Families in Philadelphia typically see hourly rates of $115–$185/hr. Here's how that compares nationally, what insurance covers in Pennsylvania, and what to expect locally.
$115–$185/hr · Above national averageUpdated April 2026$36,000/yr
Covers through age 21
Pennsylvania Medicaid covers ABA through the IBHS (Intensive Behavioral Health Services) program.
Philadelphia sits in the above-average tier for ABA costs. Pennsylvania's IBHS (Intensive Behavioral Health Services) program is one of the most established Medicaid ABA frameworks in the US, providing structured access for lower-income families. Commercial insurance covers ABA up to $36,000 annually through age 21.
ABA therapy in Philadelphia typically costs $115–$185 per hour, above the national average. For 20 hours per week, monthly costs run $9,000–$15,500 without insurance. Pennsylvania commercial insurance covers ABA up to $36,000 per year through age 21.
The Intensive Behavioral Health Services (IBHS) program is Pennsylvania Medicaid's framework for ABA and behavioral support services. It replaced the legacy BHRS/wraparound system and provides structured, evidence-based ABA to eligible children. Families apply through their county's behavioral health managed care organization.
Yes. Pennsylvania Medicaid covers ABA through the IBHS program for children with autism spectrum disorder. Coverage is not subject to the $36,000 commercial insurance cap. Families must obtain authorization through their HealthChoices managed care plan.
For part-time programs (10–15 hours/week), $36,000 is typically sufficient for the full year. For intensive programs (25–40 hours/week) at Philadelphia's rates ($115–$185/hr), families can exhaust the cap within 3–5 months. Families in this situation often supplement with Medicaid or reduce hours mid-year.
Higglo works with ABA providers across Pennsylvania on marketing, intake, and growth. Talk to our team about your program.
