go back

Screening ECG, 12 Leads, Tracing Only

Maine 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$180%10%20%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
$4.79
Median
$8.32
Typical High
$10.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.55
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.22
Typical High
$20.89
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.55
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.22
Typical High
$18.20