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Screening ECG, 12 Leads, Tracing Only

Montana 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?

$10.00

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $12.02 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.00$8.71 to $12.02
FacilityA hospital or hospital-owned outpatient department$12.02$8.71 to $12.88

How much rates vary

Facilitymedian $12 · 10th to 90th $7 to $18Professionalmedian $10 · 10th to 90th $7 to $16
$10$20$50facility $12professional $10

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
Professional
Modifier
None
Typical Low
$6.17
Median
$8.91
Typical High
$30.20
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$9.12
Median
$17.38
Typical High
$50.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$11.48
Typical High
$12.88
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$8.71
Typical High
$12.88
Providence
Setting
Facility
Modifier
None
Typical Low
$9.12
Median
$17.38
Typical High
$50.12
Providence
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$10.00
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$13.80
Typical High
$17.38

Where Montana 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.

Montana· 22nd of 51

$10.00

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.