ABA Reimbursement Benchmarks - Washington, DC
Real DC ABA reimbursement benchmarks by payer and CPT code - pulled from Aetna, Cigna, and Optum/UHC commercial data. See where your rates fall before your next payer negotiation.
What’s inside:
The full rate distribution
Every core ABA code (97151, 97153, 97155) mapped across the full percentile range, so you can see the base fee schedule and where the market actually lands.
Real DC benchmarks by payer
Negotiated rates from commercial Transparency-in-Coverage data, broken out for Aetna, Cigna, and Optum/UHC side by side, including Optum's HM vs HN credential split on 97153.
A negotiation quick-check
A five-point checklist for your next payer conversation, plus the 90th-percentile anchor for each payer - and the finding most owners miss: the median is a floor, not a ceiling.
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