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Screening ECG, 12 Leads, Tracing Only

South Dakota 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?

$7.94

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $7.94 for this service. Most negotiated rates run $6.76 to $11.75.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $8 · 10th to 90th $6 to $14
$10$20professional $8

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
$5.62
Median
$6.76
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.41
Typical High
$8.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$15.14
Typical High
$97.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$14.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$16.98
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.72
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$14.13
Typical High
$17.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.47
Typical High
$12.30

Where South Dakota 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.

South Dakota· 28th of 51

$7.94

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.