go back

Gait Analysis Review And Report

North Carolina rates for HCPCS 96004

This service covers a clinician's review and written report on the results of a detailed, computer-based analysis of a person's walking pattern. The underlying analysis combines video motion tracking, pressure measurements taken while walking, and muscle activity readings to build a full picture of how someone moves. The clinician's interpretation turns that raw data into medical findings and recommendations.

Rates data updated July 2026.

How much does Gait Analysis Review And Report cost?

$112

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $135 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 7 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$112$102 to $145
FacilityA hospital or hospital-owned outpatient department$135$110 to $170

How much rates vary

Facilitymedian $135 · 10th to 90th $107 to $240Professionalmedian $112 · 10th to 90th $87 to $257
$100$200$500facility $135professional $112

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
$109.65
Median
$109.65
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$112.20
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$295.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$173.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$223.87
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$870.96

Where North Carolina sits

The same service costs 2.3 times more in Minnesota than in Washington, DC. 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.

North Carolina· 38th of 51

$112

MN $234DC $102

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.