CDC's 2021 state data brief (published December 2023) lists 0 Wyoming clinics reporting data, yet it counts 192 ART procedures for women living in Wyoming, or 1,551 per million women aged 15 to 49 (U.S.: 3,250). The reason: CDC counts procedures by the patient's state of residence, not by where the clinic is.
Because no Wyoming clinic reported for 2021, the procedures counted for Wyoming residents were reported by clinics in other states. CDC still files them under Wyoming, the patient's home state:
| CDC measure, 2021 | Wyoming |
|---|---|
| Clinics in Wyoming reporting to CDC | 0 |
| ART procedures for women living in Wyoming | 192 |
| Procedures per 1 million women aged 15 to 49 (U.S.: 3,250) | 1,551 |
| Embryo-transfer procedures among them | 180 |
| Live-birth deliveries from these procedures | 86 |
| Live-born infants from these procedures | 95 |
| Babies born in 2021 to Wyoming residents conceived with ART | 93 of 6,237 (1.5%; U.S.: 2.3%) |
Counted by the patient's state of residence; excludes cycles in which eggs or embryos were only banked. Source: CDC, State-Specific ART Surveillance, 2021 Data Brief (December 2023).
Those 192 procedures included 180 embryo transfers and led to 86 live-birth deliveries and 95 live-born infants. In calendar year 2021, 93 of 6,237 babies born to Wyoming residents, 1.5%, were conceived with ART.
The CDC list shows clinics that reported; nationally, 453 of the 501 clinics that performed ART in 2021 did. If you need IVF, the clinic you use may well be in another state, so ask about travel, monitoring visits and how results are shared with your local doctor.
This research found no Wyoming law requiring insurers to cover infertility treatment, IVF or fertility preservation. Your plan's terms decide what you pay, including whether out-of-state care is covered, so ask your insurer or HR and confirm with the state insurance department, because rules change.
Map to the Positive shows that not every step needs an IVF clinic. A general gynecologist handles the preconception visit and the initial workup and is a good first point of entry. A gynecologist with specialty training in reproductive medicine can run a complete workup and handle low- and mid-complexity treatments. A physician at an assisted reproduction clinic is the better fit once the workup shows a need for IVF or ICSI.
At your first appointment, the book suggests asking: "If we get to assisted reproduction, do you refer out or perform it?" and "How do you follow patients in the months between appointments?"
The types of specialist are explained in Chapter 29 of Map to the Positive, and the first-appointment script in Chapter 31, both in Station IV. The station also covers the treatment ladder and IVF step by step, so you know which rung you are on before you travel.
Take 30 days. If it does not give you more clarity than everything you have read for free so far, ask for a refund and you get every cent back. We cannot promise you a pregnancy. We can promise you will not be guessing.
References: State-Specific Assisted Reproductive Technology Surveillance, United States: 2021 Data Brief (CDC, with ASRM, SART and RESOLVE) (2023-12) · State-Specific ART Surveillance (CDC) (2024-10-09) · Coverage and Use of Fertility Services in the U.S., Appendix 1: State laws requiring private insurance coverage of infertility services (KFF) (2020-05) · Health Insurance & Fertility Services: State Laws (Triage Cancer) (2025-09)