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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.

Professionalmedian $19 · 10th–90th $14$400%20%10th90th$19$20.0$50.0$100.0

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
$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