court ordered evaluations begin at $250/hour.
We Care Support Services works very hard to make psychological testing affordable by working with insurance companies. We have found success billing insurance companies for psychological testing. As with any medical appointment, you are responsible for your deductible and copays. Unfortunately, most insurance companies will not pay for educational evaluations, ADHD evaluations or court ordered evaluations.
The cost depends greatly on the amount of time needed to administer, interpret and compose the information.
We Care Support services will discuss this with you ongoing, and it may be updated if it is decided to add or subtract administration time.
We Care Support works with individuals and families to tailor fit each evaluation to meet your goals and answer your questions.

Insurance for psychological testing: what is usually covered

Insurance for psychological testing usually applies when the evaluation is medically necessary, for example to diagnose autism or to assess memory and thinking after a brain injury. We are in network with Aetna, Cigna, UnitedHealthcare, Optum, UMR, Oscar Health, MultiPlan, Medicare and VA Community Care. You pay your plan’s deductible and copay; we verify your benefits before testing begins.

Evaluations insurance often covers

Autism testing for children and adults, when there are developmental or diagnostic concerns.
Neuropsychological assessment after concussion or brain injury, or with neurological and medical conditions.
Diagnostic psychological testing when a doctor or therapist needs help clarifying a diagnosis.

Evaluations insurance usually does not cover

Educational evaluations, such as learning disability or gifted testing requested for school, and independent educational evaluations.
Most ADHD evaluations.
Court-ordered, forensic, competency and immigration evaluations. These are private pay, starting at $250 per hour.

How much does an evaluation cost without insurance?

The out-of-network rate is $160 per hour. That covers the initial session, test administration, scoring and interpretation, the written report, the feedback session and consultation with the professionals you choose to involve.

A comprehensive assessment usually totals 12 to 18 billable hours. A focused evaluation that answers one question takes less time. We give you an estimate after the intake call and tell you in advance if we recommend adding or removing any testing.

Frequently asked questions

How do I check whether my plan covers testing?

Call us at (877) 302-5628 with your insurance card. We check your benefits, including any prior authorization your plan requires, before the first appointment. You can also call the member services number on your card and ask about “psychological testing” (CPT codes 96130-96139).

Do I need a referral?

Many plans do not, but some HMO plans and Medicare Advantage plans do. A referral from your pediatrician or primary care doctor can also help show medical necessity.

Can a school or court evaluation be billed to insurance?

Usually not. Insurers generally treat school and legal evaluations as non-medical. We explain the private-pay cost upfront so there are no surprises.

What if my insurer is not listed?

We can still see you at the out-of-network rate. Some plans reimburse part of out-of-network costs, so ask your plan about out-of-network mental health benefits.

Ready to start? Request an appointment or call (877) 302-5628. Offices in Orlando, West Palm Beach and Palm Beach Gardens. For background on how insurers must treat mental health benefits, see the federal mental health parity rules (CMS).