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Screening ECG, 12 Leads, Tracing Only

Indiana 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?

$11.75

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $102 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.75$7.24 to $12.30
FacilityA hospital or hospital-owned outpatient department$102$19.50 to $955

How much rates vary

Facilitymedian $102 · 10th to 90th $12 to $2,089Professionalmedian $12 · 10th to 90th $6 to $14
$5$20$100$500$2Kfacility $102professional $12

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$6.46
Typical High
$7.59
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$12.30
Median
$89.13
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$12.30
Typical High
$13.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$16.22
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$912.01
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$5.62
Typical High
$10.47
United
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$9.33
Typical High
$16.60

Where Indiana 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.

Indiana· 10th of 51

$11.75

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.