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Screening ECG, 12 Leads, Tracing Only

New Hampshire 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 $6$210%5%10%10th90th$11$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
$5.75
Median
$9.33
Typical High
$12.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$17.38
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.22
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$14.79
Typical High
$25.12