Aetna · Nebraska · commercial in-network

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

Across 141 procedure codes for 8 specialties
Rate index vs state market
65
35% below the Nebraska median
Rank in state
4 of 4
UHC 116 · Cigna 114 · BCBS 83 · Aetna 65
vs own national
100
Aetna's level vs its national median
Codes where highest
1%
of 141 codes
226 sampled providers232 TINs141 codesMedian 124% of Medicare · method

What the data shows

Generated from Nebraska and Aetna data only
1

Aetna ranks 4th of 4 payers in Nebraska with a rate index of 65 (100 = the Nebraska market median), across 141 procedure codes.

2

Aetna has the highest median for only 1% of codes in Nebraska; UnitedHealthcare leads with an index of 116 in the files analyzed.

3

Aetna's Nebraska rates sit 0% below its own national level, the 24th highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1161
116
49%556
Cigna1142
114
50%551
Blue Cross Blue Shield833
83
1%574
Aetna654
65
1%226

Where Aetna pays most and least against the Nebraska market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
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

CodeAetnaMarketGapProv.
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

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 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

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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