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Spring update to member cost tool data
April 4, 2023

We’re conducting our biannual update of our member cost estimation tools. The data is based on care you rendered from October 1, 2021 – September 30, 2022, paid through November 30, 2022 under your contracted rates, including associated care rendered by other providers.

About the Spring 2023 update

This update will include data for:

  • Our indemnity members, who now have access to the member cost tool
  • Providers who may be new to cost estimation tool reporting, and existing providers who may now have data for treatment categories for which they did not previously meet minimum denominator requirements

The tool encourages our members to consult with their clinicians in making decisions about where to seek care. Members may also refer to our quality comparison resources and listings of our Blue Distinction Centers to help select a site of service based on both quality and cost.

Note:  This data is not being used to fulfill the requirements of the Transparency in Coverage rule.

You can view an explanation of our methodology with the included treatment categories and codes. Simply log in, go to Quality & Performance>Transparency & Product Design>Quality Transparency, and click Member Cost Estimation Tools Methodology and Code List. You can obtain a copy of your data from your Network Manager (log in and click on Contacts & Sites at the top of this page).