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Screening ECG, 12 Leads, with Interpretation and Report

Maine 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.

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

$19.05

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $19.05 for this service. Most negotiated rates run $16.98 to $26.30.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $19 · 10th to 90th $14 to $40
$20$50professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.20
Typical High
$26.92
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.89
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$47.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$18.20
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.99
Typical High
$33.88

Where Maine sits

The same service costs 1.9 times more in Kansas than in Texas. 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.

Maine· 17th of 51

$19.05

KS $26.92TX $14.13

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.