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Screening ECG, 12 Leads, with Interpretation and Report

New Hampshire 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 $14$440%10%20%10th90th$20$10.0$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
$13.18
Median
$18.20
Typical High
$22.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$38.90
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.44
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.18
Typical High
$53.70