Cigna ABA Reimbursement Rates in Texas: 2026 Benchmarks
Cigna pays some Texas ABA providers ~56% more than others for the same CPT code. See where your 97153 rate stands against 710 provider entities.
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What’s inside:
See How Cigna Rates Compare
Explore the distribution of Cigna’s contracted rates for CPT 97153 in Texas, from the median to the 95th percentile.
Benchmark Against 710 Providers
Compare your reimbursement rate against real contracted rates from 710 Texas ABA provider entities, using Cigna’s published Transparency in Coverage data.
Identify Your Negotiation Opportunity
See where your rate falls in the market and understand how much higher other in-network providers are contracted to receive.
What the Data Reveals
Cigna’s $10.00 per-unit rate is the dominant reimbursement benchmark for CPT 97153 in Texas. However, the data reveals significant variation above that rate.
Why This Matters for Your Practice
Cigna’s standard fee schedule isn’t necessarily its ceiling.
The data demonstrates that providers within the same network can receive substantially different reimbursement rates for the same service.
Understanding where your practice stands relative to the market can help you evaluate your current contract and prepare for more informed reimbursement discussions.
About the Data
This analysis uses Cigna’s September 2026 Transparency in Coverage machine-readable files for the National OAP network, covering approximately 820 rate records across 710 provider entities.
Rates reflect in-network contracted amounts for CPT 97153 (no modifier), expressed per 15-minute unit. Percentiles are calculated across distinct entity-rate records.
This report is informational and does not guarantee reimbursement rates or negotiation outcomes.
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