What does Anthem pay for CPT 95816 in Cheyenne, WY?

The local peer median for CPT 95816 under Anthem in Cheyenne, WY is $497, based on 133 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 95816 under Anthem in Cheyenne, WY?

The P90, the top of the local market and Reddenda's target rate, is $497.

How does Anthem's rate for CPT 95816 compare to Medicare?

The Anthem local median of $497 is 120% of Medicare's national non-facility rate of $413.50 for CPT 95816.

Reddenda · Rate Intelligence · Cheyenne, WY

95816 under Anthem in Cheyenne, WY

Name: Anthem rates for CPT 95816 in Cheyenne, WY
Creator: Reddenda

EEG, awake & drowsy · Local peer median $497 · Medium confidence

$497 local peer median. In the Cheyenne, WY market, Anthem pays a local peer median of $497 for CPT 95816 (EEG, awake & drowsy), based on 133 providers in Reddenda's index of Anthem's own published in-network rates. The top of the local market, the P90 target, is $497, which is the same as the median here: this payer's filed rates for this code cluster on one number, so the opportunity in this cell is reaching the median rather than exceeding it. A provider billed below the local median is being paid less than peers holding the identical Anthem contract in Cheyenne, WY for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 133 providers · 133 rate records

P10

$495

P25

$495

Median

$497

P75

$497

P90 (target)

$497

P10$495

P25$495

Median (P50)$497

P75$497

P90 target$497

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $244.37 – $781.90

The local peer median for CPT 95816 under Anthem in Cheyenne, WY is $497, drawn from 133 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
The bottom of the local market (P10) is $495 and the top (P90) is $497; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
The lowest published rate in this market is $244.37; the highest is $781.90.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
This benchmark is drawn from 133 individual rate records that Anthem itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
Medicare's national non-facility rate for CPT 95816 is $413.50, making the Anthem local median 120% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
56.4% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

133 providers bill this code to this payer in this metro.

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This is the local market for CPT 95816 (EEG, awake & drowsy) under Anthem in Cheyenne, WY. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.

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Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Anthem's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Anthem to publish this rate. Page generated 2026-08-24 00:31 UTC; the live index is queried in real time on every request.