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Screening ECG, 12 Leads, Tracing Only

Alaska rates for HCPCS G0404

Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

Rates data updated July 2026.

Professionalmedian $12 · 10th–90th $6$260%10%10th90th$12$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
$5.75
Median
$8.32
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$10.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.22
Typical High
$25.70
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$25.70
Typical High
$35.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.00
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$19.05
Typical High
$28.84