ABA therapy cost in Houston with and without insurance
Your bill changes with the weekly hours approved for your child, since ABA is billed in 15-minute units. For technician-delivered ABA in Texas, Medicaid pays $14.50 per 15 minutes.
What would your monthly bill be?
- $58an hour, Texas Medicaid rate
- If you pay yourself, expect $120 to $150 an hour.
- 272. ABA providers across Houston.
For 40 hours each week, Texas Medicaid's technician rate reaches $2,320 for ABA, the 4th highest among the 6 states here (North Carolina: $3,329.60). Source: the (2025) fee schedule from Texas Medicaid & Healthcare Partnership (TMHP), plus North Carolina's (2026).
Ready to call? Check the 272 ABA therapy providers in Houston, then ask each provider about its hourly rate and whether it accepts your plan.
Cost of ABA therapy for 10, 20 and 40 hours each week
| Hours a week | Medicaid pays a month | Paying yourself a month |
|---|---|---|
| 10 hours | $2,513 | $5,200 to $6,500 |
| 20 hours | $5,027 | $10,400 to $13,000 |
| 40 hours | $10,053 | $20,800 to $26,000 |
A month here equals 52 weeks divided by 12, or about 4.3 weeks. That Medicaid column shows what Texas Medicaid pays providers for code 97153 at the 2025 rate. Source: Texas Medicaid & Healthcare Partnership (TMHP) [2] [3]. Hours led by the analyst (97155) pay $25.10 per 15 minutes.
Behavioral Innovations, an ABA provider, reports that ABA therapy often runs about $120 to $150 each hour without insurance. From Behavioral Innovations.
Using Medicaid
ABA for qualifying children is covered by Texas Medicaid, so families usually pay nothing for approved hours. Texas Medicaid and ABA therapy
If you have private insurance
First you pay toward your deductible, then your coinsurance or copay applies to every session, until you reach your out-of-pocket maximum. Many families hit that maximum within a few months when the schedule reaches 20 hours or more a week.