Billing was always a headache before. Now claims get processed faster and I don't spend my evenings fixing denials.
ABA Billing Service Pricing
95% of Your ABA Claims Paid at 3% or 6%
3% or 6% of collected revenue, with the same Glass Box dashboard and ABA-native billing team.
Published Rates No Setup Fees Month-to-Month HIPAA Compliant
Pricing applies to VG Soft Co's RCM (Revenue Cycle Management): ABA-specialized outsourced billing with full transparency, a "Glass Box" dashboard showing every claim in real-time, ABA-native billing expertise, and 95%+ collection rates.
Reviewed by Dustin Schwartz and the VG Soft Co RCM team.
Published Rates
Tier 1A/R Management
3%Tier 2Full Service RCM
6%Setup Fees$0
Contract LengthMonth-to-month
Billed OnCollected revenue
3%
A/R Management
For practices with in-house billing staff who need A/R follow-up, claim aging, and patient statements handled by our team
6%
Full Service RCM
For practices that want the whole revenue cycle handled, from credentialing through denials, with the Glass Box dashboard
$0
Setup Fees, No Contracts
Month-to-month engagement. You only pay on what we actually collect, so our incentives stay aligned with yours
Published Pricing
Two Tiers, Priced on Collected Revenue
Pick the tier that matches your billing team today. You can shift tiers month-to-month as the practice changes shape, and the percentage stays the same as you grow.
Tier 1
3%of collected revenue
A/R Management
You keep your billing staff. We take A/R off their plate.
Best For
Practices with in-house billers who are already running claims but need backup on aging A/R, follow-up, and patient billing
- Daily A/R follow-up on every outstanding claim
- Aging report monitoring with 30/60/90 day escalation
- Payer phone calls and portal follow-up on stalled claims
- Patient statement workflow and balance collection
- Monthly A/R review with your billing lead
- Glass Box dashboard visibility on every account
Tier 2
6%of collected revenue
Full Service RCM
You stop running billing. We run the whole revenue cycle.
Best For
Practices that want billing handled end-to-end, from credentialing and eligibility through claims, denials, appeals, and reporting
- Everything in Tier 1, plus the items below
- Credentialing and payer network enrollment
- Eligibility verification before every new client
- Pre-authorization management and renewal alerts
- Clean claim submission with ABA-specific edits
- Denial management and payer-specific appeals
- ERA posting within one business day
- Monthly financial reporting and performance review
- Dedicated ABA-native billing team assigned to your practice
17 Line Items, Side by Side
Every billing function broken out across both tiers so you see exactly where the work sits. The lines marked "Your team" stay with your in-house biller under Tier 1; under Tier 2, they shift to us.
| Function | Tier 1 (3%) | Tier 2 (6%) |
|---|---|---|
| A/R follow-up on outstanding claims | Included | Included |
| Aging report monitoring and escalation | Included | Included |
| Payer phone calls on stalled claims | Included | Included |
| Patient statements and balance collection | Included | Included |
| Glass Box dashboard access | Included | Included |
| Claim submission and scrubbing | Your team | Included |
| ERA posting (within one business day) | Your team | Included |
| Eligibility verification before sessions | Your team | Included |
| Pre-authorization management and renewal alerts | Your team | Included |
| Denial management and root-cause coding | Your team | Included |
| Payer-specific appeals (filed within 14 days) | Your team | Included |
| Credentialing and payer network enrollment | Not included | Included |
| CAQH profile maintenance | Not included | Included |
| Monthly financial reporting and analytics | Limited | Included |
| Dedicated ABA-native billing team | Shared pool | Dedicated |
| Setup fees | $0 | $0 |
| Contract length | Month-to-month | Month-to-month |
Cost Math for a $500K ABA Practice
A mid-market ABA practice collecting $500,000 a year, modeled three ways. Numbers use 2026 ABA payroll benchmarks for a single FTE biller and our published Tier 1 and Tier 2 rates. Your practice will vary, but the directional math holds.
| Line item | In-house biller | Tier 1 (3%) | Tier 2 (6%) | Note |
|---|---|---|---|---|
| Practice collections | $500,000 | $500,000 | $500,000 | Same revenue baseline across all three models |
| Billing salary and benefits | $65,000 | $45,000 | $0 | In-house: 1 FTE biller at $52K + benefits. Tier 1: practice retains a biller; we supplement A/R. Tier 2: no billing payroll needed. |
| PTO and turnover coverage | $5,000 | $0 | $0 | In-house: contractor or temp coverage during PTO and the gap between turnover and a new hire |
| Billing software and clearinghouse | $3,000 | $3,000 | $0 | Tier 2 includes the full claims platform; Tiers 1 and in-house assume VGPM software is already in place |
| RCM service fee | $0 | $15,000 | $30,000 | 3% of $500K for Tier 1; 6% of $500K for Tier 2. You pay on collections, not charges |
| Total annual billing cost | $73,000 | $63,000 | $30,000 | Tier 2 is the biggest swing: roughly $43,000 saved versus running billing in-house, before counting collection-rate improvements |
| As a percent of collections | 14.6% | 12.6% | 6.0% | Top-quartile ABA practices spend roughly 3% of collections on billing (per 2026 industry benchmarks). Tier 2 gets a practice closer to that benchmark |
Two honest caveats. The math above does not include collection-rate improvements: ABA practices outsourcing to specialized billing teams collect roughly 94% of eligible revenue versus 71% for in-house teams (per 2026 industry benchmarks), so the actual savings under Tier 2 typically run larger than the line-item math once you factor in recovered denials.
