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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 October 2026.

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

$1,585

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $1,585 for this service. Most negotiated rates run $708 to $6,166.

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.

How much rates vary

Facilitymedian $3,631 · 10th to 90th $110 to $8,511Professionalmedian $1,514 · 10th to 90th $708 to $7,244
$50$200$1K$5Kfacility $3,631professional $1,514

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$891.25
Typical High
$7,244.36
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$4,897.79
Typical High
$8,709.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,513.56
Typical High
$7,244.36
United
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$109.65
Typical High
$125.89

Where Pennsylvania 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.

Pennsylvania· 20th of 49

$1,585

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.