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Pharmacy Supply Fee, First Prescription in 30 Days

Michigan 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?

$9.55

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $4.07 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$9.55$1.82 to $21.38
FacilityA hospital or hospital-owned outpatient department$4.07$2.82 to $7.41

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $24Professionalmedian $10 · 10th to 90th $2 to $29
$0.1$0.5$2$10$50facility $4professional $10

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
$1.82
Median
$3.80
Typical High
$7.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.82
Typical High
$1.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.80
Typical High
$13.80
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$58.88
Typical High
$69.18
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$25.70
Typical High
$32.36
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.72
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$39.81

Where Michigan 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.

Michigan· 45th of 51

$9.55

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.