ABA therapy cost in San Antonio with and without insurance
ABA is billed in 15-minute units, so your bill depends on the hours a week your child is approved for. In Texas, Medicaid pays $14.50 for each 15 minutes of technician-delivered ABA.
What would you pay each month?
- $58an hour, Texas Medicaid rate
- $120 to $150an hour if you pay yourself
- 113ABA providers in San Antonio
At 40 hours a week, Texas Medicaid's technician rate comes to $2,320 of billed ABA, the 4th highest of the 6 states on this list (North Carolina: $3,329.60). Source: Texas Medicaid & Healthcare Partnership (TMHP) fee schedule (2025) and North Carolina's (2026).
Ready to call? See all 113 ABA therapy providers in San Antonio and ask each one for its hourly rate and whether it takes your plan.
ABA therapy cost at 10, 20 and 40 hours a 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 is 52 weeks divided by 12, about 4.3 weeks. The Medicaid column is what Texas Medicaid pays the provider at the 2025 rate for code 97153 Source: Texas Medicaid & Healthcare Partnership (TMHP) [2] [3]. Hours led by the analyst (97155) pay $25.10 per 15 minutes.
Without insurance, ABA therapy often costs about $120 to $150 an hour, according to the ABA provider Behavioral Innovations. Source: Behavioral Innovations.
With Medicaid
Texas Medicaid covers ABA for children who qualify, and families usually pay nothing for the approved hours. Texas Medicaid and ABA therapy
With private insurance
You pay toward your deductible first, then your coinsurance or copay on every session, until you hit your out-of-pocket maximum. At 20 hours or more a week, many families reach that maximum within a few months.