Commercial healthcare reimbursement in Wyoming
How Wyoming compares with the nation, by payer, specialty and procedure.
Wyoming at a glance
What the data shows
Wyoming ranks 5th of 51 states for commercial reimbursement, with an index of 136 (100 = national median) across 114 procedure codes; the West region averages 118.
Commercial rates in Wyoming run a median 203% of Medicare.
Blue Cross Blue Shield has the highest index in the state (103) and Aetna the lowest (65), a 39-point gap, in the files analyzed.
CPT 73564 (X-ray exam knee 4 or more) is the strongest relative to the national median (202% of it, a 102% premium); CPT 93296 (Rem interrog evl pm/ids) has the smallest premium (97% of the national median).
By specialty, Wyoming is strongest for orthopedic surgery (ranks 3rd of 51 states for that specialty) and weakest for cardiology (14th of 51).
Against Medicare, orthopedic surgery has the highest ratio in Wyoming (249% of Medicare) and internal medicine the lowest (137%).
Payer ranking in Wyoming
| Payer | Index | Rank | Level | Codes | Providers | TINs |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 103 | 1 | 114 | 256 | 241 | |
| UnitedHealthcare | 93 | 2 | 90 | 129 | 150 | |
| Cigna | 83 | 3 | 90 | 150 | 165 | |
| Aetna | 65 | 4 | 62 | 71 | 132 |
Reimbursement index by specialty in Wyoming
| Specialty | Index | Rank among states | % of Medicare | Level | Codes | Providers |
|---|---|---|---|---|---|---|
| Orthopedic surgery | 144 | 3 of 51 | 249% | 39 | 65 | |
| Diagnostic radiology | 127 | 6 of 51 | 202% | 49 | 41 | |
| Internal medicine | 118 | 12 of 51 | 137% | 25 | 106 | |
| Cardiology | 124 | 14 of 51 | 178% | 38 | 20 |
Specialty by payer in Wyoming
| Specialty | UHC | Aetna | Cigna | BCBS |
|---|---|---|---|---|
| Internal medicine | 129 | 75 | 101 | 121 |
| Dermatology | n/a | n/a | n/a | n/a |
| Ophthalmology | n/a | n/a | n/a | n/a |
| Cardiology | n/a | n/a | n/a | 124 |
| Orthopedic surgery | 135 | n/a | 127 | 144 |
| Diagnostic radiology | 122 | 92 | 110 | 169 |
| Urology | n/a | n/a | n/a | n/a |
| Gastroenterology | n/a | n/a | n/a | n/a |
Wyoming compared with West region states
Procedures that pay most and least in Wyoming vs the nation
Highest vs national
| Code | Wyoming | National | Gap | Prov. |
|---|---|---|---|---|
| 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 |
| 73560 X-ray exam of knee 1 or 2 | $88 | $45 | +97% | 65 |
| 73562 X-ray exam of knee 3 | $104 | $53 | +97% | 65 |
| 93298 Rem interrog dev eval scrms | $100 | $52 | +92% | 20 |
| 72100 X-ray exam l-s spine 2/3 vws | $102 | $53 | +92% | 65 |
| 72110 X-ray exam l-2 spine 4/>vws | $134 | $71 | +90% | 65 |
| 73502 X-ray exam hip uni 2-3 views | $98 | $61 | +61% | 106 |
| 73721 Mri jnt of lwr extre w/o dye | $638 | $399 | +60% | 106 |
| 75574 Ct angio hrt w/3d image | $786 | $495 | +59% | 20 |
| 72148 Mri lumbar spine w/o dye | $603 | $382 | +58% | 106 |
| 33361 Replace aortic valve perq | $3,055 | $1,938 | +58% | 20 |
| 33285 Insj subq car rhythm mntr | $211 | $135 | +55% | 20 |
Lowest vs national
| Code | Wyoming | National | Gap | Prov. |
|---|---|---|---|---|
| 93296 Rem interrog evl pm/ids | $38 | $39 | -3% | 20 |
| 99457 Rpm tx mgmt 1st 20 min | $53 | $53 | +0% | 124 |
| 93000 Electrocardiogram complete | $25 | $24 | +2% | 270 |
| 93656 Compre ep eval abltj atr fib | $1,659 | $1,615 | +3% | 20 |
| 93971 Extremity study | $179 | $172 | +4% | 41 |
| 93306 Tte w/doppler complete | $332 | $318 | +4% | 125 |
| 93015 Cv stress test supvj i&r | $129 | $120 | +8% | 20 |
| 96372 Ther/proph/diag inj sc/im | $26 | $24 | +8% | 105 |
| 93294 Rem interrog evl pm/ldls pm | $52 | $48 | +8% | 20 |
| 93016 Cv stress test supvj only | $37 | $34 | +9% | 20 |
| 93312 Echo transesophageal | $423 | $387 | +9% | 20 |
| 93010 Electrocardiogram report | $14 | $13 | +11% | 20 |
| 93880 Extracranial bilat study | $316 | $283 | +12% | 166 |
| 90960 Esrd srv 4 visits p mo 20+ | $510 | $453 | +13% | 105 |
| 99454 Rem mntr physiol param 16-30 | $85 | $75 | +13% | 124 |
Frequently asked questions
How do commercial reimbursement rates in Wyoming compare with the rest of the country?
Wyoming ranks 5th of 51 states with an index of 136, across 114 procedure codes. Median commercial rates run 203% of the Medicare rate.
Which payer has the highest rates in Wyoming?
In the files we analyzed, Blue Cross Blue Shield has the highest index (103) and Aetna the lowest (65). Each payer's figures describe the specific plans and networks in the files used, not its whole book of business.
Which specialty has the strongest rates in Wyoming?
Orthopedic surgery ranks 3rd of 51 states.
How many providers does this Wyoming page cover?
271 sampled providers across 4 payers. The data comes from a random sample of providers, so counts describe the sample, not every provider in the state.
Which procedures differ most between Wyoming and the national median?
CPT 73564 (X-ray exam knee 4 or more) is highest relative to the nation at 202% of the national median; CPT 93296 (Rem interrog evl pm/ids) is lowest at 97%.
Methodology
- 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.
Benchmark your Wyoming contracts
Compare your negotiated rates with these state medians by payer and specialty.