Larger practices over $2M in collections sometimes find in-house billing economical again at scale, especially when a billing director already runs the function. See our in-house vs outsourced decision guide for the full crossover analysis.
Where 3% and 6% Fit Industry Pricing
ABA billing service rates typically run 4 to 8 percent of collected revenue per 2026 industry benchmarks, split into two bands by service scope. Our published rates sit at or near the floor of both.
3-5%
A/R-Only Typical
Industry range for ABA A/R-only services per 2026 benchmarks. Our 3% Tier 1 sits at the floor of this band.
5-8%
Full-Service Typical
Industry range for ABA full-service RCM per 2026 benchmarks. Our 6% Tier 2 sits at the low end of this band.
1 of 7
Publish Rates Publicly
Of seven named ABA billing services, VG Soft Co is the only one that publishes rates on a public website. The other six require a sales call.
Sales Call Required for Pricing
Six named ABA billing services do not publish rates on their public websites as of May 2026:
- Cube Therapy Billing
- Missing Piece Billing
- AnnexMed
- Plutus Health
- MBW RCM
- Operant Billing
Prospective buyers cannot compare cost across vendors without committing to a discovery call with each one. We publish because ABA practice owners deserve to know the rate before the meeting.
What ABA Practices Say About Our Billing Team
The RCM team feels like an extension of our practice. We're collecting more and stressing less.
I used to worry about every claim. Now I barely think about billing at all. Huge relief.
Super easy transition and results showed up quickly. Cash flow has been way smoother since switching.
They handle the insurance side so we can focus on clients. Wish we did this sooner.
Tier 1 vs Tier 2: How to Decide
The decision is usually about your in-house billing team today, not your practice scale. Match the tier to the team you have.
When 3% A/R Management Fits
3% of collected revenue
- You already employ a billing coordinator or in-house biller
- Your claim submission and scrubbing process works, but A/R follow-up keeps falling behind
- Aging buckets above 60 days are growing and your team cannot keep up
- You want better visibility into outstanding revenue without rebuilding the whole cycle
If your billing team is good at submitting but losing ground on aged A/R, Tier 1 closes the gap without replacing your staff.
When 6% Full Service RCM Fits
6% of collected revenue
- You do not want to hire, train, or manage a billing team
- You are spending clinical or owner time on insurance phone calls and denials
- Your in-house biller resigned and you do not want to replace the role
- You want one ABA-specialized team owning credentialing through collections
If billing keeps pulling you out of clinical work, Tier 2 takes the whole cycle off your plate while you keep full visibility through the Glass Box dashboard.
Common Questions About Pricing
The percentage applies to dollars that land in your bank account from payers and patients, not billed charges or claim values. If you bill $1,000 and we collect $900, the fee applies to the $900. You never pay on revenue that does not arrive.
No. There are no setup fees, no implementation fees, and no onboarding charges for either tier. We absorb the cost of bringing your data into VGPM, mapping your payers, and training the team assigned to your practice.
Month-to-month. There is no annual commitment, no multi-year lock-in, and no early-termination penalty. We hold the engagement by performing, not by paper. You can cancel with 30 days written notice at any time.
At the end of each calendar month, against that month's posted collections. You see a line-item statement of what was collected, what the fee was, and which claims it applied to. The same data sits inside your Glass Box dashboard for the entire month so nothing arrives as a surprise.
Per 2026 industry benchmarks, A/R-only ABA billing services typically run 3 to 5 percent of collected revenue and full-service ABA RCM runs 5 to 8 percent. Our 3 percent A/R tier sits at the floor of the A/R-only band, and our 6 percent Full Service tier sits at the low end of the full-service band. We publish both rates; most ABA billing services do not.
Most ABA billing services price each engagement after a discovery call. The argument is that volume, payer mix, and service scope vary enough to require custom pricing. The trade-off is that prospective buyers cannot compare costs across vendors without committing to a sales cycle with each one. We publish because we believe ABA practice owners deserve to know the rate before the meeting.
Yes. The percentage does not scale up as you grow. A practice collecting $250K and a practice collecting $2.5M pay the same 3 percent or 6 percent rate. The dollar amount scales with collections; the rate does not.
Yes. The Glass Box dashboard and the real-time claim data depend on the VGPM platform. If you are currently on another system, we will discuss a migration timeline during the discovery call rather than running RCM against incomplete data.
Yes. Many practices start with Tier 1 to validate the relationship while keeping their in-house biller, then shift to Tier 2 when the biller leaves or the practice grows past their bandwidth. The change takes effect the first of the following month and does not reset the engagement.
Coding decisions on novel CPT scenarios remain with your BCBA team. Patient legal action on unpaid balances is not handled in either tier (collections agency referral is handled by your practice per your policy). Software licensing for VGPM is separate from the RCM fee.
Related Billing Resources
ABA Revenue Cycle Management
The full RCM service: claims, authorizations, denials, credentialing, and reporting under one ABA-specialized team.
See the full RCM serviceABA Claim Denial Management
The denial defense sub-service that is included in Tier 2 Full Service RCM. Recovery rate, process, and the ABA-specific denial codes that drive it.
Read the denial defense detailABA Billing: In-House vs Outsourced
The decision guide: cost comparison, performance metrics, and which model fits your practice scale.
Read the decision guideABA Billing Service Buyer's Guide 2026
The questions to ask before signing with any ABA billing service. Pricing transparency, ABA-specific expertise, and red flags.
Read the buyer's guideOne Conversation. Both Rates on the Table.
Bring your monthly collections number. We will model your cost at 3% and 6% and tell you which tier fits before the call ends.