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Screening ECG, 12 Leads, with Interpretation and Report

Oklahoma 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?

$16.60

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $16.60 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.60$14.13 to $24.55
FacilityA hospital or hospital-owned outpatient department$16.60$16.60 to $18.62

How much rates vary

Facilitymedian $17 · 10th to 90th $11 to $29Professionalmedian $17 · 10th to 90th $12 to $174
$10$20$50$100facility $17professional $17

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$11.48
Ambetter
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
BCBS Oklahoma
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$18.62
Typical High
$23.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$18.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Medica
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$16.60
Typical High
$28.84
Medica
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$18.20
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$17.38
Typical High
$30.90

Where Oklahoma 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.

Oklahoma· 42nd of 51

$16.60

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.