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Screening ECG, 12 Leads, Tracing Only

Maryland 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 $7 · 10th–90th $5$140%10%20%10th90th$7$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
$5.50
Median
$7.24
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.32
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.02
Typical High
$19.50
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.00
Typical High
$11.22