Orthopedic surgery · Wyoming

Orthopedic surgery commercial reimbursement in Wyoming

How Wyoming orthopedic surgery rates compare with the national market.

Orthopedic surgery in Wyoming

39 codes · 65 sampled providers
Index vs national
144
44% above
Rank among states
3 of 51
1 = highest
Codes above national
38 of 39
median code at 144%
Providers
65
sampled

What the data shows

1

Orthopedic surgery ranks 3rd of 51 states in Wyoming with an index of 144 (100 = the specialty's national median), across 39 codes and 65 sampled providers.

2

Of the 39 orthopedic surgery codes with enough data in Wyoming, 38 pay above the national median and 1 below; the typical code sits at 144% of the national median.

3

Largest premium over the national median: CPT 73502 (X-ray exam hip uni 2-3 views) at 203%; largest discount: CPT 93000 (Electrocardiogram complete) at 83%.

4

Measured against Medicare, Wyoming orthopedic surgery rates have a median of 249% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeWyomingNationalGapProv.
73502
X-ray exam hip uni 2-3 views
$122$60+103%65
73564
X-ray exam knee 4 or more
$121$60+102%65
73610
X-ray exam of ankle
$93$47+98%65
73630
X-ray exam of foot
$88$44+98%65
73030
X-ray exam of shoulder
$89$45+98%65

Lowest vs national

CodeWyomingNationalGapProv.
93000
Electrocardiogram complete
$21$25-17%65
99203
Office o/p new low 30 min
$146$123+19%65
99212
Office o/p est sf 10 min
$63$51+23%65
99204
Office o/p new mod 45 min
$238$194+23%65
99205
Office o/p new hi 60 min
$322$252+28%65

All orthopedic surgery codes in Wyoming

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeWyomingNationalGap% of MedicareProvidersTINsLevel
CPT 73502
X-ray exam hip uni 2-3 views
$122$60+103%250%65101
CPT 73564
X-ray exam knee 4 or more
$121$60+102%245%65103
CPT 73610
X-ray exam of ankle
$93$47+98%251%65101
CPT 73630
X-ray exam of foot
$88$44+98%258%65100
CPT 73030
X-ray exam of shoulder
$89$45+98%249%65100
CPT 73560
X-ray exam of knee 1 or 2
$88$45+97%256%65102
CPT 73562
X-ray exam of knee 3
$104$53+97%245%65103
CPT 73221
Mri joint upr extrem w/o dye
$754$387+95%368%65101
CPT 73721
Mri jnt of lwr extre w/o dye
$751$387+94%367%65102
CPT 72148
Mri lumbar spine w/o dye
$713$370+93%372%65101
CPT 72100
X-ray exam l-s spine 2/3 vws
$102$53+92%252%65100
CPT 72110
X-ray exam l-2 spine 4/>vws
$134$71+90%251%6598
CPT 63047
Lam facetec & foramot lumbar
$2,707$1,796+51%254%65102
CPT 20550
Njx 1 tendon sheath/ligament
$111$74+51%184%65104
CPT 29848
Wrist endoscopy/surgery
$1,201$817+47%247%65100
CPT 20610
Drain/inj joint/bursa w/o us
$125$85+46%182%65103
CPT 20611
Drain/inj joint/bursa w/us
$170$117+46%339%65104
CPT 29827
Sho arthrs srg rt8tr cuf rpr
$2,472$1,701+45%253%65103
CPT 27236
Treat thigh fracture
$2,758$1,918+44%253%65102
CPT 23472
Reconstruct shoulder joint
$3,328$2,318+44%256%65101
CPT 22612
Arthrd pst tq 1ntrspc lumbar
$3,661$2,557+43%249%65104
CPT 22558
Arthrd ant ntrbd min dsc lum
$3,528$2,471+43%248%65101
CPT 22551
Arthrd ant ntrbdy cervical
$3,946$2,778+42%246%65103
CPT 27245
Treat thigh fracture
$2,831$1,994+42%253%65104
CPT 27487
Revise/replace knee joint
$4,031$2,840+42%256%65101
CPT 26055
Incise finger tendon sheath
$867$614+41%301%65106
CPT 22633
Arthrd cmbn 1ntrspc lumbar
$4,190$2,991+40%246%65101
CPT 99215
Office o/p est hi 40 min
$257$185+39%134%65104
CPT 27130
Total hip arthroplasty
$2,960$2,158+37%255%65103
CPT 97110
Therapeutic exercises
$43$31+37%148%65103
CPT 27447
Total knee arthroplasty
$2,956$2,190+35%255%65103
CPT 99214
Office o/p est mod 30 min
$173$132+31%128%65105
CPT 64721
Carpal tunnel surgery
$914$700+31%189%65103
CPT 99213
Office o/p est low 20 min
$117$91+29%123%65105
CPT 99205
Office o/p new hi 60 min
$322$252+28%136%65104
CPT 99204
Office o/p new mod 45 min
$238$194+23%134%65105
CPT 99212
Office o/p est sf 10 min
$63$51+23%106%65104
CPT 99203
Office o/p new low 30 min
$146$123+19%124%65106
CPT 93000
Electrocardiogram complete
$21$25-17%137%65100

Frequently asked questions

How do Wyoming orthopedic surgery rates compare with the rest of the country?

Wyoming ranks 3rd of 51 states with an index of 144; 38 of 39 codes are above the national median.

Which orthopedic surgery code has the biggest premium in Wyoming?

CPT 73502 (X-ray exam hip uni 2-3 views), at 203% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

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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