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Noncovered Clinical Trial Procedure, No or Local Anesthesia

Michigan 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?

$35.48

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $4,898 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 4 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$35.48$21.38 to $35.48
FacilityA hospital or hospital-owned outpatient department$4,898$4,898 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $65 to $6,918Professionalmedian $35 · 10th to 90th $7 to $35
$10$50$200$1K$5Kfacility $4,898professional $35

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
$4,897.79
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$109.65
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$35.48
Typical High
$35.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$35.48
Typical High
$35.48
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$120.23

Where Michigan 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.

Michigan· 50th of 50

$35.48

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.