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Noncovered Clinical Trial Procedure, No or Local Anesthesia

Virginia 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?

$4,571

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $4,786 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,365$977 to $10,233
FacilityA hospital or hospital-owned outpatient department$4,786$1,023 to $9,333

How much rates vary

Facilitymedian $4,786 · 10th to 90th $71 to $11,482Professionalmedian $4,365 · 10th to 90th $813 to $11,482
$100$200$500$1K$2K$5K$10Kfacility $4,786professional $4,365

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
$3,801.89
Median
$5,623.41
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$8,317.64
CareFirst
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$933.25
Typical High
$1,047.13
Sentara
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$2,454.71
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$7,413.10
Median
$10,232.93
Typical High
$11,481.54
United
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$77.62
Typical High
$173.78

Where Virginia 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.

Virginia· 10th of 49

$4,571

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.