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Pharmacy Supply Fee, First Prescription in 30 Days

Virginia 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?

$5.75

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $5.75 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $30.20 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$5.37$3.98 to $13.80
FacilityA hospital or hospital-owned outpatient department$30.20$21.38 to $40.74

How much rates vary

Facilitymedian $30 · 10th to 90th $3 to $10,000Professionalmedian $5 · 10th to 90th $3 to $27
$0.1$1$10$100$1K$10Kfacility $30professional $5

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$6.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$26.30
Typical High
$40.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$10,000.00
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$10,000.00
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$25.12
Typical High
$41.69

Where Virginia 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.

Virginia· 47th of 51

$5.75

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.