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Screening ECG, 12 Leads, with Interpretation and Report

Utah 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?

$18.62

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $18.62 for this service. Most negotiated rates run $15.14 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 $19 · 10th to 90th $12 to $27
$10.0$20.0$50.0professional $19

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
$12.30
Median
$18.20
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$18.20
Typical High
$25.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$25.12
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$21.38
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.95
Typical High
$28.18

Where Utah 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.

Utah $18.62 · 21st 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.