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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 July 2026.

Professionalmedian $10 · 10th–90th $6$220%10%10th90th$10$5.0$10.0$20.0$50.0$100.0

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
$18.20
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$16.60
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$8.13
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.47
Typical High
$16.22
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$13.18
Typical High
$20.89
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$16.60
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$15.49
Typical High
$22.91