Private (no rebate)
You pay about $2,145
- 10 sessions × $214.50 = about $2,145
- No rebate. You pay the clinic’s fee.
What therapy and assessments cost: rebates and gaps
See what each funding route leaves you to pay.
EarlyBloom team · Facts last checked 18 October 2026 against the sources below
Key points
- Choose what your child needs and enter your clinic’s fee.
- Tick the funding you have, such as a GP Chronic Condition Management Plan, an M10 treatment plan or an NDIS plan.
- Compare what each route leaves you to pay.
Why this helps
What you pay depends on the clinic’s fee and on your funding, such as Medicare, the NDIS or private health extras. Each one has its own rules and limits, so the costs are hard to compare. This calculator works out each route on its own from the fee you enter, so you can compare them.
General information, not medical advice. This tool does not assess or diagnose your child. Talk to your GP or another health professional about your child.
Medicare rebates and NDIS price limits
The calculator works out your costs from these figures. It needs JavaScript; without it, this table shows the figures it uses.
| Route | Medicare pays back or price limit | Source |
|---|---|---|
| GP Chronic Condition Management Plan (at least 20 minutes) | $63.40 a session | MBS item 10970 (opens in a new tab). Last checked 18 October 2026 |
| M10 treatment plan, treatment session (at least 30 minutes) | $89.50 a session | MBS item 82020 (opens in a new tab). Last checked 18 October 2026 |
| NDIS plan price limit, city or regional | $193.99 an hour | NDIS Pricing Schedule 2026-27 (opens in a new tab). Last checked 18 October 2026 |
| NDIS plan price limit, remote | $271.59 an hour | NDIS Pricing Schedule 2026-27 (opens in a new tab). Last checked 18 October 2026 |
| NDIS plan price limit, very remote | $290.99 an hour | NDIS Pricing Schedule 2026-27 (opens in a new tab). Last checked 18 October 2026 |
| Route | Medicare pays back or price limit | Source |
|---|---|---|
| GP Chronic Condition Management Plan (at least 20 minutes) | $63.40 a session | MBS item 10958 (opens in a new tab). Last checked 18 October 2026 |
| M10 treatment plan, treatment session (at least 30 minutes) | $89.50 a session | MBS item 82025 (opens in a new tab). Last checked 18 October 2026 |
| NDIS plan price limit, city or regional | $193.99 an hour | NDIS Pricing Schedule 2026-27 (opens in a new tab). Last checked 18 October 2026 |
| NDIS plan price limit, remote | $271.59 an hour | NDIS Pricing Schedule 2026-27 (opens in a new tab). Last checked 18 October 2026 |
| NDIS plan price limit, very remote | $290.99 an hour | NDIS Pricing Schedule 2026-27 (opens in a new tab). Last checked 18 October 2026 |
| Route | Medicare pays back or price limit | Source |
|---|---|---|
| GP Chronic Condition Management Plan (at least 20 minutes) | $63.40 a session | MBS item 10968 (opens in a new tab). Last checked 18 October 2026 |
| M10 treatment plan, treatment session (at least 30 minutes) | $101.55 a session | MBS item 82015 (opens in a new tab). Last checked 18 October 2026 |
| Better Access, psychologist (at least 50 minutes) | $101.55 a session | MBS item 80110 (opens in a new tab). Last checked 18 October 2026 |
| Better Access, clinical psychologist (at least 50 minutes) | $149.05 a session | MBS item 80010 (opens in a new tab). Last checked 18 October 2026 |
| NDIS plan price limit, city or regional | $252.99 an hour | NDIS Pricing Schedule 2026-27 (opens in a new tab). Last checked 18 October 2026 |
| NDIS plan price limit, remote | $354.19 an hour | NDIS Pricing Schedule 2026-27 (opens in a new tab). Last checked 18 October 2026 |
| NDIS plan price limit, very remote | $379.49 an hour | NDIS Pricing Schedule 2026-27 (opens in a new tab). Last checked 18 October 2026 |
| Route | Medicare pays back or price limit | Source |
|---|---|---|
