How Much Does an ADHD Evaluation Cost?

An adult ADHD evaluation in the United States typically runs between $200 and $1,500 depending on three variables: whether you use insurance, which clinician you see, and whether the evaluation includes objective performance testing like the TOVA. For most insured patients at a psychiatric outpatient practice, the out-of-pocket cost is the deductible portion plus the specialist copay — often a fraction of the sticker price. At Trust Psychiatry & Wellness in West Palm Beach, the ADHD evaluation is billed through major commercial and Florida Medicaid plans as a standard psychiatric diagnostic evaluation. Self-pay rates are available on request — call (561) 849-4449 for a current quote before you book.

You can start with a comprehensive psychiatric evaluation for ADHD at Trust Psychiatry in West Palm Beach.

This guide breaks down what insurance covers, what you actually pay with and without coverage, and what’s included in a complete adult ADHD evaluation.

Is ADHD Testing Covered by Insurance?

Yes, in most cases. ADHD evaluation is a recognized psychiatric diagnostic service. Commercial insurance plans, Florida Medicaid, and TRICARE generally cover the psychiatric diagnostic evaluation CPT code (90791 — without medical services, or 90792 — with medical services for prescribing providers like a PMHNP-BC). That covers the clinical interview, history-taking, rating scales, and diagnostic write-up. For more on this, see our guide to how much a psychiatric evaluation costs.

The variable piece is adjunct testing. Some plans cover objective attention measurement like the TOVA under separate testing codes; some don’t. Some plans require prior authorization. The only way to confirm your specific coverage is to verify benefits with your insurer before your appointment.

Trust Psychiatry & Wellness is in-network with 12 confirmed plans:

Payer	In-Network Status
Aetna	Yes
Cigna	Yes
Evernorth (Cigna behavioral)	Yes
UnitedHealthcare	Yes
Optum (UHC behavioral)	Yes
Florida Medicaid	Yes
AvMed	Yes
TRICARE	Yes
M-Care	Yes
Cuare	Yes
HP	Yes
Paramount	Yes
Blue Cross Blue Shield Florida	Credentialing in progress (Grow Therapy bridge available)
Humana	Credentialing in progress (Grow Therapy bridge available)
Medicare	Not accepted

BCBS Florida and Humana patients can currently access Josie Desmarais through the Grow Therapy bridge while Trust completes direct credentialing. Verify your benefits at intake or call to confirm before scheduling.

How Much Does ADHD Testing Cost With Insurance?

With insurance, the out-of-pocket cost depends on three line items: your specialist copay, your deductible status, and your coinsurance percentage if a deductible applies.

The typical insured cost pattern for a psychiatric diagnostic evaluation looks like this:

Insurance Scenario	What You Pay Out-of-Pocket
Plan with low specialist copay, ded uctible met	Specialist copay only (often $20–$60)
Plan with high deductible, not yet met	Full negotiated rate counts toward deductible
Plan with coinsurance after deductible	Coinsurance percentage of negotiated rate
HMO requiring referral	Same as above, plus referral coordination
Florida Medicaid	$0 patient responsibility for covered services

The negotiated rate is the contracted amount your insurer pays the practice — not the cash sticker price. A psychiatric evaluation that lists at $400 self-pay may be negotiated at $180 with an in-network insurer, and your share of that is what counts toward your deductible or copay.

A practical example: if your plan has a $40 specialist copay and your deductible is already met, you pay $40 at the visit and the rest is processed through insurance. If your deductible is not met, the negotiated rate of the evaluation applies to your deductible, and you pay that amount until the deductible threshold is reached. We cover the TOVA test for ADHD in a separate article.

Trust Psychiatry’s billing team verifies benefits before every new-patient intake. That step matters — it prevents surprise billing and lets you know your out-of-pocket exposure before the appointment.

How Much Does ADHD Testing Cost Without Insurance?

Self-pay rates for adult ADHD evaluation vary widely across providers — from approximately $200 for a brief screening at a primary care visit to $1,500 or more for a full neuropsychological battery at an academic medical center. Most adult psychiatric outpatient evaluations fall in the middle of that range.

