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Gait Analysis Review And Report

Wisconsin 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 $126 · 10th–90th $102$3240%10%20%10th90th$126Professionalmedian $148 · 10th–90th $102$3800%10%10th90th$148$50.0$100.0$200.0$500.0$1.0K

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
$114.82
Median
$114.82
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$380.19
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$213.80
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$218.78
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$223.87
Network Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$162.18
Typical High
$275.42
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$213.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$346.74
Quartz
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$691.83
Typical High
$691.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$549.54
Typical High
$691.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Security Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$389.05