Optum ABA Reimbursement Benchmarks — Texas
See what UnitedHealthcare / Optum actually pays for ABA across Texas — and check whether your rates are sitting on the payer's floor.
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What’s inside:
The full rate distribution
Every core ABA code (97153, 97155, 97156) mapped across the full percentile range (5th–95th) per 15-minute unit, so you can see the standard fee schedule and where the contracted-rate market actually lands.
Real Texas benchmarks
UnitedHealthcare / Optum's published negotiated rates across 336 Texas provider entities, from Transparency in Coverage data — the floor, the median, and the top of the market for each code, side by side.
A quick self-check
A three-step way to find where your rate falls in the market, plus the finding most owners miss: across all three codes the median sits at the floor, yet the 95th percentile runs ~33% higher.
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