Self-pay pricing at Trust Psychiatry & Wellness is available on request — call (561) 849-4449 for a current quote. Pricing depends on:

Whether the visit includes a psychiatric evaluation alone or evaluation plus TOVA testing
Whether the appointment is in-office at the West Palm Beach location or via telehealth
Whether follow-up medication management visits are part of the package

The self-pay route is most often used by patients who are out-of-network with all 12 contracted plans, have a high-deductible plan where the negotiated rate would exceed self-pay, or simply prefer not to involve insurance in their mental health record.

A note on what’s worth paying for: a thorough adult ADHD evaluation runs longer than a primary care screening and uses validated rating scales rather than a five-minute checklist. The price difference reflects the time, the differential diagnosis work, and the clinical write-up that goes into a defensible diagnosis. Cheaper screenings sometimes miss the diagnosis or attribute symptoms to the wrong condition. If that applies to you, read more about whether insurance covers a psychiatric evaluation.

How Much Is an ADHD Assessment?

The terms “ADHD assessment” and “ADHD evaluation” are often used interchangeably, though some providers distinguish them. An ADHD assessment sometimes refers to the narrower attention-and-impulsivity testing piece (rating scales, TOVA), while an ADHD evaluation refers to the full diagnostic process including clinical interview, history, differential diagnosis, and diagnostic write-up.

Cost-wise, the structure is the same as the broader evaluation:

Component	Typical Range (Self-Pay)	With Insurance
Brief screening at primary care	$0–$100 visit copay	Covered under primary care visit
Psychiatric diagnostic evaluation (CPT 90791/90792)	$300–$800	Standard specialist copay or coinsurance
Full neuropsychological battery	$1,000–$3,500	Often requires prior authorization
TOVA (Test of Variables of Attention)	$100–$300 add-on	Sometimes separately billable

At Trust Psychiatry, the adult ADHD evaluation is a full psychiatric diagnostic evaluation — 30 to 60 minutes for the initial visit, conducted by Josie Desmarais, PMHNP-BC. TOVA testing is added when clinically indicated and is administered in-office at the West Palm Beach location. Read the full ADHD treatment overview for what’s included, or the psychiatric evaluation page for the broader diagnostic process.

How Much Is an ADHD Diagnosis?

The cost of “getting an ADHD diagnosis” is the cost of the evaluation that produces the diagnosis. There is no separate fee for the diagnostic conclusion itself — the clinical interview, rating scales, differential diagnosis, and written documentation all roll into the psychiatric diagnostic evaluation billing code.

What you’re paying for is the clinician’s time, the validated instruments used (Adult ADHD Self-Report Scale, Conners Adult ADHD Rating Scales), the differential diagnosis work that rules out conditions that mimic ADHD (anxiety, depression, sleep disorders, thyroid dysfunction), and the documented clinical record that supports the diagnosis going forward. Our team also explains how long an ADHD diagnosis takes in detail.

What’s included in a complete adult ADHD evaluation at Trust Psychiatry:

Component	What It Does
Structured clinical interview	Maps symptoms to DSM-5-TR criteria, captures childhood-onset history
Adult ADHD Self-Report Scale (ASRS)	Standardized symptom screening against DSM criteria
Conners Adult ADHD Rating Scales	Multi-domain symptom and impairment measurement
TOVA (when clinically indicated)	Objective attention and impulsivity measurement, in-office
Differential diagnosis	Rules out anxiety, depression, sleep disorders, thyroid issues, other mimics
Treatment plan	Medication options, supportive psychotherapy, behavioral strategies
Diagnostic documentation	Clinical record supporting diagnosis for medical/insurance purposes

A diagnosis from a qualified psychiatric clinician — a PMHNP-BC or psychiatrist — carries the same diagnostic weight as a diagnosis from any other psychiatric clinician. The DSM-5-TR criteria are the same; the rating scales are the same; the prescribing authority is the same in Florida. The cost difference between provider types reflects practice overhead, not diagnostic credibility.

Does Medicaid Cover ADHD Testing?

Yes — Florida Medicaid covers ADHD evaluation and treatment for eligible ADHD in adults who were never diagnosed, and Trust Psychiatry & Wellness is in-network with Florida Medicaid.

