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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 July 2026.

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

$7,079

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $7,079 for this service. The price depends on where it is billed: about $7,079 from a physician practice, and about $5,888 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$7,079$3,236 to $7,079
FacilityA hospital or hospital-owned outpatient department$5,888$4,074 to $8,913

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,236 to $14,791Professionalmedian $7,079 · 10th to 90th $1,047 to $10,000
$1K$2K$5K$10Kfacility $5,888professional $7,079

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
$3,235.94
Median
$5,888.44
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$7,079.46
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,047.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$173.78

Where Virginia 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.

Virginia· 7th of 50

$7,079

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.