go back

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 October 2026.

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

$19.05

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $19.05 for this service. Most negotiated rates run $19.05 to $25.70.

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 $30
$20$50professional $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
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$20.42
Typical High
$33.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$30.20
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
United
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$28.84
Typical High
$30.20

Where Maine 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.

Maine· 29th of 51

$19.05

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.