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Pharmacy Supply Fee, First Prescription in 30 Days

California rates for HCPCS Q0511

Pharmacy supply fee for oral anticancer, oral antiemetic, or immunosuppressive drug(s); for the first prescription in a 30-day period

Rates data updated July 2026.

How much does Pharmacy Supply Fee, First Prescription in 30 Days cost?

$20.42

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $28.84 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.62$10.96 to $39.81
FacilityA hospital or hospital-owned outpatient department$28.84$11.48 to $32.36

How much rates vary

Facilitymedian $29 · 10th to 90th $11 to $44Professionalmedian $19 · 10th to 90th $3 to $40
$0.1$1$10$100facility $29professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$10.96
Typical High
$10.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$21.38
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$22.91
Typical High
$128.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$28.84
Typical High
$40.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$24.55
Typical High
$45.71

Where California sits

The same service costs 63.1 times more in North Carolina than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 9th of 51

$20.42

NC $100NE $1.58

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.