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Screening ECG, 12 Leads, with Interpretation and Report

Idaho 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 October 2026.

How much does Screening ECG, 12 Leads, with Interpretation and Report cost?

$20.89

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $29.51 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$14.13 to $22.91
FacilityA hospital or hospital-owned outpatient department$29.51$17.78 to $40.74

How much rates vary

Facilitymedian $30 · 10th to 90th $14 to $76Professionalmedian $21 · 10th to 90th $12 to $30
$5$10$20$50$100facility $30professional $21

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$21.38
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$38.90
Typical High
$75.86
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$32.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Moda Health
Setting
Facility
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$20.89
Moda Health
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$17.38
Typical High
$26.92
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$17.78
Typical High
$25.70
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$17.78
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$22.91
Select Health
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$75.86
Select Health
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$14.79
Typical High
$30.90
United
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$24.55
Typical High
$32.36
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$17.38
Median
$21.88
Typical High
$22.91

Where Idaho sits

The same service costs 3.2 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.

Idaho· 20th of 51

$20.89

AK $33.11NY $10.47

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.