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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 October 2026.

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

$19.50

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $89.13 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.05$16.60 to $22.91
FacilityA hospital or hospital-owned outpatient department$89.13$57.54 to $209

How much rates vary

Facilitymedian $89 · 10th to 90th $43 to $355Professionalmedian $19 · 10th to 90th $14 to $30
$20$50$100$200$500facility $89professional $19

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
Facility
Modifier
None
Typical Low
$14.79
Median
$15.14
Typical High
$16.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$16.98
Typical High
$27.54
Ambetter
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$25.70
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$91.20
Typical High
$363.08
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$19.50
Typical High
$25.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Hally Health
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$15.85
Typical High
$52.48
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$17.38
Typical High
$19.05
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$21.88
Typical High
$33.11

Where Illinois 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.

Illinois· 28th of 51

$19.50

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.