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Pharmacy Supply Fee, First Prescription in 30 Days

Washington 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 Washington, July 2026.

Insurers have agreed to pay about $12.59 for this service. Most negotiated rates run $10.96 to $23.99.

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.

How much rates vary

Facilitymedian $24 · 10th to 90th $24 to $24Professionalmedian $11 · 10th to 90th $2 to $39
$0.1$0.5$2$10$50facility $24professional $11

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
$0.11
Median
$10.96
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$33.11
Typical High
$58.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$20.42
Typical High
$36.31

Where Washington 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.

Washington· 25th 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.