UnitedHealthcare negotiated rates in Nevada
How UnitedHealthcare's Nevada rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Nevada at a glance
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Nevada with a rate index of 110 (100 = the Nevada market median), across 228 procedure codes.
UnitedHealthcare has the highest median for only 48% of codes in Nevada; UnitedHealthcare leads with an index of 110 in the files analyzed.
UnitedHealthcare's Nevada rates sit 16% below its own national level, the 45th highest of its 51 states.
Largest premium over the Nevada market: CPT 64566 (Neuroeltrd stim post tibial) at 303% of market; largest discount: CPT 76775 (Us exam abdo back wall lim) at 68%.
How the four payers compare in Nevada
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 110 | 1 | 48% | 629 | |
| Blue Cross Blue Shield | 105 | 2 | 34% | 277 | |
| Cigna | 100 | 3 | 14% | 657 | |
| Aetna | 87 | 4 | 4% | 615 |
Where UnitedHealthcare pays most and least against the Nevada market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 64566 Neuroeltrd stim post tibial | $173 | $57 | +203% | 48 |
| 52224 Cystoscopy and treatment | $995 | $349 | +186% | 48 |
| 43255 Egd control bleeding any | $804 | $310 | +159% | 72 |
| 52332 Cystoscopy and treatment | $660 | $298 | +121% | 48 |
| 43251 Egd remove lesion snare | $584 | $272 | +115% | 72 |
| 43239 Egd biopsy single/multiple | $487 | $230 | +112% | 72 |
| 52648 Laser surgery of prostate | $2,769 | $1,341 | +106% | 48 |
| 43248 Egd guide wire insertion | $482 | $236 | +104% | 72 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 76775 Us exam abdo back wall lim | $75 | $110 | -32% | 49 |
| 76856 Us exam pelvic complete | $114 | $151 | -24% | 49 |
| 88305 Tissue exam by pathologist | $43 | $56 | -24% | 129 |
| 51728 Cystometrogram w/vp | $458 | $581 | -21% | 49 |
| 88342 Imhchem/imcytchm 1st antb | $64 | $80 | -20% | 57 |
| 93229 Remote 30 day ecg tech supp | $734 | $913 | -20% | 106 |
| 77280 Ther rad simulaj field smpl | $227 | $268 | -15% | 57 |
| 75574 Ct angio hrt w/3d image | $320 | $375 | -15% | 106 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Nevada?
UnitedHealthcare ranks 1st of 4 in Nevada with an index of 110. It is highest on 48% of codes.
Are UnitedHealthcare's Nevada rates above or below its national level?
About 16% below.
Which procedure does UnitedHealthcare pay most above market in Nevada?
CPT 64566 (Neuroeltrd stim post tibial), at 303% of the Nevada median.
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.
Is your UnitedHealthcare contract at market in Nevada?
Compare your negotiated rates for these codes with Nevada medians for each payer.