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Screening ECG, 12 Leads, Tracing Only

Illinois 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 $8 · 10th–90th $6$130%10%20%10th90th$8$5.0$10.0$20.0$50.0$100.0$200.0

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
$5.50
Median
$6.76
Typical High
$9.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.91
Typical High
$11.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$8.51
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$9.77
Typical High
$38.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$8.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.02
Typical High
$19.95