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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 October 2026.

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

$16.60

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $16.60 for this service. Most negotiated rates run $14.79 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

Facilitymedian $24 · 10th to 90th $23 to $24Professionalmedian $17 · 10th to 90th $14 to $24
$20facility $24professional $17

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
$23.44
Median
$23.44
Typical High
$23.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$23.44
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Molina
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$38.02
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.79
Typical High
$16.60
Select Health
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Select Health
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$22.39
Typical High
$34.67
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$21.38
Typical High
$28.18
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$19.50
Typical High
$26.30

Where Utah 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.

Utah· 40th 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.