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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

Professionalmedian $17 · 10th–90th $11–$240%10%10th90th$17$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $25.12
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $22.39 / $34.67
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $21.38 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $19.50 / $28.18