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Topical Gastrointestinal Hemostatic Agent

Alaska rates for HCPCS C1052

Hemostatic agent, gastrointestinal, topical

Rates data updated July 2026.

How much does Topical Gastrointestinal Hemostatic Agent cost?

$661

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $794 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 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$661$661 to $661
FacilityA hospital or hospital-owned outpatient department$794$661 to $1,230

How much rates vary

Facilitymedian $794 · 10th to 90th $661 to $3,467Professionalmedian $661 · 10th to 90th $52 to $661
$100$200$500$1K$2Kfacility $794professional $661

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
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,230.27
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48

Where Alaska sits

The same service costs 16.6 times more in West Virginia than in New York. 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.

Alaska· 14th of 51

$661

WV $741NY $44.67

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.