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Noncovered Clinical Trial Procedure, No or Local Anesthesia

Pennsylvania 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?

$5,370

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,370 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $5,370 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 3 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$1,585$1,413 to $6,166
FacilityA hospital or hospital-owned outpatient department$5,370$3,802 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,023 to $8,511Professionalmedian $1,585 · 10th to 90th $708 to $7,762
$100$200$500$1K$2K$5K$10Kfacility $5,370professional $1,585

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
$1,288.25
Median
$5,754.40
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,584.89
Typical High
$7,762.47
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,511.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,584.89
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12

Where Pennsylvania 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.

Pennsylvania· 13th of 50

$5,370

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.