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Pharmacy Supply Fee, First Prescription in 30 Days

Kansas 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?

$24.55

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $1.00 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 5 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$26.30$13.80 to $32.36
FacilityA hospital or hospital-owned outpatient department$1.00$0.95 to $1.29

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $33Professionalmedian $26 · 10th to 90th $10 to $41
$1$2$5$10$20$50facility $1professional $26

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
$9.55
Typical High
$10.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$1.00
Typical High
$1.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$67.61
Typical High
$83.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$29.51
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$43.65

Where Kansas 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.

Kansas· 3rd of 51

$24.55

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.