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Screening ECG, 12 Leads, with Interpretation and Report

Ohio 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?

$19.95

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $19.95 for this service. Most negotiated rates run $15.14 to $19.95.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $66Professionalmedian $20 · 10th to 90th $14 to $32
$20$50$100facility $15professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$66.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$14.79
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$19.95
Typical High
$28.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
SummaCare
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$14.45
Typical High
$17.78
United
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$19.05
Typical High
$35.48

Where Ohio 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.

Ohio· 25th of 51

$19.95

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.