go back

Screening ECG, 12 Leads, Tracing Only

Texas 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.

Professionalmedian $6 · 10th–90th $5$120%20%10th90th$6$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.89
Typical High
$10.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.37
Typical High
$5.37
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.89
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$13.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$12.02
Typical High
$15.85
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.55
Typical High
$18.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.61
Typical High
$9.33