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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 July 2026.

Professionalmedian $9 · 10th–90th $6$300%10%20%10th90th$9$5.0$10.0$20.0$50.0$100.0

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
$5.62
Median
$7.08
Typical High
$37.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$8.91
Typical High
$12.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.51
Typical High
$14.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.14
Typical High
$97.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$14.79
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$21.38