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Topical Gastrointestinal Hemostatic Agent

Arizona rates for HCPCS C1052

Hemostatic agent, gastrointestinal, topical

Rates data updated July 2026.

How much does Topical Gastrointestinal Hemostatic Agent cost?

$70.79

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $60.26 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$100$52.48 to $661
FacilityA hospital or hospital-owned outpatient department$60.26$33.11 to $132

How much rates vary

Facilitymedian $60 · 10th to 90th $25 to $661Professionalmedian $100 · 10th to 90th $37 to $661
$20$100$500$2Kfacility $60professional $100

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
$660.69
Median
$5,888.44
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$51.29
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where Arizona 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.

Arizona· 42nd of 51

$70.79

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.