Data
Autism in the US: key statistics (2026)
In short
In 2022, CDC's monitoring network identified autism in 32.2 per 1,000 8-year-olds (about 1 in 31) across 16 US sites, from 9.7 to 53.1 per 1,000 between sites. Boys were identified 3.4 times as often as girls, and the median age at the earliest known diagnosis was 47 months. In a separate national survey, parents reported that 4.3% of children aged 3 to 17 had autism in 2023-24.
Key points
- CDC identified autism in about 1 in 31 8-year-olds at 16 US sites in 2022, with wide differences between sites.
- Boys were identified 3.4 times as often as girls, and research suggests girls are more often missed.
- The median age at diagnosis was 47 months, and about half of the children had been evaluated by age 3.
- Children born in 2018 were identified by age 4 at 1.7 times the rate of children born in 2014.
- Figures differ because sources measure different things: records at monitoring sites, parent surveys or school special education counts.
- Family studies suggest genes play the biggest part in autism, and large studies have found no link with vaccines.
On this page
- In short
- About these figures
- How common is autism in the US?
- What does CDC's autism monitoring measure?
- Why do different sources give different numbers?
- Are boys more likely to be identified than girls?
- What do the other breakdowns show?
- At what age are children identified?
- How long are waits, and what do evaluations cost?
- What causes autism, and what about vaccines?
- How we keep these figures up to date
- Questions people ask
- Sources
About these figures
This page brings together published figures on autism in the United States, each with its date and a link to its source. Most come from federal agencies, such as the Centers for Disease Control and Prevention (CDC) and the Department of Education, or from peer-reviewed research. Where a figure is an estimate, comes from a survey sponsored by a company or is not a US figure, we say so. All figures were checked on September 29, 2026. If you quote a figure, please cite the original source.
How common is autism in the US?
There is no single count of autistic people in the US. The figures below come from different methods, so they do not match, and they should not be compared as if they measured the same thing (see "Why do different sources give different numbers?" below).
| Figure | What it measures | Source and date |
|---|---|---|
| 32.2 per 1,000 8-year-olds (about 1 in 31) were identified with autism in 2022 | CDC's Autism and Developmental Disabilities Monitoring (ADDM) Network, which reviews health and education records at 16 sites. Rates ranged from 9.7 per 1,000 in Laredo, Texas, to 53.1 in California. The sites are not a national sample. | CDC, MMWR, April 2025 |
| 29.3 per 1,000 4-year-olds were identified with autism in 2022 | The same 16 sites, for children born in 2018. Some autistic children are not identified until after age 4. | CDC, MMWR, April 2025 |
| 4.3% of children aged 3 to 17 (about 2.7 million) currently had autism, according to their parents, in 2023-24 | The National Survey of Children's Health asks parents whether a health care provider has ever told them their child has autism, and whether the child has it now. The figure was 3.9% in 2022-23. | NSCH 2023-24; NSCH 2022-23 |
| 3.11% of children aged 3 to 17 had ever been diagnosed with autism, 2019 to 2021 | The National Health Interview Survey, also based on what parents report, for the three years combined. | NCHS Data Brief 473, July 2023 |
| 13% of the 7.5 million students aged 3 to 21 served under IDEA in 2022-23 were in the autism category | School special education counts. The 7.5 million students were 15% of all public school students. A child's category is a school eligibility decision, not a medical diagnosis. | NCES, May 2024 |
| About 1 in 127 people worldwide were autistic in 2021 | The World Health Organization's figure for all ages, a modeled estimate based on the Global Burden of Disease 2021 study. It is not a US figure. | WHO, September 2025 |
Good to know: A child's IDEA category is decided by a school team for special education. It is not the same as a medical diagnosis, and a school can evaluate your child without one.
What does CDC's autism monitoring measure?
The "1 in 31" figure comes from CDC's ADDM Network, which counts children whose records at each site show autism. It does not test or examine children. CDC's data page, last reviewed on May 27, 2025, still gives 1 in 31 as the latest figure (CDC).
- Where: children living in the monitoring areas at 16 sites. The report says these areas "are not nationally representative".
- Who is counted: a child whose health or education records show an autism diagnosis in an evaluation, eligibility for special education under autism, or an autism diagnosis code.
- What it can miss: the records reviewed "do not generally include private schools or primary care providers", so some autistic children may not be counted.
