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Noncovered Clinical Trial Procedure, No or Local Anesthesia

Illinois rates for HCPCS G0294

Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day

Rates data updated July 2026.

How much does Noncovered Clinical Trial Procedure, No or Local Anesthesia cost?

$1,862

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $1,862 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$3,236$347 to $7,762
FacilityA hospital or hospital-owned outpatient department$1,862$1,148 to $5,370

How much rates vary

Facilitymedian $1,862 · 10th to 90th $69 to $9,772Professionalmedian $3,236 · 10th to 90th $100 to $10,000
$0.1$1$10$100$1K$10Kfacility $1,862professional $3,236

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
$1,122.02
Median
$3,235.94
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$3,235.94
Typical High
$11,481.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$53.70
Typical High
$64.57
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$128.82

Where Illinois sits

The same service costs 288.4 times more in Ohio than in Michigan. 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.

Illinois· 28th of 50

$1,862

OH $10,233MI $35.48

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.