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Screening ECG, 12 Leads, Tracing Only

Wisconsin 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 $6$300%10%10th90th$11$0.1$0.5$2.0$10.0$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
$5.50
Median
$7.08
Typical High
$11.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$11.75
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.51
Typical High
$20.42
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.45
Typical High
$19.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$16.98
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.59
Typical High
$23.99
Quartz
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$16.22
Typical High
$22.91
Quartz
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$39.81
Typical High
$97.72
Security Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Security Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$15.85
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$15.85
Typical High
$34.67