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Topical Gastrointestinal Hemostatic Agent

Tennessee 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 Tennessee, July 2026.

Insurers have agreed to pay about $661 for this service. Most negotiated rates run $52.48 to $661.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $100Professionalmedian $661 · 10th to 90th $52 to $661
$100$200$500facility $100professional $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
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where Tennessee 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.

Tennessee· 28th 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.