Functional Capacity Evaluation Costs 2024

The cost of a Functional Capacity Evaluation (FCE) can vary depending on several factors, read on to learn more.

Average Costs:

• Range: $871 to $916 (based on MDsave data)
• National average: Around $1,786 (according to various sources)

Factors Affecting Cost:

• Location: Costs tend to be higher in urban areas compared to rural areas.
• Complexity of the evaluation: More extensive evaluations with additional tests or longer durations will naturally cost more.
• Type of FCE: Work simulator tests usually cost more than paper-and-pencil assessments.
• Insurance coverage: Your insurance might cover some or all of the cost, depending on the policy and reason for the evaluation.
• Facility fees: Different clinics or centers might have varying overhead costs reflected in their pricing.

Cost Breakdown by Services:

• Initial consultation: Around $150-$250
• Physical exam and history review: $100-$200
• Functional tests: Varies depending on tests used, potentially ranging from $500-$1,000
• Report writing and analysis: $100-$200

Additional Costs:

• Travel expenses: If the evaluation facility is not near you, you might incur travel costs.
• Lost wages: If you miss work for the evaluation, you might lose wages depending on your employer’s policy.

Tips for Saving Money:

• Check your insurance coverage: Before scheduling an FCE, inquire with your insurance provider to understand your coverage and potential out-of-pocket costs.
• Shop around and compare prices: Get quotes from multiple FCE providers in your area to compare costs and services offered.
• Ask about payment plans: Some facilities offer payment plans to help spread out the cost.
• Consider alternatives: Depending on the reason for the FCE, there might be less expensive alternative assessments available. Discuss options with your doctor or the requesting party.

Important Note:

• Choosing the right FCE provider is crucial. Look for a qualified and experienced facility with a good reputation. Ask about their certifications, staff qualifications, and experience with similar cases.
• Don’t prioritize cost over quality. While saving money is important, ensuring a thorough and accurate evaluation is crucial for its intended purpose.