1
Evaluation Type
What are you seeking an evaluation for?
Select the option that best describes your reason for testing.
A comprehensive ADHD evaluation for children, including cognitive and behavioral assessments. Mood and anxiety screening are included in all evaluations.
2
Insurance Information
Your Insurance
Deductible Remaining
How much of your annual deductible is left to pay.
$
Co-Insurance %
Your share of costs after deductible is met (e.g. 20%).
%
Out-of-Pocket Max Remaining
Your remaining annual out-of-pocket limit. Leave blank if unknown.
$
I know my specific rates — edit manually
Evaluation / Interpretation Rates
96130 — Eval (first hour)
$
96131 — Eval (addl hours)
$
Test Administration Rate
96136–96139 — Admin (blended avg)
$
Self-Pay Package Pricing
$1,200
This is the all-inclusive package price for your selected evaluation type. No additional insurance math applies. An initial consultation (90791) is billed separately at $250.
Achievement / Learning Disorder Testing
$650
Achievement, learning disorder, and dyslexia testing is not covered by insurance and is always billed as an out-of-pocket expense regardless of your insurance plan. This is a flat fee that covers the full testing panel.
3
Estimated Costs
Important: About Your Estimate
The cost estimate provided is based on deductible pricing. However, depending on your insurance benefits, your testing appointment may qualify for a copay instead. Our Benefits Team will verify your coverage following your initial evaluation appointment. You may also contact your insurance company directly for additional information regarding your benefits. As a result, your out-of-pocket cost may be as low as your copay or may be more consistent with the deductible-based estimates provided on this page.
Insurance Allowed Amount
Low Est.
High Est.
Evaluation / Interpretation
$0.00
$0.00
Test Administration
$0.00
$0.00
Total Allowed
$0.00
$0.00
Your Estimated Responsibility
Low Est.
High Est.
Deductible Payment
$0.00
$0.00
Co-Insurance Payments
$0.00
$0.00
Insurance Payments
$0.00
$0.00
Your Estimated Cost Range
$0.00
OOP Max reached
$0.00
OOP Max reached
*These estimates are based on typical testing panels for your selected evaluation type. The actual scope and number of tests administered will be determined by your psychologist during the intake consultation and may vary from these projections.
*Prior authorization requirements are determined by your insurance company. Some plans require pre-approval before psychological testing. Athena Care will assist with the prior authorization process, but coverage is ultimately determined by your insurer.
*These calculations are an estimate only and do not constitute a guarantee of cost. Your actual costs will vary depending on other medical expenses applied to your deductible and the final testing panel administered.
Important Information
All evaluations include screening for mood disorders and anxiety at no additional charge.
An initial intake consultation is required before testing begins. This session is where your psychologist will determine the specific tests needed for your evaluation.
The complete testing process — from your initial intake interview through testing sessions to your results feedback appointment — typically takes 2 to 6 months depending on the tests ordered and the office location chosen.
Achievement, learning disorder, and dyslexia testing is not covered by insurance and is always billed at a flat rate of $650 out-of-pocket.
If you are unsure about your insurance benefits (deductible, co-insurance, or out-of-pocket maximum), contact the member services number on the back of your insurance card.
For questions about scheduling or testing services, please call our evaluations line at 615-437-5323.