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Screening ECG, 12 Leads, with Interpretation and Report

Minnesota 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?

$22.39

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $26.30 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$21.88$16.22 to $35.48
FacilityA hospital or hospital-owned outpatient department$26.30$16.22 to $56.23

How much rates vary

Facilitymedian $26 · 10th to 90th $16 to $132Professionalmedian $22 · 10th to 90th $16 to $43
$20$50$100$200facility $26professional $22

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
$16.22
Median
$16.22
Typical High
$16.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$21.88
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$51.29
Typical High
$199.53
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$31.62
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$51.29
Typical High
$144.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$17.78
Typical High
$20.42
Health Partners
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$47.86
Typical High
$114.82
Health Partners
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Medica
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$25.12
Typical High
$29.51
Medica
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$39.81
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$35.48
Typical High
$58.88

Where Minnesota 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.

Minnesota· 16th of 51

$22.39

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.