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Screening ECG, 12 Leads, Tracing Only

Massachusetts 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?

$15.49

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $15.14 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.14$8.51 to $33.88
FacilityA hospital or hospital-owned outpatient department$19.95$10.00 to $33.88

How much rates vary

Facilitymedian $20 · 10th to 90th $9 to $54Professionalmedian $15 · 10th to 90th $8 to $98
$10$100$1Kfacility $20professional $15

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
$8.32
Median
$8.32
Typical High
$45.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$9.55
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$97.72
Typical High
$97.72
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$30.90
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$46.77
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$8.13
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$8.13
Median
$10.23
Typical High
$83.18
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$10.47
Typical High
$12.88
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$16.60
Typical High
$28.18
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$97.72
Typical High
$97.72
United
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$75.86
Typical High
$114.82
United
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$17.38
Typical High
$33.88
Well Sense
Setting
Facility
Modifier
None
Typical Low
$6.76
Median
$9.33
Typical High
$14.13
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,019.95

Where Massachusetts 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.

Massachusetts· 1st of 51

$15.49

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.