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Pharmacy Supply Fee, First Prescription in 30 Days

Colorado 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?

$3.98

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $13.80 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 7 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$3.98$1.58 to $13.80
FacilityA hospital or hospital-owned outpatient department$13.80$1.58 to $32.36

How much rates vary

Facilitymedian $14 · 10th to 90th $2 to $38Professionalmedian $4 · 10th to 90th $2 to $32
$0.1$0.5$2$10$50facility $14professional $4

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
$1.58
Median
$1.58
Typical High
$2.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$10.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$26.30
Typical High
$38.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Select Health
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$44.67
Typical High
$50.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$31.62
Typical High
$46.77

Where Colorado 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.

Colorado· 48th of 51

$3.98

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.