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Screening ECG, 12 Leads, Tracing Only

Utah 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?

$8.71

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $8.71 for this service. Most negotiated rates run $6.31 to $11.48.

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 $9 · 10th to 90th $5 to $13
$5$10$20professional $9

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
$4.57
Median
$7.24
Typical High
$13.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.94
Typical High
$12.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.55
Typical High
$11.22
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.33
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$15.49

Where Utah 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.

Utah· 20th of 51

$8.71

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.