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Screening ECG, 12 Leads, Tracing Only

Iowa 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 October 2026.

How much does Screening ECG, 12 Leads, Tracing Only cost?

$10.47

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $19.95 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.47$9.33 to $15.14
FacilityA hospital or hospital-owned outpatient department$19.95$12.02 to $54.95

How much rates vary

Facilitymedian $20 · 10th to 90th $8 to $76Professionalmedian $10 · 10th to 90th $7 to $21
$10$20$50$100facility $20professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$6.31
Typical High
$6.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$10.47
Typical High
$16.22
Hally Health
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$5.50
Typical High
$39.81
Medica
Setting
Facility
Modifier
None
Typical Low
$7.76
Median
$14.13
Typical High
$63.10
Medica
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$14.13
Typical High
$97.72
Midlands
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$16.22
Midlands
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$16.98
Typical High
$17.38
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$12.88
Typical High
$15.85
United
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$16.22
Typical High
$21.88
Wellmark
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$11.75

Where Iowa sits

The same service costs 3.2 times more in Massachusetts 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.

Iowa· 17th of 51

$10.47

MA $15.49NY $4.79

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.