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Mitomycin Injection

Tennessee rates for HCPCS J9280

Injection, mitomycin, 5 mg

Rates data updated July 2026.

How much does Mitomycin Injection cost?

$146per dose

One 26 mg dose, at the doctor's office rate. In Tennessee, July 2026.

Negotiated ratewhat insurers pay per 5 mg of the drug
$28.18 / 5 mg
Average doseacross Medicare claims, discarded units included
× 26 mg
One dosedrug only; giving it and the visit are billed separately
$146

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it. Prefilled with the average administration in Medicare claims, discarded units included.

mg
In a doctor's office or clinic
$147
At a hospital outpatient department
$222

The same drug, in the same amount, costs 51% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 the price changes

Given atPer 5 mgPer 26 mg dose
Doctor's office or clinic$28.18$146
Hospital outpatient department$42.66$221

How much rates vary

Facilitymedian $43 · 10th to 90th $28 to $89Professionalmedian $28 · 10th to 90th $26 to $34
$50$100$200$500facility $43professional $28

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
Facility
Modifier
Global
Typical Low
$28.18
Median
$43.65
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$33.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$39.81
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$30.20
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$26.30
Typical High
$35.48

Where Tennessee sits

The same service costs 1.7 times more in New York than in Minnesota. 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.

Tennessee· 38th of 51

$28.18

NY $46.77MN $27.54

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.