Blue Cross Blue Shield · Nevada · commercial in-network

Blue Cross Blue Shield negotiated rates in Nevada

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

Blue Cross Blue Shield in Nevada at a glance

Across 227 procedure codes for 8 specialties
Rate index vs state market
105
5% above the Nevada median
Rank in state
2 of 4
UHC 110 · BCBS 105 · Cigna 100 · Aetna 87
vs own national
94
BCBS's level vs its national median
Codes where highest
34%
of 227 codes
277 sampled providers406 TINs227 codesMedian 139% of Medicare · method

What the data shows

Generated from Nevada and Blue Cross Blue Shield data only
1

Blue Cross Blue Shield ranks 2nd of 4 payers in Nevada with a rate index of 105 (100 = the Nevada market median), across 227 procedure codes.

2

Blue Cross Blue Shield has the highest median for only 34% of codes in Nevada; UnitedHealthcare leads with an index of 110 in the files analyzed.

3

Blue Cross Blue Shield's Nevada rates sit 6% below its own national level, the 31st highest of its 51 states.

4

Largest premium over the Nevada market: CPT 97110 (Therapeutic exercises) at 223% of market; largest discount: CPT 51728 (Cystometrogram w/vp) at 68%.

5

In Nevada, BCBS rates come from 37 licensee file sets; the largest is Community Insurance Company (190 sampled providers).

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 Blue Cross Blue Shield pays most and least against the Nevada market

Codes with the largest gap to the state median

Highest above market

CodeBCBSMarketGapProv.
97110
Therapeutic exercises
$70$31+123%27
73562
X-ray exam of knee 3
$84$45+89%26
73560
X-ray exam of knee 1 or 2
$71$38+85%26
72110
X-ray exam l-2 spine 4/>vws
$109$59+85%24
73630
X-ray exam of foot
$66$37+80%26
73564
X-ray exam knee 4 or more
$90$50+79%27
72100
X-ray exam l-s spine 2/3 vws
$79$44+78%26
73610
X-ray exam of ankle
$70$40+76%26

Furthest below market

CodeBCBSMarketGapProv.
51728
Cystometrogram w/vp
$394$581-32%17
93925
Lower extremity study
$191$273-30%26
92004
Compre oph exam new pt 1/>
$80$108-26%64
99426
Prin care mgmt staff 1st 30
$63$84-25%16
51729
Cystometrogram w/vp&up
$417$553-25%17
77280
Ther rad simulaj field smpl
$204$268-24%18
52356
Cysto/uretero w/lithotripsy
$546$701-22%20
76872
Us transrectal
$145$180-19%16

Where Blue Cross Blue Shield pays above and below its national level

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Alaska243
290
Wisconsin192
733
Minnesota171
671
North Dakota148
329
Wyoming145
256

Lowest states

StateIndexProv.
Maryland63
758
Arizona66
479
Texas69
1,003
District of Columbia69
484
New Mexico74
562

Blue Cross Blue Shield licensees in Nevada

File sets contributing rates; licensees are different companies
Licensee file setSampled providers
Community Insurance Company190
HealthKeepers, Inc.74
Blue Shield of California Life & Health Insurance Company57
BS CA54
BCBS TX33
Healthy Alliance Life Insurance Company23
Matthew Thornton Health Plan, Inc.22
Anthem (Elevance)20
Regence14
Wellmark12
BCBS IL11
BCBS MI9
BCBS NC8
Premera6
Capital BlueCross6
Capital BC6
HMO Colorado, Inc.6
Excellus BCBS5
Carefirst BCBS5
BCBS MN5
Compcare Health Services Insurance Corporation4
BCBS NM4
BCBS AZ4
BCBS RI4
BCBS MT3
Blue Cross Blue Shield of Wyoming3
Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.3
BCBS MA3
Blue Cross and Blue Shield of Nebraska3
BCBS HI2
Horizon Healthcare of New Jersey2
BCBS NJ (Horizon)2
BCBS KS1
Blue Cross Blue Shield of North Dakota1
BCBS AL1
HMO Missouri, Inc.1
BCBS TN1

Frequently asked questions

Does Blue Cross Blue Shield pay more or less than the other payers in Nevada?

Blue Cross Blue Shield ranks 2nd of 4 in Nevada with an index of 105. It is highest on 34% of codes.

Are Blue Cross Blue Shield's Nevada rates above or below its national level?

About 6% below.

Which procedure does Blue Cross Blue Shield pay most above market in Nevada?

CPT 97110 (Therapeutic exercises), at 223% 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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