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Pharmacy Supply Fee, First Prescription in 30 Days

South Dakota 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?

$12.59

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $12.59 for this service. Most negotiated rates run $10.23 to $26.92.

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.

How much rates vary

Facilitymedian $19 · 10th to 90th $2 to $48Professionalmedian $13 · 10th to 90th $2 to $41
$0.2$1$5$20facility $19professional $13

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. Small sample; interpret with caution. 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
$1.58
Typical High
$1.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$12.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$19.05
Typical High
$47.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$33.88
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$34.67
Typical High
$50.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14

Where South Dakota 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.

South Dakota· 26th of 51

$12.59

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.