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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 October 2026.

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

$64.57

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $66.07 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$30.20 to $126
FacilityA hospital or hospital-owned outpatient department$66.07$56.23 to $89.13

How much rates vary

Facilitymedian $66 · 10th to 90th $50 to $3,236Professionalmedian $30 · 10th to 90th $30 to $5,623
$50$200$1K$5Kfacility $66professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$3,235.94
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$5,623.41
Typical High
$11,481.54
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$61.66
Typical High
$81.28
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$125.89
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$100.00

Where Illinois sits

The same service costs 398107.2 times more in Alaska 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.

Illinois· 41st of 49

$64.57

AK $12,023NY $0.03

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.