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Doctor's Remote Review Of A Breastbone-Lead Defibrillator

Missouri rates for HCPCS 0578T

Information sent in from an implanted defibrillator whose wire runs in the space behind the breastbone is reviewed remotely by a doctor over a period of monitoring, and an interpretation and written report are issued. The patient does not need to attend in person.

Rates data updated July 2026.

How much does Doctor's Remote Review Of A Breastbone-Lead Defibrillator cost?

$38.90

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $8,318 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$36.31$33.88 to $44.67
FacilityA hospital or hospital-owned outpatient department$8,318$1,175 to $10,471

How much rates vary

Facilitymedian $8,318 · 10th to 90th $35 to $13,490Professionalmedian $36 · 10th to 90th $26 to $66
$100$1K$10Kfacility $8,318professional $36

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
Facility
Modifier
Global
Typical Low
$23.44
Median
$45.71
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$45.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$9,332.54
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$40.74
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$57,543.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$70.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$61.66
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$47.86
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,818.38
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$70.79

Where Missouri sits

The same service costs 1.8 times more in Ohio than in Delaware. 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.

Missouri· 17th of 51

$38.90

OH $57.54DE $31.62

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.