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Screening ECG, 12 Leads, with Interpretation and Report

Illinois 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 $17 · 10th–90th $14$280%10%20%10th90th$17$10.0$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
$13.49
Median
$16.22
Typical High
$25.70
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.59
Typical High
$14.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$20.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$20.89
Typical High
$58.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$17.38
Typical High
$19.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$22.91
Typical High
$34.67