Cost transparency

As an Anthem participating provider, you may have received our prior correspondence, or read the articles in our Network Updates on Anthem cost transparency. Transparency tools such as Anthem’s Find Care tool and others are available to members on anthem.com and allow members to estimate their out-of-pocket impact and view the estimated costs for many procedures.

In our prior correspondence, we also enclosed a summary of the methodology used to generate the cost information housed in the National Consumer Cost Tool (NCCT), the source data used to display costs in Find Care. The treatment categories for which costs are displayed and the methodology are defined by the Blue Cross Blue Shield Association. As indicated in the correspondence Axis^® (formerly NCCT), cost data is updated twice annually. The most recent was update completed in March 2024, and the next update scheduled for November 2024. Please look for more information in our provider newsletters posted to anthem.com.

As a reminder, Anthem care provider costs are now available in a secure section of the Availity Essentials platform. Authorized representatives of participating facilities and professional practices can login to Availity at Availity.com, and register to view the costs for their facility or practice. Costs will be made available to our participating care providers no less than 30 days before they become available to our members on anthem.com in the transparency tools such as Anthem Care Comparison.

Should you wish to review the methodology, you may request a copy by sending an email request to your provider relationship management representative.

If you wish to provide an internet link on Anthem’s website where this cost information will be displayed, please provide us this link within 30 days of receiving the cost information from us.

We are committed to active involvement with care providers that leads to real change.