Background: Family planning helps women avoid unplanned or unwanted pregnancies, and prevent unsafe abortions. Expanding access to effective modern contraceptive method is essential for achieving universal access to reproductive health-care services. Women with disabilities make up a diverse population of underserved clients needing skilled human resource and sensitive and culturally competent Modern contraceptives. Modern contraceptive utilization was low among women of reproductive age group in general and disabled women of reproductive age group in particular in Bahir Dar city and there is no comparative study done to asses this difference. Therefore this study had assessed factors associated with this low modern contraceptive utilization. Objective: To assess the prevalence of Modern contraceptive utilization and associated factors among disabled and non-disabled women of reproductive age group (15-49 years) in Bahir Dar city, North West Ethiopia from Dcember1st to December 30, 2020. Methods: Community based comparative cross sectional study design was carried out from December 1 to 30, 2020. Data was coded and entered into Epi Data 3.1 and was exported to SPSS version 21.0 for cleaning and analysis. Variables resulting in a p-value of less than 0.2 on bi-variable analysis were candidate for multiple variable logistic regression analysis. Adjusted odds ratio (AOR) with 95% Confidence interval (CI) at 5% level of significance was used to measure the strength and statistical significance of the association. Results: In this study, the prevalence of modern contraceptive utilization among disabled and non-disabled women of reproductive age group was 30.2% and 52.7% respectively. Discussion with husband/partner (AOR=4.3, 95%CI, 1.47, 12.5) among disabled and (AOR=5.04, 95%CI: 2.89, 8.78) among nondisabled women, knowledge/having information (AOR=6.5, 95%CI: 2.05, 20.9) among disabled and (AOR=64.3, 95%CI: 1.51, 12.25) among non-disabled women and Decision maker (AOR=4.1, 95%CI: 1.96, 12.96) among disabled and (AOR=9.1, 95%CI: 6.3, 17.5) non-disabled women were independent predictors of modern contraceptive use in Bahir Dar city. Conclusion: In this study modern contraceptive utilization prevalence among disabled women is low. The non-disabled women’s modern contraceptive utilization prevalence is in line with Ethiopia’s SDG plan for 2020. Age, Couple discussion, knowledge/information, distance, Decision maker and number of family were associated factors with modern contraceptive utilization in Bahir Dar city. Key words: Disability, Reproductive age, Modern Contraceptive utilization.