Florida Medicaid covers the psychiatric diagnostic evaluation, ongoing medication management visits, and prescribed ADHD medications including both stimulant and non-stimulant options when clinically indicated and prescribed by a credentialed provider.

What this means in practice for Florida Medicaid adult enrollees:

The initial psychiatric evaluation is covered with no patient responsibility for the visit itself
Follow-up medication management visits are covered
Prescribed ADHD medications are covered through Medicaid pharmacy benefits, subject to the Florida Medicaid Preferred Drug List
TOVA testing, when clinically indicated, is billed under standard psychological testing codes — coverage varies by plan

Florida Medicaid coverage also extends to telehealth visits across all 67 Florida counties, which expands access for Medicaid-enrolled adults who can’t easily reach the West Palm Beach office. The clinical interview, rating scales, and follow-up medication management visits can all happen via video; the TOVA, when indicated, is the one component that requires an in-office visit because of the controlled testing environment.

Florida Medicaid does not require a referral from a primary care provider for adult psychiatric outpatient visits, though some Medicaid managed care plans may have their own internal authorization processes. Verify your specific plan’s requirements at intake. Learn more about whether a head injury can cause ADHD here.

What’s Actually Included in a Trust Psychiatry ADHD Evaluation

A 30-to-60-minute initial psychiatric evaluation at Trust Psychiatry produces a diagnostic conclusion, a treatment plan, and a written clinical record. The evaluation is conducted by Josie Desmarais, PMHNP-BC — a board-certified psychiatric nurse practitioner with prescribing authority under Florida APRN scope.

The structure of the visit:

Intake review — current symptoms, functional impact at work and home, relationship effects, sleep, mood, substance use, medical history
Childhood-onset history — required by DSM-5-TR; symptoms must have been present before age 12
Validated rating scales — ASRS and Conners administered as part of the evaluation
Differential diagnosis — ruling out anxiety, depression, sleep disorders, thyroid dysfunction, and other conditions that produce similar attention symptoms
TOVA if indicated — objective attention measurement in-office at the West Palm Beach location
Treatment plan — discussion of medication options (stimulant and non-stimulant), supportive psychotherapy integrated into visits, behavioral strategies

Meaningful symptom improvement on a well-fitted ADHD plan typically begins within 4–8 weeks of starting medication, with ongoing adjustment based on response. Trust Psychiatry & Wellness provides ongoing medication management after evaluation for adults who proceed to treatment.

Frequently Asked Questions

Does Trust Psychiatry & Wellness offer free ADHD evaluations? No. There is no free initial consultation. The first visit is a paid psychiatric diagnostic evaluation billed through insurance or self-pay. The benefits verification done before your appointment confirms your specific out-of-pocket cost.

Can I use my HSA or FSA for an ADHD evaluation? Yes. ADHD evaluation and treatment are qualified medical expenses under HSA and FSA accounts.

What if I’m uninsured and self-pay is out of reach? Florida Medicaid covers ADHD evaluation for eligible adults at no patient cost for the visit. Eligibility is income-based; the Florida DCF website handles applications. Trust Psychiatry is in-network with Florida Medicaid.

Is the TOVA test always included? No. The TOVA is added when clinically indicated — when diagnostic uncertainty exists, when anxiety or depression complicates the picture, or when objective baseline data would help guide medication decisions. Many evaluations don’t need it.

Can I do the evaluation by telehealth? The clinical interview, rating scales, history, and differential diagnosis can all be conducted via telehealth across Florida. The TOVA, when indicated, requires an in-office visit at the West Palm Beach location. You may also want to understand how an NP can diagnose ADHD and prescribe starting Adderall after diagnosis.

Does Trust Psychiatry & Wellness take Medicare? No. Trust Psychiatry is not currently accepting Medicare.

Schedule an ADHD Evaluation in West Palm Beach or via Telehealth

If you’re ready to move forward, book a psychiatric evaluation directly or call (561) 849-4449 to verify your insurance benefits before scheduling. For the full overview of services, see ADHD treatment, psychiatric evaluation, and insurance and fees.

Trust Psychiatry & Wellness sees adults in person at 4500 Belvedere Rd, Suite D in West Palm Beach and via telepsychiatry across all 67 Florida counties.