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Pharmacy Supply Fee, First Prescription in 30 Days

Illinois 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?

$23.99

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $79.43 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 6 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$23.99$13.80 to $23.99
FacilityA hospital or hospital-owned outpatient department$79.43$52.48 to $182

How much rates vary

Facilitymedian $79 · 10th to 90th $38 to $309Professionalmedian $24 · 10th to 90th $3 to $30
$0.1$1$10$100facility $79professional $24

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
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.69
Typical High
$10.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$79.43
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.30
Typical High
$34.67
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$26.92
Typical High
$42.66

Where Illinois 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.

Illinois· 5th of 51

$23.99

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.