ABA Billing Rates 2026 — What Should You Actually Pay
Market Range for ABA Billing Services
- Standard tier: 5-8% of collections (industry norm for ABA)
- Premium tier: 8-10% (for very complex multi-state ABA)
- Enterprise tier: Custom (large ABA orgs $50M+ revenue)
Why ABA Rates Run Higher Than General Medical
- 97155 concurrent 97153 documentation complexity (payer-specific rules)
- State Medicaid MCO variance (every state MCO has different rules)
- Prior authorization tracking (units expire fast)
- Payer edit rules (Optum ABA, Carelon ABA, Aetna ABA all differ)
- Family fee collection (parent copays often unpaid)
- BCBA hierarchy documentation for audit protection
Hidden Fees Common in ABA Vendor Contracts
- Prior authorization tracking fee ($200-500/month add-on)
- Insurance panel enrollment ($500-3K per provider per year)
- Family fee collection percentage (30-40% of parent copay collected)
- State Medicaid enrollment ($1K-3K one-time per state)
- Setup/onboarding fee ($5K-25K)
- Reporting/dashboard fee ($200-1K/month)
Revenant Care ABA Pricing
- 4-8% flat percentage of collections
- Includes all of the above (no add-on fees)
- Includes prior auth tracking
- Includes credentialing + panel enrollment
- Includes family fee collection
- Month-to-month after 60-day pilot
– KD, Revenant Care