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Gait Analysis Review And Report

Utah 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.

Facilitymedian $129 · 10th–90th $129$1290%50%$129Professionalmedian $115 · 10th–90th $100$2340%20%10th90th$115$50.0$100.0$200.0$500.0

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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$218.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$194.98
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$194.98