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Connecticut rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Rates data updated July 2026.

How much does Jelmyto (mitomycin) cost?

$324per mg

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $324 for each mg of this drug. The price depends on where it is billed: about $324 from a physician practice, and about $550 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$324
At a hospital outpatient department
$550

The same drug, in the same amount, costs 70% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$324 to $339
FacilityA hospital or hospital-owned outpatient department$550$457 to $794

How much rates vary

Facilitymedian $550 · 10th to 90th $363 to $912Professionalmedian $324 · 10th to 90th $324 to $355
$500$1Kfacility $550professional $324

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
$363.08
Median
$562.34
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$398.11

Where Connecticut sits

Rates are fairly even across states for this service. 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.

Connecticut· 29th of 51

$324

IA $355KY $324

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.