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Screening ECG, 12 Leads, Tracing Only

Rhode Island 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?

$8.71

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $57.54 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$6.92 to $14.13
FacilityA hospital or hospital-owned outpatient department$57.54$39.81 to $64.57

How much rates vary

Facilitymedian $58 · 10th to 90th $33 to $105Professionalmedian $8 · 10th to 90th $5 to $14
$5$10$20$50$100facility $58professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$14.13
Typical High
$14.13
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$54.95
Typical High
$69.18
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$6.92
Typical High
$6.92
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
United
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$9.55
Typical High
$16.22

Where Rhode Island 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.

Rhode Island· 33rd of 51

$8.71

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.