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Screening ECG, 12 Leads, with Interpretation and Report

South Dakota 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?

$18.20

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $18.20 for this service. Most negotiated rates run $16.22 to $23.44.

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

Professionalmedian $18 · 10th to 90th $14 to $28
$20.0$50.0$100.0professional $18

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
$13.49
Median
$16.22
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$17.78
Typical High
$19.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$28.84
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$34.67
Midlands
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$34.67
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$24.55
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$28.84
Typical High
$38.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$22.91
Typical High
$26.92

Where South Dakota 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.

South Dakota $18.20 · 23rd 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.