Aetna · Wyoming · commercial in-network

Aetna negotiated rates in Wyoming

How Aetna's Wyoming rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.

Aetna in Wyoming at a glance

Across 62 procedure codes for 8 specialties
Rate index vs state market
65
35% below the Wyoming median
Rank in state
4 of 4
BCBS 103 · UHC 93 · Cigna 83 · Aetna 65
vs own national
101
Aetna's level vs its national median
Codes where highest
0%
of 62 codes
71 sampled providers132 TINs62 codesMedian 132% of Medicare · method

What the data shows

Generated from Wyoming and Aetna data only
1

Aetna ranks 4th of 4 payers in Wyoming with a rate index of 65 (100 = the Wyoming market median), across 62 procedure codes.

2

Aetna has the highest median for only 0% of codes in Wyoming; Blue Cross Blue Shield leads with an index of 103 in the files analyzed.

3

Aetna's Wyoming rates sit 1% above its own national level, the 21st highest of its 51 states.

4

Largest premium over the Wyoming market: CPT 93971 (Extremity study) at 89% of market; largest discount: CPT 45385 (Colonoscopy w/lesion removal) at 48%.

How the four payers compare in Wyoming

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
Blue Cross Blue Shield1031
103
78%256
UnitedHealthcare932
93
20%129
Cigna833
83
2%150
Aetna654
65
0%71

Where Aetna pays most and least against the Wyoming market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
93971
Extremity study
$159$179-11%16
93970
Extremity study
$247$309-20%18
93000
Electrocardiogram complete
$19$25-24%64
96372
Ther/proph/diag inj sc/im
$20$26-24%25
70450
Ct head/brain w/o dye
$172$228-24%16
71260
Ct thorax dx c+
$269$360-25%16
70551
Mri brain stem w/o dye
$375$505-26%16
93880
Extracranial bilat study
$231$316-27%41

Furthest below market

CodeAetnaMarketGapProv.
45385
Colonoscopy w/lesion removal
$391$809-52%27
99487
Cplx chrnc care 1st 60 min
$83$161-48%16
20610
Drain/inj joint/bursa w/o us
$61$117-48%67
78452
Ht muscle image spect mult
$462$885-48%25
99350
Home/res vst est high mdm 60
$150$282-47%16
99349
Home/res vst est mod mdm 40
$108$197-45%17
99348
Home/res vst est low mdm 30
$69$126-45%16
99497
Advncd care plan 30 min
$74$134-45%23

Where Aetna pays above and below its national level

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Alaska306
211
Idaho152
491
Washington142
708
Mississippi138
608
Montana136
80

Lowest states

StateIndexProv.
Indiana80
698
South Dakota82
147
Florida82
758
Minnesota84
774
North Dakota85
211

Frequently asked questions

Does Aetna pay more or less than the other payers in Wyoming?

Aetna ranks 4th of 4 in Wyoming with an index of 65. It is highest on 0% of codes.

Are Aetna's Wyoming rates above or below its national level?

About 1% above.

Which procedure does Aetna pay most above market in Wyoming?

CPT 93971 (Extremity study), at 89% of the Wyoming median.

Methodology

How these numbers are calculated
  • Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
  • Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
  • Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
  • Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
  • Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
  • Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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