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Screening ECG, 12 Leads, with Interpretation and Report

Vermont 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.

Professionalmedian $22 · 10th–90th $15$270%10%20%10th90th$22$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
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$21.88
Typical High
$26.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$52.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.44
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$41.69