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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.

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

$20.42

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $20.42 for this service. Most negotiated rates run $17.78 to $32.36.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $20 · 10th to 90th $14 to $44
$10.0$20.0$50.0$100.0professional $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
$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

Where New Hampshire sits

The same service costs 1.9 times more in Kansas than in Texas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Hampshire $20.42 · 10th of 51
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.