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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 October 2026.

How much does Screening ECG, 12 Leads, Tracing Only cost?

$7.94

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $7.94 for this service. Most negotiated rates run $6.46 to $12.59.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $8 · 10th to 90th $6 to $15
$10$20professional $8

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$12.59
Typical High
$12.59
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$15.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$10.47
Typical High
$22.91
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$12.02
Typical High
$19.05

Where Vermont 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.

Vermont· 38th of 51

$7.94

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.