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Screening ECG, 12 Leads, Tracing Only

New York 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?

$4.79

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $4.79 for this service. The price depends on where it is billed: about $4.79 from a physician practice, and about $19.05 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.79$4.17 to $6.76
FacilityA hospital or hospital-owned outpatient department$19.05$7.76 to $30.20

How much rates vary

Facilitymedian $19 · 10th to 90th $6 to $63Professionalmedian $5 · 10th to 90th $4 to $10
$5$10$20$50$100$200$500facility $19professional $5

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
$5.37
Median
$7.08
Typical High
$14.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$7.08
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$3.89
Median
$4.57
Typical High
$7.59
CDPHP
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$39.81
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$8.51
Median
$19.95
Typical High
$32.36
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$8.51
Typical High
$12.88
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$6.61
Typical High
$7.76
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$11.48
United
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$67.61
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$8.91
Typical High
$15.85
Univera
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$6.61
Typical High
$6.61
Univera
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$6.61
Typical High
$7.76

Where New York 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 York· 51st of 51

$4.79

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.