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Screening ECG, 12 Leads, with Interpretation and Report

Indiana 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 Indiana, October 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $43.65 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.50$15.49 to $19.50
FacilityA hospital or hospital-owned outpatient department$43.65$21.88 to $955

How much rates vary

Facilitymedian $44 · 10th to 90th $19 to $2,089Professionalmedian $19 · 10th to 90th $14 to $26
$10$50$200$1Kfacility $44professional $19

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$15.14
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$19.50
Typical High
$22.39
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$26.92
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$912.01
Typical High
$2,137.96
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$16.98
Typical High
$23.44
United
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$19.05
Typical High
$29.51

Where Indiana 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.

Indiana· 27th 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.