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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.

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

$19.95

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $19.95 for this service. Most negotiated rates run $16.98 to $25.12.

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 $20 · 10th to 90th $15 to $28
$20$50professional $20

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
$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

Where Montana 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.

Montana· 13th of 51

$19.95

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.