- Sex, race and ethnicity: these come from the children's records, or from birth certificates when the records lack them. Families are not asked directly.
The report says differences between communities "might be due to differences in availability of services for early detection and evaluation and diagnostic practices". It also says that higher identification among some previously underserved groups "is consistent with increased access to and provision of identification services" (CDC, MMWR, April 2025).
Why do different sources give different numbers?
Autism figures often seem to disagree. Usually they are measuring different things.
| Reason | Example |
|---|---|
| They count different things | ADDM counts children whose records show autism at 16 sites. National surveys ask parents. IDEA counts show school eligibility, not diagnosis. The WHO figure is a modeled estimate. |
| They cover different ages | 8-year-olds and 4-year-olds (ADDM), 3 to 17-year-olds (parent surveys), 3 to 21-year-olds (IDEA) or people of all ages (WHO). |
| They come from different places | In 2022, rates at the ADDM sites ranged from 9.7 to 53.1 per 1,000. |
| Access to evaluation differs | CDC's report links differences between communities to how easy it is to get early detection and evaluation, and to diagnostic practices. |
| They come from different years | Compare trends only within the same source. The parent survey figure was 3.9% in 2022-23 and 4.3% in 2023-24. |
Are boys more likely to be identified than girls?
Boys are identified more often than girls, but research suggests many girls are missed.
| Figure | What it means | Source and date |
|---|---|---|
| Boys were 3.4 times as likely as girls to be identified (49.2 compared with 14.3 per 1,000 8-year-olds) | ADDM sites, 2022. | CDC, MMWR, April 2025 |
| 4.66% of boys and 1.50% of girls aged 3 to 17 had ever been diagnosed | National Health Interview Survey, parent report, 2019 to 2021. | NCHS, July 2023 |
| About 4 boys for every girl across 54 studies, but closer to 3 to 1 in the highest-quality studies | The authors conclude the true ratio is closer to 3 to 1 than the often-quoted 4 to 1, which suggests a diagnostic bias against girls. | Loomes, Hull and Mandy, 2017 |
A review of research on girls and young women found that parents reported barriers to diagnosis including girls' ways of compensating for their differences (sometimes called masking), other people's perceptions, a lack of information and clinician bias (Lockwood Estrin and colleagues, 2021).
What do the other breakdowns show?
CDC's report on 2022 data also breaks the figures down by race and ethnicity, neighborhood income and intellectual disability.
| Group (8-year-olds, 2022) | Identified with autism, per 1,000 | Had an intellectual disability (of those with IQ data) |
|---|---|---|
| Asian or Pacific Islander | 38.2 | 43.9% |
| American Indian or Alaska Native | 37.5 | 50.0% |
| Black | 36.6 | 52.8% |
| Hispanic | 33.0 | 38.8% |
| Multiracial | 31.9 | 31.2% |
| White | 27.7 | 32.7% |
| All children | 32.2 | 39.6% |
Source: CDC, MMWR, April 2025. IQ data were available for 61.4% of the children identified.
- Identification was lower among White children than in every other group. The report says this reversal of earlier patterns is consistent with better access to identification services among previously underserved groups.
- Lower neighborhood income was linked with higher identification at 5 of the 16 sites (New Jersey, Tennessee, Laredo in Texas, Utah and Wisconsin) and overall.
- Identification was low at both Texas sites, which covered mainly Hispanic and lower-income communities. The report says this may "suggest lack of access or barriers to accessing identification services".
- Intellectual disability here means an IQ of 70 or below. The report notes that IQ measured in young children is not always stable.
At what age are children identified?
In CDC's 2022 data, half of the autistic 8-year-olds had their first known diagnosis by 47 months, just under age 4, and children born more recently are being identified earlier.
