Families in San Francisco typically see hourly rates of $160–$260+/hr. Here's how that compares nationally, what insurance covers in California, and what to expect locally.
$160–$260+/hr · Above national averageUpdated April 2026No annual cap
No age limit
Medi-Cal covers ABA for children with autism through the Golden Gate Regional Center and managed care plans.
San Francisco commands the highest ABA rates in the country, reflecting its extreme cost of living and highly competitive BCBA salary market driven by tech industry compensation norms. Despite the high sticker rates, California's no-cap insurance mandate means families with commercial insurance typically pay only their plan's copay.
ABA therapy in San Francisco costs $160–$260+ per hour, among the highest in the US. For 20 hours per week, monthly costs run $12,800–$22,000 without insurance. California's no-cap mandate means commercially insured families typically pay only their plan's copay.
ABA rates in San Francisco reflect the city's extreme cost of living and the premium BCBA salaries required to compete with tech industry employers. BCBAs in the Bay Area command some of the highest salaries in the country, typically 30–50% above the national average, which flows directly into session rates.
No. California's AB 88 mandate requires commercial insurers to cover ABA with no annual dollar cap and no age limit. This applies to all fully-insured plans in California, including those sold to San Francisco residents and businesses.
Yes. Medi-Cal covers ABA for children with autism in San Francisco through managed care plans and the Golden Gate Regional Center. The Regional Center can also fund ABA independently under the Lanterman Act for eligible families, regardless of Medi-Cal status.
Higglo works with ABA providers across California on marketing, intake, and growth. Talk to our team about your program.
