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Screening ECG, 12 Leads, with Interpretation and Report

Montana 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 $20 · 10th–90th $15$280%10%20%10th90th$20$20.0$50.0

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
$14.79
Median
$17.38
Typical High
$25.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$22.39
Typical High
$23.99
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$25.12
Typical High
$28.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$27.54
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$34.67