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How much does an AI agent cost to run Claims Adjudication?

Token cost benchmark for an autonomous Claims Adjudication agent, across 13 models. Prices as of 14 Jun 2026.

An agent for Claims Adjudication on the clean path costs about $0.0249 to $1.73 per outcome depending on the model, around 22x the cost of a single chat message. At 10,000 outcomes a month that is roughly $249 to $17,280.
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Cost per outcome by model

Model$/1M in$/1M outCost / outcomeCost / month*
GPT-4o mini$0.15$0.60$0.0249$249
Llama 4 Maverick$0.27$0.85$0.0434$434
Gemini 2.5 Flash$0.30$2.50$0.0584$584
GPT-4.1 mini$0.40$1.60$0.0665$665
DeepSeek V4$0.44$0.87$0.0673$673
Claude Haiku 4.5$1.00$5.00$0.173$1,728
Gemini 2.5 Pro$1.25$10.00$0.241$2,408
Mistral Large 3$2.00$6.00$0.319$3,192
GPT-4.1$2.00$8.00$0.332$3,324
GPT-4o$2.50$10.00$0.416$4,155
Claude Sonnet 4.6$3.00$15.00$0.518$5,184
Claude Opus 4.8$5.00$25.00$0.864$8,640
Claude Fable 5$10.00$50.00$1.73$17,280

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

What this agent does

The clean-path steps this benchmark prices:

  1. Gather Evidence
  2. Fraud indicators?
  3. Assess Damage & Liability
  4. Covered & in limits?
  5. Calculate Payout
  6. Above authority?
  7. Confidence high?
  8. Settle & Pay

What drives the cost

This path runs 8 steps: 3 tool calls, 1 reasoning step, 4 decision points and 0 human checkpoints. Tool steps make two model calls each, and the agent re-reads its growing context on every call. That compounding is why one Claims Adjudication outcome costs about 22x a single chat message ($0.518 on Claude Sonnet 4.6), not the price of one message.

Why these numbers matter.

Frequently asked questions

How much does an AI agent cost to run Claims Adjudication?

On the clean path with default assumptions, an agent for Claims Adjudication costs about $0.0249 to $1.73 per outcome depending on the model, or roughly $249 to $17,280 per month at 10,000 outcomes. The cheapest model here is GPT-4o mini at $0.0249; the most expensive is Claude Fable 5 at $1.73.

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 Claims Adjudication that adds up to about 22x the cost of a single chat message.

Which model is cheapest for Claims Adjudication?

Across the 13 models benchmarked, GPT-4o mini is cheapest at $0.0249 per outcome and Claude Fable 5 is the most expensive at $1.73. 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 Claims Adjudication?

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.

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