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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 July 2026.

Professionalmedian $11 · 10th–90th $7$370%20%10th90th$11$10.0$20.0$50.0

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
$7.24
Median
$10.47
Typical High
$37.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.00
Typical High
$12.02
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.96
Typical High
$17.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$12.30
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$18.20