You finally decide to get answers. You've suspected for years that your brain runs differently — maybe it was a 2am rabbit hole of ADHD videos, or reading about autistic burnout in your car in the work parking lot, wondering why everyone else doesn't seem this tired. You work up the nerve to call a place that "does testing."
And then they tell you the price. St. Louis quotes I can verify run from about $500 to $3,500, and the one that closes the door is the one at the top:
"That'll be $3,500. Next opening is in November."
It feels like a door slamming. And a lot of people, in that exact moment, just… close it. Go back to coping. Back to masking. Back to wondering. I don't want you to close the door — so let me give you the number first, because you shouldn't have to scroll for it.
At Enlitens, an ADHD or autism assessment is $125 an hour — and most adults need somewhere between three and six hours total. That's the whole price. No package, no test-kit markup, no surprise bill. The most it has realistically ever run is around $800, and that's rare. You can do it woven into weekly therapy, or all at once — your choice.
What does ADHD/autism testing cost everywhere else?
The big number isn't the price of understanding your brain. It's the price of a proprietary test-kit battery — the ADOS, the Wechsler — administered in a cold, artificial room, and then wrapped in the words "gold standard" to justify the number. The "gold standard" is, frankly, a story they tell you to make the bill feel earned.
We don't do that. We threw the ADOS-2 in the trash → — it tests how well you can perform "normal" for a stranger for an hour, which is exactly the wrong thing to measure. Our value isn't a test kit. It's the time spent actually understanding you. So we charge for that time, transparently, and nothing else.
For context: a comprehensive neuropsychological evaluation commonly runs $2,000–$5,000 (a 2020 study in Archives of Clinical Neuropsychology put five-hour evaluations at about $2,080 on average and eight-hour ones at about $3,290), and adult ADHD and autism assessments are published anywhere from a few hundred dollars to over $7,000. A 2025 federal report on adult ADHD diagnosis (ASPE, U.S. Department of Health and Human Services) lists insurance problems, long waits and high out-of-pocket costs among the things that delay it, and its clinical experts unanimously said neuropsychological testing is not necessary to diagnose ADHD in adults. That's a real, broken system. We just decided not to be part of it.
So what does it actually cost at Enlitens?
$125 an hour. That's it. Most adults exploring an AuDHD diagnosis need three to six hours total — so the real-world number usually lands a few hundred dollars, not a few thousand. And you pick how it happens:
- The Weekly Build (how most people do it): we work through the assessment over weekly one-hour sessions — usually four or five, plus a final review where I walk you through your "User Manual." No giant block of time to carve out, no lump sum, and you get to process between sessions instead of cramming it all into one overwhelming day.
- The Deep-Dive (all at once): if you'd rather just get answers fast, we can do it across a couple of longer sessions. Case by case, same $125/hour.
Either way, you see the exact scope, you pay for the hours, and there's no markup hiding in a test kit. This is the method → — a structured conversation, with tools assigned as "homework" between sessions, not a one-day exam you have to perform for.
Is ADHD or autism testing covered by insurance?
The honest answer is almost always no. Here that's fine, because there's no big package on your card to fight over.
"Testing" gets billed with specific psychological-testing codes that, in practice, belong to psychologists and physicians — not counselors. I'm an LPC, so I don't bill your assessment as "testing," which means there's no claim to deny, no superbill shell game, no months-later surprise bill. I'd rather be straight with you than sell you a reimbursement fantasy.
What is covered: if you decide to continue therapy with me after your assessment, those ongoing sessions are billable to insurance (I'm in-network with several major providers). So if the fit is there, you get your clarity and ongoing support. And here's the everyday math: our pricing, in plain English →.
How to actually pay for it
- Spread it out. The Weekly Build means you're paying one hour at a time, not a lump sum — for a lot of people, that alone solves the problem.
- Use your HSA/FSA. A clinical mental-health assessment with a licensed provider is a qualified medical expense, so pre-tax dollars work. If you've been hoarding an HSA balance for "the right medical expense," this is it. (Check your plan document; a few employer plans are pickier.)
- Sliding scale for the therapy side. If you continue with therapy, there's a no-judgment sliding scale ($50–$125) →. No pay stubs, no proving yourself — just an honest conversation.
- Just ask. If money's tight, say so at your free Fit Check. We'll figure out something sustainable. The worst that happens is we make a plan.
Is it worth it?
Only you can answer that. But let me flip the question: what's the cost of not knowing?
- The cost of treating "anxiety" for ten years when the root was sensory overwhelm?
- The cost of believing you're "lazy" when you actually have executive dysfunction?
- The cost of burning out every 18 months forcing a neurodivergent brain into a mold built for someone else?
- The cost of your kid spending another year thinking something is wrong with them, when their brain just runs a different operating system?
I've sat across from adults who cried when they finally got their answer — not from sadness, from relief. Decades of "what's wrong with me?" answered in one sentence: nothing is wrong with you. You've just been handed the wrong manual.
Answers shouldn't cost thousands. Here, they don't. If you're ready, let's start with a free Fit Check →
Quick Answers
$125 an hour — and most adults need three to six hours total, so it usually lands at a few hundred dollars. That's the whole price. No package, no test-kit markup, no surprise bill.
A full neuropsychological evaluation commonly runs $2,000–$5,000, and adult ADHD and autism assessments are published anywhere from a few hundred dollars to over $7,000. St. Louis quotes I can verify run from about $500 to $3,500, and some of those places do take insurance. A lot of the price is a proprietary test-kit battery (the ADOS, the Wechsler) administered in a sterile room and called the 'gold standard.' We don't use those tools, and we don't price like that.
Honestly? For an assessment with a counselor, almost never — so there is no claim to fight over here. What is billable: if you continue therapy with me afterward, those ongoing sessions go through insurance.
Nope — your call. Most people do The Weekly Build: we work through it over weekly one-hour sessions (usually 4-5 plus a review), so there's no giant time block or lump sum. Prefer to knock it out? We can do a longer deep-dive instead.
Yes. A clinical mental-health assessment with a licensed provider is a qualified medical expense, so HSA/FSA dollars work, and you pay with pre-tax money. Just keep your itemized receipt for your records. (Check your specific plan document; a few employer plans are pickier than others.)