| M10 referral, assessment session with a psychologist (at least 50 minutes) | $101.55 a session | MBS item 82000 (opens in a new tab). Last checked 18 October 2026 |
| M10 referral, assessment session with a speech pathologist (at least 50 minutes) | $89.50 a session | MBS item 82005 (opens in a new tab). Last checked 18 October 2026 |
| M10 referral, assessment session with an occupational therapist (at least 50 minutes) | $89.50 a session | MBS item 82010 (opens in a new tab). Last checked 18 October 2026 |
| Paediatrician, first visit (item 110, with a referral) | $155.85 a visit | MBS item 110 (opens in a new tab). Last checked 18 October 2026 |
| Paediatrician, later visit (item 116, with a referral) | $77.95 a visit | MBS item 116 (opens in a new tab). Last checked 18 October 2026 |
| Paediatrician, M10 treatment plan visit (item 135, with a referral) | $272.50 a visit | MBS item 135 (opens in a new tab). Last checked 18 October 2026 |
The NDIS does not pay for diagnostic assessments.
| Route | Medicare pays back or price limit | Source |
|---|---|---|
| M10 referral, assessment session with a psychologist (at least 50 minutes) | $101.55 a session | MBS item 82000 (opens in a new tab). Last checked 18 October 2026 |
| M10 referral, assessment session with a speech pathologist (at least 50 minutes) | $89.50 a session | MBS item 82005 (opens in a new tab). Last checked 18 October 2026 |
| M10 referral, assessment session with an occupational therapist (at least 50 minutes) | $89.50 a session | MBS item 82010 (opens in a new tab). Last checked 18 October 2026 |
| Paediatrician, first visit (item 110, with a referral) | $155.85 a visit | MBS item 110 (opens in a new tab). Last checked 18 October 2026 |
| Paediatrician, later visit (item 116, with a referral) | $77.95 a visit | MBS item 116 (opens in a new tab). Last checked 18 October 2026 |
| Paediatrician, M10 treatment plan visit (item 135, with a referral) | $272.50 a visit | MBS item 135 (opens in a new tab). Last checked 18 October 2026 |
Ask the paediatrician whether your child’s assessment can use M10 items.
The NDIS does not pay for diagnostic assessments.
What you might pay
Public service
You pay $0
- If your child loses skills they had, or you become more worried, don’t wait: see your GP or child health nurse.
- Public services cost $0. Ask the service how long the wait is for your child.
Ask your GP which of these plans your child can use.
Video and phone sessions get the same Medicare rebate and count toward the same limits.
How this works
What this tool does
- Works out your costs from the Medicare rebates and NDIS price limits listed below
- Shows each funding route on its own, with its rules and sources
- Keeps your answers in this browser tab, and does not save or send them
What it does not do
- Tell you whether your child qualifies for any plan or rebate
- Know what your clinic charges, so the fee you enter sets the result
Our tools help you find information, work out costs and get ready for appointments. They do not screen, assess, diagnose, monitor or treat any condition. They never tell you whether your child is likely to have a condition. What you type into a tool stays in your browser; we do not store it. For advice about your child, talk to your GP, a child health nurse or another health professional.
Sources
(2 websites)
Medicare Benefits Schedule (MBS Online)
We check each fee and rebate against these MBS item pages.
item 110 (opens in a new tab), item 116 (opens in a new tab), item 135 (opens in a new tab), item 10958 (opens in a new tab), item 10968 (opens in a new tab), item 10970 (opens in a new tab), item 80010 (opens in a new tab), item 80110 (opens in a new tab), item 82000 (opens in a new tab), item 82005 (opens in a new tab), item 82010 (opens in a new tab), item 82015 (opens in a new tab), item 82020 (opens in a new tab), item 82025 (opens in a new tab)
NDIS