go back

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.

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

$10.72

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $10.72 for this service. Most negotiated rates run $10.47 to $14.13.

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

Professionalmedian $11 · 10th to 90th $7 to $37
$10$20$50professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Montana sits

The same service costs 2.5 times more in Kansas than in West Virginia. 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· 10th of 51

$10.72

KS $13.80WV $5.50

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.