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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.

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

$10.72

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $10.72 for this service. Most negotiated rates run $8.32 to $15.49.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $11 · 10th to 90th $6 to $21
$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
$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

Where New Hampshire 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.

New Hampshire· 11th 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.