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Screening ECG, 12 Leads, with Interpretation and Report

Hawaii rates for HCPCS G0403

Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report

Rates data updated July 2026.

Professionalmedian $19 · 10th–90th $14$250%10%20%10th90th$19$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.98
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$22.39
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.50
Typical High
$28.84