Aetna · Nevada · commercial in-network

Aetna negotiated rates in Nevada

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

Aetna in Nevada at a glance

Across 226 procedure codes for 8 specialties
Rate index vs state market
87
13% below the Nevada median
Rank in state
4 of 4
UHC 110 · BCBS 105 · Cigna 100 · Aetna 87
vs own national
90
Aetna's level vs its national median
Codes where highest
4%
of 226 codes
615 sampled providers456 TINs226 codesMedian 117% of Medicare · method

What the data shows

Generated from Nevada and Aetna data only
1

Aetna ranks 4th of 4 payers in Nevada with a rate index of 87 (100 = the Nevada market median), across 226 procedure codes.

2

Aetna has the highest median for only 4% of codes in Nevada; UnitedHealthcare leads with an index of 110 in the files analyzed.

3

Aetna's Nevada rates sit 10% below its own national level, the 41st highest of its 51 states.

4

Largest premium over the Nevada market: CPT 88313 (Special stains group 2) at 139% of market; largest discount: CPT 11102 (Tangntl bx skin single les) at 56%.

How the four payers compare in Nevada

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1101
110
48%629
Blue Cross Blue Shield1052
105
34%277
Cigna1003
100
14%657
Aetna874
87
4%615

Where Aetna pays most and least against the Nevada market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
88313
Special stains group 2
$64$46+39%57
88312
Special stains group 1
$90$65+38%118
76872
Us transrectal
$240$180+34%37
88342
Imhchem/imcytchm 1st antb
$100$80+25%52
51728
Cystometrogram w/vp
$671$581+16%40
51798
Us urine capacity measure
$25$23+9%38
93280
Pm device progr eval dual
$90$85+6%100
72110
X-ray exam l-2 spine 4/>vws
$62$59+5%59

Furthest below market

CodeAetnaMarketGapProv.
11102
Tangntl bx skin single les
$36$64-44%58
76857
Us exam pelvic limited
$48$85-44%18
11104
Punch bx skin single lesion
$45$79-43%58
11301
Shave skin lesion 0.6-1.0 cm
$49$86-43%54
17313
Mohs 1 stage t/a/l
$303$530-43%57
11302
Shave skin lesion 1.1-2.0 cm
$57$100-43%53
17311
Mohs 1 stage h/n/hf/g
$337$574-41%58
76775
Us exam abdo back wall lim
$65$110-41%26

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 Nevada?

Aetna ranks 4th of 4 in Nevada with an index of 87. It is highest on 4% of codes.

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

About 10% below.

Which procedure does Aetna pay most above market in Nevada?

CPT 88313 (Special stains group 2), at 139% of the Nevada 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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