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Screening ECG, 12 Leads, Interpretation and Report Only

Utah rates for HCPCS G0405

Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $10$110%50%10th$11Professionalmedian $10 · 10th–90th $6$150%20%10th90th$10$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
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.55
Typical High
$14.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$10.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.23
Typical High
$12.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.02
Typical High
$14.13
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.02
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.77
Typical High
$13.49