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Screening ECG, 12 Leads, Tracing Only

New Jersey 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?

$9.77

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $9,772 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.77$7.41 to $12.59
FacilityA hospital or hospital-owned outpatient department$9,772$93.33 to $19,953

How much rates vary

Facilitymedian $9,772 · 10th to 90th $56 to $25,704Professionalmedian $10 · 10th to 90th $6 to $15
$10$100$1K$10Kfacility $9,772professional $10

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
$9.33
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$79.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$10.72
Typical High
$12.30
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$13,489.63
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$9.77
Typical High
$10.23
United
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$7.41
Typical High
$16.22

Where New Jersey 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.

New Jersey· 23rd of 51

$9.77

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.