ABA Practice Revenue Calculator

ABA practice revenue is calculated by multiplying billable hours by reimbursement rates across your payer mix. You need to account for both RBT direct service hours and BCBA supervision hours separately, since they have different rates. Then factor in denial rates and utilization gaps for a realistic net revenue figure.

A good utilization rate is 85% or higher — meaning 85% of authorized hours are actually scheduled and delivered. Rates between 70-85% indicate room for improvement, and anything below 70% means significant revenue is being left on the table. Common reasons for low utilization include cancellations, scheduling gaps, and staff shortages.

The average denial rate for ABA therapy claims is 5-15%. Well-managed practices with clean billing workflows can achieve under 5%. The most common denial reasons include expired authorizations, incorrect CPT codes, missing documentation, and duplicate claims.

An RBT billing 25 hours per week at an average rate of $55-65/hour typically generates $6,000-$7,000 per month. This varies based on payer mix, geographic region, and actual scheduled hours. Use this calculator to see how your specific numbers compare.

Payer mix has a major impact because reimbursement rates vary widely. Commercial insurance typically pays $55-75/hour for RBT services, Medicaid pays $35-55/hour, and private pay can be $75-100+/hour. A practice with a higher proportion of commercial clients will generate more revenue per billable hour, but Medicaid often provides more consistent volume.