| Figure | What it means | Source and date |
|---|---|---|
| 47 months | The median age of the earliest known autism diagnosis among autistic 8-year-olds in 2022. It ranged from 36 months in California to 69.5 months in Laredo, Texas. | CDC, MMWR, April 2025 |
| 43 and 49 months | The median age of the earliest known diagnosis for children with and without an intellectual disability. | CDC, MMWR, April 2025 |
| 50.3% | The share of autistic 8-year-olds who had been evaluated by age 3 (36 months). | CDC, MMWR, April 2025 |
| 1.7 times | Children born in 2018 had 1.7 times the rate of autism diagnosis or eligibility by age 4 (48 months) of children born in 2014: 22.6 compared with 13.1 per 1,000. | CDC, MMWR, April 2025 |
| 18 and 24 months | The checkups at which the American Academy of Pediatrics recommends autism screening, for example with the M-CHAT. It also recommends developmental screening at 9, 18 and 30 months. | CDC, April 2025 |
| An "I" grade (insufficient evidence) | In February 2016, the US Preventive Services Task Force said the evidence was insufficient to assess the benefits and harms of screening young children when no concerns had been raised by parents or a clinician. An update is in progress. | USPSTF |
Good to know: You don't need a diagnosis to get help. You can refer a child under 3 to your state's early intervention program yourself, and it must finish its evaluation and assessments and hold the first planning meeting within 45 days of the referral, with limited exceptions (34 CFR 303.310). From age 3, ask your school district. See waiting for an autism evaluation.
How long are waits, and what do evaluations cost?
There is no federal statistic on how long families wait for an autism evaluation, and no neutral national figure for what a private evaluation costs. These are the best figures we found, with their limits.
| Figure | What it means | Source and date |
|---|---|---|
| 61% of autism centers had waits of more than four months | A survey of US autism evaluation centers, November 2022 to March 2023. About 1 in 9 of the centers invited took part. It was sponsored by Cognoa, which sells an autism diagnosis aid. | Kraft and colleagues; Fierce Healthcare, November 2023 |
| 15% had waits of over a year, or had stopped taking new referrals | The same survey. | Kraft and colleagues |
| 56% of the centers accepted Medicaid | The same survey. | Kraft and colleagues |
| More than 8 hours | How long an evaluation took in a quarter of cases, in the same survey. No center could complete one in under an hour. | Kraft and colleagues |
| 45 days | Early intervention's deadline, from referral, to finish the evaluation and assessments and hold the first IFSP meeting, with limited exceptions. Evaluation, assessment and service coordination are free to families. | 34 CFR 303.310; 34 CFR 303.521 |
| 60 days | The federal deadline for a school district's first evaluation after a parent gives consent, unless the state sets its own timeline. | 34 CFR 300.301 |
| 63 months | The average wait in 2025 on autism-specific Medicaid HCBS waivers, which can pay for support at home and in the community. More than 600,000 people were on waiting lists for these services in 41 states, and some states add people to lists without checking eligibility, which makes totals larger. | KFF, November 2025 |
| $2.4 million with an intellectual disability, $1.4 million without | A 2014 estimate of the lifetime cost to society of supporting an autistic person in the US. It is not what a family pays. | Buescher and colleagues, August 2014 |
If you are waiting, a Parent Center can explain your rights to early intervention and school evaluations, and our help page shows how to reach your state's early intervention program.
What causes autism, and what about vaccines?
Large studies of families suggest genes play the biggest part in autism. On causes, vaccines and medicines, we cite peer-reviewed research and professional bodies first. Where a federal page says something different, we quote it accurately with its date.
- A study of about 2 million people in five countries estimated autism's heritability at about 80% (Bai and colleagues, 2019). A Swedish study of more than 2.6 million pairs of brothers and sisters and 37,570 pairs of twins put it at 83% (Sandin and colleagues, 2017).
- Heritability describes how much of the variation in autism across a population is linked to genes. It is not the chance that a particular child inherits autism.
- In a statement on September 22, 2025, the American Academy of Pediatrics (AAP) said autism is "complex, highly variable and increasingly linked to genetics" and that "there is no single, root cause of autism" (AAP, September 2025).
Vaccines
Large studies have found no link between vaccines and autism. A Danish study of 657,461 children found no increased risk of autism after the MMR vaccine, including in children with an autistic brother or sister (Hviid and colleagues, 2019). A Danish study of more than 1.2 million children found that aluminum in childhood vaccines was not linked with any of 50 long-term conditions, including neurodevelopmental conditions such as autism (Andersson and colleagues, 2025). In the same statement on September 22, 2025, the AAP said: "Studies have repeatedly found no credible link between life-saving childhood vaccines and autism" (AAP, September 2025).
