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Topical Gastrointestinal Hemostatic Agent

Texas rates for HCPCS C1052

Hemostatic agent, gastrointestinal, topical

Rates data updated July 2026.

How much does Topical Gastrointestinal Hemostatic Agent cost?

$52.48

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $19.50 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 9 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$52.48$52.48 to $661
FacilityA hospital or hospital-owned outpatient department$19.50$13.18 to $40.74

How much rates vary

Facilitymedian $19 · 10th to 90th $12 to $955Professionalmedian $52 · 10th to 90th $52 to $661
$10$50$200$1K$5Kfacility $19professional $52

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
$1,513.56
Median
$2,344.23
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$41.69
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$891.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$1,258.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where Texas 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.

Texas· 48th of 51

$52.48

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.