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Noncovered Clinical Trial Procedure, No or Local Anesthesia

New York 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?

$3,981

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $0.03 from a physician practice, and about $5,754 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$0.03$0.02 to $832
FacilityA hospital or hospital-owned outpatient department$5,754$2,951 to $7,586

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,905 to $11,482Professionalmedian $0 · 10th to 90th $0 to $10,233
$0.1$1$10$100$1K$10Kfacility $5,754professional $0

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
$1,905.46
Median
$5,888.44
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$7,585.78
Typical High
$11,481.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$38,018.94

Where New York 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.

New York· 20th of 50

$3,981

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.