CDC's "Autism and Vaccines" webpage was changed in November 2025 and last updated on July 22, 2026. On September 29, 2026, it said: "The claim 'vaccines do not cause autism' is not an evidence-based claim because studies have not ruled out the possibility that infant vaccines cause autism" (CDC). When the page was changed in November 2025, the AAP's president, Susan Kressly, said in a statement that independent researchers in seven countries had carried out "more than 40 high-quality studies involving over 5.6 million people", and the Autism Science Foundation called the new wording "misinformation" that "actually contradicts the best available science" (CBS News, November 2025).
Acetaminophen (Tylenol) in pregnancy
In a statement on September 22, 2025, the president of the American College of Obstetricians and Gynecologists (ACOG) said that "not a single reputable study has successfully concluded that the use of acetaminophen in any trimester of pregnancy causes neurodevelopmental disorders in children" (ACOG, September 2025). A Swedish study of nearly 2.5 million children found a tiny link across the whole group that disappeared when brothers and sisters were compared (Ahlqvist and colleagues, 2024). On September 22, 2025, the Food and Drug Administration said it had started the process of changing acetaminophen's label, while stating that "a causal relationship has not been established". A news report on September 9, 2026, found the label had not changed (Medical Daily, September 2026).
| Federal item | Status on September 29, 2026 |
|---|---|
| CDC's "Autism and Vaccines" webpage wording | In effect since November 2025; last updated July 22, 2026 |
| A change to acetaminophen's label for use in pregnancy | Announced in September 2025; not in effect (label unchanged as of September 9, 2026) |
Good to know: If you have questions about your child's vaccines, or you are pregnant and need something for pain or a fever, talk to your child's pediatrician, your doctor, your midwife or a pharmacist. Don't stop a prescribed medicine without advice.
How we keep these figures up to date
We check each source when it publishes new data, and we review this page at least every three months and sooner when the news changes. Statements on causes and vaccines are checked against the latest federal wording and professional statements.
| Source | Last published or updated | Notes |
|---|---|---|
| CDC ADDM Network report (MMWR) | April 17, 2025 (2022 data) | CDC's data page, reviewed May 27, 2025, still gives this as the latest figure |
| National Survey of Children's Health | 2023-24 data | Parent-reported, every year |
| NCES, Students with disabilities | May 2024 (2022-23 data) | School special education counts |
| KFF, Medicaid HCBS waiting lists | November 20, 2025 | A yearly survey of states |
| CDC, Autism and Vaccines | July 22, 2026 | We check this page every three months |
Questions people ask
How many children in the US are autistic?
There is no single national count. CDC's monitoring network, which reviews health and education records at 16 sites, identified autism in 32.2 per 1,000 8-year-olds in 2022, about 1 in 31. In a separate national survey in 2023-24, parents reported that 4.3% of children aged 3 to 17 currently had autism. The figures differ because they are measured in different ways, and the monitoring sites are not a national sample.
Why are more children being diagnosed with autism?
CDC's report on 2022 data says differences over time and between sites can reflect differences in how autism is evaluated and identified, and in access to services. It says higher identification among some previously underserved groups is consistent with better access to identification services. Children are also being identified younger: those born in 2018 had 1.7 times the rate of diagnosis or special education eligibility by age 4 of those born in 2014.
Are boys more likely to be autistic than girls?
Boys are identified more often, but girls are more often missed. In CDC's 2022 data, autism was identified 3.4 times as often in boys (49.2 per 1,000) as in girls (14.3 per 1,000). A 2017 review of 54 studies found about 4 boys for every girl overall, but closer to 3 to 1 in the highest-quality studies, which suggests a bias in who gets diagnosed. Research on girls points to barriers such as girls' ways of compensating and clinician bias.
At what age are most children diagnosed with autism in the US?
In CDC's 2022 data on autistic 8-year-olds, the median age of the earliest known diagnosis was 47 months, just under 4 years. It ranged from 36 months at the California site to 69.5 months at the Laredo, Texas site, and about half of the children had been evaluated by age 3. The American Academy of Pediatrics recommends autism screening at 18 and 24 months, and you can ask for an early intervention or school evaluation without a diagnosis.
How long is the wait for an autism evaluation in the US?
There is no official national figure. In a 2022-23 survey of US autism evaluation centers, 61% had waits of more than four months, and 15% had waits of over a year or had stopped taking new referrals. The survey was sponsored by a company that sells an autism diagnosis aid. Early intervention, for children under 3, has 45 days from referral to finish its evaluation and hold the first planning meeting, and a school evaluation must usually be done within 60 days of your consent, or your state's timeline.
