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Screening ECG, 12 Leads, Tracing Only

Vermont 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 $11 · 10th–90th $4$140%20%10th90th$11$5.0$10.0$20.0$50.0

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
$10.72
Typical High
$14.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$22.91
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.47
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$12.30
Typical High
$22.39