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Cost Guide · San Francisco, CA

ABA Therapy Cost in San Francisco

$160–$260+/hr · Above National Average

Hourly Rate

$160–$260+/hr

Monthly Est. (20 hrs/wk)

$12,800–$22,000/mo

vs. National Average

Above National Average

ABA Insurance Coverage in California

Annual Cap

No annual cap

Age Coverage

No age limit

Medicaid Coverage

Medi-Cal covers ABA for children with autism through the Golden Gate Regional Center and managed care plans.

What to Expect in San Francisco

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.

Frequently Asked Questions

How much does ABA therapy cost in San Francisco?

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.

Why is ABA so expensive in San Francisco?

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.

Does California insurance cap ABA coverage in San Francisco?

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.

Does Medi-Cal cover ABA therapy in San Francisco?

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.

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Need help budgeting for ABA therapy?

Our team works with ABA providers across San Francisco and California.