Do vaccines cause autism?
Large studies have found no link. A Danish study of 657,461 children found no increased risk of autism after the MMR vaccine, including in children with an autistic brother or sister. In November 2025, the American Academy of Pediatrics pointed to more than 40 high-quality studies involving over 5.6 million people. Since November 2025, CDC's vaccines and autism webpage, last updated on July 22, 2026, has said that the claim that vaccines do not cause autism is 'not an evidence-based claim'. The AAP and the Autism Science Foundation objected to that change.
Sources
- Prevalence and early identification of autism spectrum disorder among children aged 4 and 8 years: ADDM Network, 16 sites, United States, 2022 (Shaw and colleagues) MMWR Surveillance Summaries, US Centers for Disease Control and Prevention, April 17, 2025
- Data and statistics on autism spectrum disorder US Centers for Disease Control and Prevention, May 27, 2025
- National Survey of Children's Health 2023-24: prevalence of current autism or autism spectrum disorder Data Resource Center for Child and Adolescent Health
- National Survey of Children's Health 2022-23: prevalence of current autism or autism spectrum disorder Data Resource Center for Child and Adolescent Health
- Diagnosed developmental disabilities in children aged 3 to 17 years: United States, 2019 to 2021 (NCHS Data Brief No. 473) National Center for Health Statistics, US Centers for Disease Control and Prevention, July 2023
- Students with disabilities (The Condition of Education) National Center for Education Statistics, May 2024
- Autism fact sheet World Health Organization, September 17, 2025
- What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis (Loomes, Hull and Mandy) Journal of the American Academy of Child and Adolescent Psychiatry (PubMed record), June 2017
- Barriers to autism spectrum disorder diagnosis for young women and girls: a systematic review (Lockwood Estrin and colleagues) Review Journal of Autism and Developmental Disorders (PubMed record), 2021
- Clinical screening for autism spectrum disorder US Centers for Disease Control and Prevention, April 15, 2025
- Autism spectrum disorder in young children: screening (final recommendation statement) US Preventive Services Task Force, February 16, 2016
- Post-referral timeline (45 days), 34 CFR 303.310 Electronic Code of Federal Regulations, September 25, 2026
- System of payments and fees, 34 CFR 303.521 Electronic Code of Federal Regulations, September 25, 2026
- Initial evaluations, 34 CFR 300.301 Electronic Code of Federal Regulations, September 25, 2026
- Wait times and processes for autism diagnostic evaluations: a first report survey of autism centers in the US (Kraft and colleagues) Survey report sponsored by Cognoa, hosted on cms.gov, 2023
- Report on autism evaluation wait times and its sponsor Fierce Healthcare, November 10, 2023
- A look at waiting lists for Medicaid home and community-based services from 2016 to 2025 KFF, November 20, 2025
- Costs of autism spectrum disorders in the United Kingdom and the United States (Buescher and colleagues) JAMA Pediatrics, August 2014
- Association of genetic and environmental factors with autism in a 5-country cohort (Bai and colleagues) JAMA Psychiatry (PubMed record), October 2019
- The heritability of autism spectrum disorder (Sandin and colleagues) JAMA, September 26, 2017
- AAP statement on White House autism announcement American Academy of Pediatrics, September 22, 2025
- Measles, mumps, rubella vaccination and autism: a nationwide cohort study (Hviid and colleagues) Annals of Internal Medicine (PubMed record), March 2019
- Aluminum-adsorbed vaccines and chronic diseases in childhood: a nationwide cohort study (Andersson and colleagues) Annals of Internal Medicine (PubMed record), July 2025
- Autism and vaccines US Centers for Disease Control and Prevention, July 22, 2026
- News report on the change to CDC's vaccines and autism webpage, quoting the AAP's president and the Autism Science Foundation CBS News, November 22, 2025
- ACOG affirms safety and benefits of acetaminophen during pregnancy (statement by ACOG president Steven J. Fleischman) American College of Obstetricians and Gynecologists, September 22, 2025
- Acetaminophen use during pregnancy and children's risk of autism, ADHD and intellectual disability (Ahlqvist and colleagues) JAMA (PubMed record), April 9, 2024
- Report on the status of the acetaminophen pregnancy label change Medical Daily, September 9, 2026