Aetna negotiated rates in Nebraska
How Aetna's Nebraska rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Aetna in Nebraska at a glance
What the data shows
Aetna ranks 4th of 4 payers in Nebraska with a rate index of 65 (100 = the Nebraska market median), across 141 procedure codes.
Aetna has the highest median for only 1% of codes in Nebraska; UnitedHealthcare leads with an index of 116 in the files analyzed.
Aetna's Nebraska rates sit 0% below its own national level, the 24th highest of its 51 states.
Largest premium over the Nebraska market: CPT 97110 (Therapeutic exercises) at 137% of market; largest discount: CPT 99457 (Rpm tx mgmt 1st 20 min) at 38%.
How the four payers compare in Nebraska
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 116 | 1 | 49% | 556 | |
| Cigna | 114 | 2 | 50% | 551 | |
| Blue Cross Blue Shield | 83 | 3 | 1% | 574 | |
| Aetna | 65 | 4 | 1% | 226 |
Where Aetna pays most and least against the Nebraska market
Highest above market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 97110 Therapeutic exercises | $61 | $45 | +37% | 20 |
| 76872 Us transrectal | $283 | $260 | +9% | 18 |
| 90960 Esrd srv 4 visits p mo 20+ | $723 | $670 | +8% | 19 |
| 76775 Us exam abdo back wall lim | $122 | $114 | +7% | 18 |
| 76857 Us exam pelvic limited | $101 | $94 | +7% | 17 |
| 51798 Us urine capacity measure | $22 | $21 | +6% | 18 |
| 76856 Us exam pelvic complete | $210 | $200 | +5% | 17 |
| 72110 X-ray exam l-2 spine 4/>vws | $104 | $102 | +2% | 20 |
Furthest below market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 99457 Rpm tx mgmt 1st 20 min | $26 | $70 | -62% | 17 |
| 66982 Xcapsl ctrc rmvl cplx wo ecp | $694 | $1,683 | -59% | 16 |
| 66984 Xcapsl ctrc rmvl w/o ecp | $508 | $1,222 | -58% | 20 |
| 99454 Rem mntr physiol param 16-30 | $38 | $90 | -58% | 17 |
| 66821 After cataract laser surgery | $309 | $719 | -57% | 18 |
| 92250 Fundus photography w/i&r | $35 | $80 | -56% | 15 |
| 92134 Cptrz oph dx img pst sgm rta | $31 | $71 | -56% | 18 |
| 92133 Cptrzd oph dx img pst sgm on | $29 | $66 | -56% | 18 |
Where Aetna pays above and below its national level
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 306 | 211 | |
| Idaho | 152 | 491 | |
| Washington | 142 | 708 | |
| Mississippi | 138 | 608 | |
| Montana | 136 | 80 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Indiana | 80 | 698 | |
| South Dakota | 82 | 147 | |
| Florida | 82 | 758 | |
| Minnesota | 84 | 774 | |
| North Dakota | 85 | 211 |
Frequently asked questions
Does Aetna pay more or less than the other payers in Nebraska?
Aetna ranks 4th of 4 in Nebraska with an index of 65. It is highest on 1% of codes.
Are Aetna's Nebraska rates above or below its national level?
About 0% below.
Which procedure does Aetna pay most above market in Nebraska?
CPT 97110 (Therapeutic exercises), at 137% of the Nebraska 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 Aetna contract at market in Nebraska?
Compare your negotiated rates for these codes with Nebraska medians for each payer.