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How much does an AI agent cost to run Prior-Auth Assistance?

Token cost benchmark for an autonomous Prior-Auth Assistance agent, across 26 models. Prices as of 26 Jul 2026.

An agent for Prior-Auth Assistance on the clean path costs about $0.0253 to $1.75 per outcome depending on the model, around 22x the cost of a single chat message. At 10,000 outcomes a month that is roughly $253 to $17,530.
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Cost per outcome by model

Model$/1M in$/1M outCost / outcomeCost / month*
GPT-4o mini$0.15$0.60$0.0253$253
Llama 4 Maverick$0.27$0.85$0.0440$440
Gemini 2.5 Flash$0.30$2.50$0.0592$592
GPT-4.1 mini$0.40$1.60$0.0675$675
DeepSeek V4$0.43$0.87$0.0676$676
Mistral Large 3$0.50$1.50$0.0810$810
Qwen3.5 397B$0.60$3.60$0.109$1,091
Kimi K2.6$0.95$4.00$0.162$1,616
Claude Haiku 4.5$1.00$5.00$0.175$1,753
Grok 4.3$1.25$2.50$0.194$1,944
Qwen3.7 Max$1.25$3.75$0.203$2,026
GLM-5.2$1.40$4.40$0.228$2,283
Gemini 2.5 Pro$1.25$10.00$0.244$2,439
Mistral Medium 3.5$1.50$7.50$0.263$2,629
Gemini 3.5 Flash$1.50$9.00$0.273$2,729
GPT-4.1$2.00$8.00$0.337$3,374
Claude Sonnet 5$2.00$10.00$0.351$3,506
GPT-4o$2.50$10.00$0.422$4,218
GPT-5.4$2.50$15.00$0.455$4,548
GPT-5.6 Terra$2.50$15.00$0.455$4,548
Claude Sonnet 4.6$3.00$15.00$0.526$5,259
Kimi K3$3.00$15.00$0.526$5,259
Claude Opus 4.8$5.00$25.00$0.877$8,765
GPT-5.5$5.00$30.00$0.909$9,095
GPT-5.6 Sol$5.00$30.00$0.909$9,095
Claude Fable 5$10.00$50.00$1.75$17,530

*At 10,000 outcomes per month. Cheapest model highlighted.

What this agent does

The clean-path steps this benchmark prices:

  1. Gather Clinical Data
  2. Auth required?
  3. Check Payer Rules
  4. Criteria met?
  5. Evidence confident?
  6. Assemble Packet
  7. Submit to Payer
  8. Payer approved?

What drives the cost

This path runs 8 steps: 3 tool calls, 1 reasoning step and 4 decision points. Tool steps make two model calls each, and the agent re-reads its growing context on every call. That compounding is why one Prior-Auth Assistance outcome costs about 22x a single chat message ($0.526 on Claude Sonnet 4.6), not the price of one message.

Why these numbers matter.

How this benchmark is calculated

These figures are modeled estimates, not metered bills. We price a generic, representative Prior-Auth Assistance workflow across 26 models using the same cost engine as the live estimator, at each model’s published list price (checked 26 Jul 2026), under documented default assumptions for planning loops, tool calls, memory retrieval, sub-agents and context size. Your own process will differ, so use these as starting points, tune the assumptions in the estimator, and validate against your real usage. Illustrative estimates, not financial advice.

Frequently asked questions

How much does an AI agent cost to run Prior-Auth Assistance?

On the clean path with default assumptions, an agent for Prior-Auth Assistance costs about $0.0253 to $1.75 per outcome depending on the model, or roughly $253 to $17,530 per month at 10,000 outcomes. The cheapest model here is GPT-4o mini at $0.0253; the most expensive is Claude Fable 5 at $1.75.

Why does an AI agent cost more than a single chatbot message?

An agent does not make one model call. It plans, calls tools, retrieves context and re-reads its growing working context on every step. For Prior-Auth Assistance that adds up to about 22x the cost of a single chat message.

Which model is cheapest for Prior-Auth Assistance?

Across the 26 models benchmarked, GPT-4o mini is cheapest at $0.0253 per outcome and Claude Fable 5 is the most expensive at $1.75. A cheaper model is not always the right choice, but it sets the floor for this workflow.

How can I reduce the cost of an agent for Prior-Auth Assistance?

The biggest levers are prompt caching on the base context, fewer planning loops, smaller tool results, less retrieval, and choosing a cheaper model where quality allows. You can test each lever in the live estimator.

What is this Prior-Auth Assistance benchmark based on?

These are modeled estimates, not metered bills. Each figure prices a generic, representative Prior-Auth Assistance workflow across 26 models with the same cost engine as the live estimator, at each model's published list price (checked 26 Jul 2026), under documented default assumptions for planning loops, tool calls, memory retrieval, sub-agents and context size. Your own process will differ, so treat these as starting points, tune them in the estimator, and validate against your own usage.

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Open Prior-Auth Assistance in the live estimator →