Mayo Clinic treats about 1,500 people with concussion each year, and all of its campuses offer concussion care.1,2 For symptoms that last more than three months, which Mayo calls persistent post-concussive symptoms, Mayo says there is no specific treatment, so its clinicians treat each symptom.3,4 Cognitive FX in Provo, Utah, treats adults with those lingering symptoms in one or two intensive weeks. If you want insurance-covered care at a major medical center, Mayo is a strong place to start. If you have already had symptom-by-symptom care and still struggle, Cognitive FX may fit. Cognitive FX is not affiliated with Mayo Clinic.
Services side by side
Testing, therapies and medical care
Mayo Clinic from its own website. Cognitive FX from our clinical team.
Service
Mayo Clinic
Cognitive FX
Testing and imaging
Functional brain scanfMRI that shows how brain regions work
Standard CT or MRIShows brain structure
Neuropsychological testingThinking, memory and mood
Balance and eye-movement examBalance, coordination and eye tracking
Therapies
Vestibular and vision therapyBalance therapy and neuro-optometry
Cognitive and occupational therapyMemory, attention, daily tasks
Gradual exerciseGraded aerobic activity
Neck and posture therapyNeck, posture and muscle tension
Counseling and psychotherapyAnxiety, mood and coping
Format, medical care and billing
Intensive treatment programAll therapies in one or two weeks
Prescription medicationHeadache, sleep and mood
Insurance billingClinic bills your health plan
Mayo Clinic from its concussion, concussion testing and persistent post-concussive symptoms pages, its brain rehabilitation page (2018) and its sports medicine page (2021), checked October 22, 2026.1,2,4,5,6,8,10 "Not listed" means the clinic does not list it, not that it can never arrange it.
The two programs overlap a lot. Mayo lists nearly every therapy we use: cognitive and occupational therapy, balance therapy, neuro-optometry for vision problems, psychotherapy and gradual exercise.4 Both programs test thinking, memory, balance and eye movements, and both can order a standard MRI and prescribe medication. Both also reject the old advice to rest in a dark room until symptoms pass.6
The chart shows three main differences. Mayo uses CT or MRI when needed and notes that no single test can prove persistent post-concussive symptoms.4 Cognitive FX adds a functional brain scan before and after treatment, which we use to plan therapy rather than to diagnose. Cognitive FX delivers its therapies in one or two intensive weeks, while Mayo provides outpatient care matched to each symptom. And Mayo is in-network with many insurance plans, while Cognitive FX is out-of-network.1
Program details
How the two programs work
| Mayo Clinic | Cognitive FX | |
|---|---|---|
| Best for | Anyone who wants concussion care at a large academic medical center, billed to insurance, at campuses in Minnesota, Arizona or Florida | Adults with symptoms that still limit daily life three months or more after a concussion or mild TBI |
| First visit | A neurological exam, thinking and memory testing, and CT or MRI if needed, often with a neurologist or physiatrist | A short online questionnaire, then a consult call. On your first treatment morning, an fNCI brain scan with results reviewed the same day |
| Treatment format | Outpatient care matched to each symptom, with referrals to therapists and specialists as needed | One or two intensive weeks in Provo, about 9 to 5, with every therapy in one building and rest built into the day |
| After treatment | Follow-up with your Mayo care team | A home program built from your scan results and video follow-ups for about 2 to 3 months |
| Cost | No program price listed. Billed to insurance; Mayo offers a cost estimator | Scans $1,500. One week $13,000, scans included. Two weeks $24,700. Out-of-network |
Cognitive FX prices as of October 2026.
Neither program is right for everyone. Mayo is a large academic medical center whose concussion team includes neurologists, sports medicine specialists, physiatrists, neuropsychologists and therapists.2 Cognitive FX is a smaller private clinic that specializes in adults whose concussion symptoms have lasted months.
Mayo Clinic is usually the better choice if:
Cognitive FX is usually the better choice if:
Is this you?
Signs our program may fit
If two or more sound like you, a free consult is the next step.
Book my free consultThis list is not a diagnosis.
