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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 October 2026.

How much does Screening ECG, 12 Leads, Tracing Only cost?

$9.55

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $9.55 for this service. Most negotiated rates run $8.71 to $12.02.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10 · 10th to 90th $10 to $10Professionalmedian $10 · 10th to 90th $6 to $19
$10$20facility $10professional $10

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
$9.55
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$11.22
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$8.91
Typical High
$16.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$19.50
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$11.22
United
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$14.45
Typical High
$19.50

Where Maine 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.

Maine· 26th of 51

$9.55

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.