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Screening ECG, 12 Leads, Tracing Only

Nebraska 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?

$13.80

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $141 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$13.49$11.75 to $17.38
FacilityA hospital or hospital-owned outpatient department$141$36.31 to $191

How much rates vary

Facilitymedian $141 · 10th to 90th $14 to $275Professionalmedian $13 · 10th to 90th $6 to $98
$10$20$50$100$200facility $141professional $13

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
Facility
Modifier
None
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$173.78
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$12.59
Typical High
$15.49
Medica
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$30.20
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$18.62
Typical High
$97.72
Midlands
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$12.59
Typical High
$19.95
Midlands
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$13.49
Typical High
$16.98
United
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$38.90
Typical High
$48.98
United
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$14.13
Typical High
$19.95

Where Nebraska 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.

Nebraska· 5th of 51

$13.80

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.