At Mayo Clinic, evaluation for persistent post-concussive symptoms includes a neurological exam, testing of concentration, memory, language and planning, and CT or MRI if needed. You may be referred to a neurologist or a physiatrist, and to physical, occupational or speech therapy, a psychologist, or specialists for dizziness and vision.4 Mayo notes that no single test can prove you have persistent post-concussive symptoms.4
At Cognitive FX, you start with a short online questionnaire (about 10 minutes), then a consult call with our team. Your treatment week begins with an fNCI scan, a functional MRI that measures how 56 brain regions work while you do thinking tasks and compares them with a healthy reference group. The scan is not a diagnosis on its own. We use it with your history and other tests to decide which therapies you need and how hard to push each one.
The 3D model below shows what an fNCI scan measures, using sample results on a model brain. Red shows regions working harder than a healthy reference group and blue shows regions working less. Drag or swipe to rotate it, and switch between the sample patients. It is an illustration, not your scan or a diagnosis.
Mayo treats each symptom with the matching therapy. Its persistent post-concussive symptoms page lists headache medicines, cognitive therapy, occupational and speech therapy, balance therapy with a physical therapist, neuro-optometry, light and sound exposure therapy, psychotherapy, sleep habits, education and early gradual exercise.4 Mayo's Brain Rehabilitation Clinic page, last updated in 2018, also lists an outpatient concussion management program.5 Care happens in outpatient visits over time, with your Mayo team coordinating referrals.
Cognitive FX puts the therapy into one week. You spend full days at our clinic, about 9 to 5, moving through therapies in a cycle of exercise, targeted therapy and rest. Every therapist works from the same scan report and checks in with the rest of the team at the end of each day. The week is demanding, and many patients feel more tired while it is underway.
Your week at Cognitive FX
One intensive week in Provo
Our program does not fit everyone who still has symptoms. If you have a new injury that needs checking, or you need care that insurance will pay for, Mayo or your own doctor is the better place to start. Our program works alongside your doctors and does not replace their follow-up.
Dr. Alina K. Fong, PhDClinical Director
Dr. Lynn M. Gaufin, MDDirector of Neurosurgery
Annie Morgan, RNDirector of Patient Care
Plus other therapists as needed. Meet the full team
In an independent study by Amsterdam UMC and UMC Groningen, 77% of the 52 patients measured six months after treatment had a clinically meaningful reduction in symptoms.7 The study was observational, not randomized, and individual results vary. Read our summary of the independent study.
Mayo notes that most people recover fully after a concussion,9 and that persistent symptoms can sometimes last a year or more.3
Mayo Clinic does not list a price for concussion care. Mayo works with hundreds of insurance companies and is in-network for millions of people, and in most cases it does not require a physician referral, though some insurers require referrals.1 Your cost depends on your plan and how many visits you need. Mayo offers a cost estimator and estimates by phone.11 If you live far from a Mayo campus, add travel for visits.
At Cognitive FX:
We are out-of-network and do not bill insurance. After treatment you get a superbill to submit yourself, and reimbursement depends on your plan. We accept CareCredit, HSA and FSA. Travel and lodging are not included, and most patients fly in to Provo. If cost decides it for you, insurance-covered care at Mayo or a clinic near you is a reasonable place to start.
Next steps
Book a free consult about your symptoms
Prefer to call? (385) 375-8590, 9 to 5 Mountain.
Related reading: UPMC vs Cognitive FX and Cleveland Clinic vs Cognitive FX.
Yes. Mayo Clinic calls it persistent post-concussive symptoms. Mayo says there is no specific treatment for it, so its clinicians treat each symptom, with options such as headache medicines, cognitive therapy, balance and vision therapy, psychotherapy and gradual exercise.
Mayo Clinic describes persistent post-concussive symptoms as symptoms that typically last longer than three months, and says they can sometimes last a year or more. It also notes that most people recover fully after a concussion.
In most cases, no. Mayo Clinic says it does not require a physician referral in most cases, though some insurers require referrals. It works with hundreds of insurance companies.
Cognitive FX is out-of-network and does not bill insurance. After treatment we give you a superbill you can submit yourself. Reimbursement depends on your plan and is not guaranteed. We accept CareCredit, HSA and FSA.
At Cognitive FX, scans are $1,500 and a week of treatment is $13,000, with the before and after scans included. Two weeks are $24,700. Mayo Clinic does not list a price for concussion care; it offers a cost estimator, and your cost depends on your insurance.
Yes. Our program works alongside your neurologist or primary care doctor and does not replace their follow-up.
In an emergency, call 911.
