If you’re a parent looking into ABA therapy for your child, you’re probably wondering about the potential cost. It’s a common question with a not-so-simple answer. ABA, or Applied Behavior Analysis, is a powerful approach that helps children with autism develop social, communication, and language skills. Some would say that ABA benefits are priceless.
But, how much does ABA therapy actually cost? In this article, we’ll break down the costs and share tips on making ABA therapy more affordable. With a clearer understanding of the therapy price, we aim to help you find the best path forward for your family.
3 Main Factors That Determine the ABA Therapy Cost
Figuring out how much ABA therapy will cost can feel like piecing together a puzzle. On average, the ABA therapy cost per hour ranges from $120 to $150 for private pay clients.
If your child needs 40 hours of therapy, private ABA therapy can cost you from $4,800 to $6,000 on a weekly basis.
Still, there are several factors that can make the cost go up or down.
Location
First off, where you live can make a big difference. Just like the cost of groceries or rent varies from place to place, so does the cost of ABA therapy. In big cities such as Miami or New York where everything costs a bit more, you might find that therapy rates are higher compared to smaller towns.
However, should you opt for ABA therapy at Abacus Therapies, you’ll find that the cost of our services is the same regardless of the location.
Therapist’s Qualifications
The therapist’s qualifications also play a role in determining the cost. Highly experienced professionals may charge more for their services, reflecting their expertise and specialized training in ABA therapy.
While opting for a more experienced therapist might increase the cost, the quality of service and potentially faster progress could make it a worthwhile investment.
The Severity of Symptoms
How often and how long your child needs therapy can also determine the overall cost. More intensive therapy means more hours each week and, by extension, a higher cost. Therapy hours can range from just a few to 40 hours a week, affecting the final price.
How Much Does ABA Therapy Cost With Insurance?
Navigating the costs of ABA therapy can become more manageable when insurance is in the picture, though this can vary depending on your policy’s specifics. With insurance, ABA therapy can set you back from zero dollars to tens of thousands.
The insurance coverage can also depend on your state, as different states have different insurance mandates for autism spectrum disorder. For example, ABA therapy in Delaware, Florida, and Texas is covered up to $36,000 per year, while in Arkansas and South Carolina, it is covered up to $50,000 annually.
In some states, like Colorado and Mississippi, your insurance may cover the full cost of the therapy.
Fortunately, most insurance plans now recognize the importance of ABA therapy for individuals with autism and often provide some level of coverage. Keep in mind that some plans may require a copay or deductible to be met before the coverage kicks in, which can affect your out-of-pocket costs. Look for sections that cover behavioral therapies or specifically mention autism spectrum disorders.
If the details aren’t clear, you can ask your insurance provider or give us a call and we’ll try to help you define the ABA costs regarding your insurance.
How to Afford ABA Therapy
There are several options you can explore to make ABA therapy more affordable for your family.
Grants and Scholarships
There are many organizations dedicated to supporting families dealing with autism. These organizations often offer grants or scholarships specifically designed for those needing ABA therapy. Doing a bit of research or reaching out to autism advocacy groups can lead you to these valuable resources.
For example, United Healthcare Children’s Foundation provides financial assistance to families whose children are under 16 years of age and need medical help. The grant amount varies depending on the service. The TACA scholarship application period is ending soon, while AANE is yet to disclose the 2024 details for its two annual grants for autistic families and adults.
State-Funded Programs
Depending on where you live, there might be state-funded programs available to help cover the cost of ABA therapy. These programs can vary widely from state to state, so it’s worth looking into what’s available in your area. Your local health department or an autism support group can be great places to start.
Medicaid
In many states, Medicaid covers ABA therapy for individuals under 21 as part of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit. Coverage and eligibility criteria can differ from state to state, so don’t hesitate to contact your state’s Medicaid office to understand the benefits and how to access them.
Fundraising Options
Crowdfunding has become a popular way to raise funds for medical needs, and ABA therapy is no exception. Platforms like GoFundMe allow you to share your autism story and gather support from friends, family, and even strangers who want to help.
Conclusion
As a parent, you only want the best for your child, so learning about the frequency of ABA therapy may make you dread the cost. However, don’t forget that the price is usually determined by multiple factors, such as your location, insurance plan, and chosen therapist.
Finally, there’s support out there, and our team at Abacus Therapies can make this complicated process easier by helping you find the info you need. Feel free to reach out to us via email, chat, or text any time.
FAQs
At what age is ABA most effective?
ABA therapy is most effective when started early, typically between the ages of 2 and 6. Early intervention can maximize the benefits, helping improve social, communication, and language skills during the critical development period. However, individuals of all ages can see improvements with ABA.
Why is ABA therapy so expensive?
ABA therapy is expensive due to its intensive nature, requiring one-on-one sessions with highly trained therapists. The personalized approach, often requiring many hours per week to be effective, plus the need for ongoing assessment and adjustment, contributes to the higher costs.
Is ABA therapy worth it?
For many families, ABA therapy is worth the investment. It has a strong track record of helping individuals with autism improve communication, social skills, and independence. The benefits of ABA can significantly enhance the individual’s quality of life, making the cost a valuable investment.
