Blue Cross Blue Shield negotiated rates in Nebraska
How Blue Cross Blue Shield's Nebraska rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Blue Cross Blue Shield in Nebraska at a glance
What the data shows
Blue Cross Blue Shield ranks 3rd of 4 payers in Nebraska with a rate index of 83 (100 = the Nebraska market median), across 228 procedure codes.
Blue Cross Blue Shield has the highest median for only 1% of codes in Nebraska; UnitedHealthcare leads with an index of 116 in the files analyzed.
Blue Cross Blue Shield's Nebraska rates sit 19% above its own national level, the 16th highest of its 51 states.
Largest premium over the Nebraska market: CPT 93297 (Rem interrog dev eval icpms) at 114% of market; largest discount: CPT 20611 (Drain/inj joint/bursa w/us) at 59%.
In Nebraska, BCBS rates come from 37 licensee file sets; the largest is Blue Cross and Blue Shield of Nebraska (519 sampled providers).
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 Blue Cross Blue Shield pays most and least against the Nebraska market
Highest above market
| Code | BCBS | Market | Gap | Prov. |
|---|---|---|---|---|
| 93297 Rem interrog dev eval icpms | $93 | $81 | +14% | 78 |
| 93298 Rem interrog dev eval scrms | $155 | $136 | +14% | 78 |
| 92235 Fluorescein angrph mltiframe | $273 | $257 | +6% | 68 |
| 99487 Cplx chrnc care 1st 60 min | $158 | $153 | +4% | 79 |
| 99490 Chrnc care mgmt staff 1st 20 | $88 | $87 | +1% | 250 |
| 88313 Special stains group 2 | $125 | $124 | +1% | 44 |
| 88342 Imhchem/imcytchm 1st antb | $162 | $162 | +0% | 48 |
| 45380 Colonoscopy and biopsy | $721 | $721 | +0% | 45 |
Furthest below market
| Code | BCBS | Market | Gap | Prov. |
|---|---|---|---|---|
| 20611 Drain/inj joint/bursa w/us | $108 | $181 | -41% | 94 |
| 46221 Ligation of hemorrhoid(s) | $363 | $606 | -40% | 45 |
| 52648 Laser surgery of prostate | $1,308 | $2,144 | -39% | 50 |
| 17311 Mohs 1 stage h/n/hf/g | $669 | $1,078 | -38% | 48 |
| 11104 Punch bx skin single lesion | $94 | $146 | -35% | 48 |
| 11102 Tangntl bx skin single les | $76 | $117 | -35% | 48 |
| 51700 Irrigation of bladder | $61 | $94 | -35% | 50 |
| 20550 Njx 1 tendon sheath/ligament | $71 | $108 | -34% | 94 |
Where Blue Cross Blue Shield pays above and below its national level
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 243 | 290 | |
| Wisconsin | 192 | 733 | |
| Minnesota | 171 | 671 | |
| North Dakota | 148 | 329 | |
| Wyoming | 145 | 256 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Maryland | 63 | 758 | |
| Arizona | 66 | 479 | |
| Texas | 69 | 1,003 | |
| District of Columbia | 69 | 484 | |
| New Mexico | 74 | 562 |
Blue Cross Blue Shield licensees in Nebraska
| Licensee file set | Sampled providers |
|---|---|
| Blue Cross and Blue Shield of Nebraska | 519 |
| Wellmark | 311 |
| Community Insurance Company | 55 |
| BCBS KS | 35 |
| Healthy Alliance Life Insurance Company | 32 |
| HealthKeepers, Inc. | 31 |
| BCBS TX | 24 |
| BCBS MN | 23 |
| Matthew Thornton Health Plan, Inc. | 22 |
| Blue Cross Blue Shield of Wyoming | 17 |
| Anthem (Elevance) | 15 |
| BCBS TN | 15 |
| Blue Cross Blue Shield of North Dakota | 15 |
| Regence | 12 |
| BCBS OK | 11 |
| Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. | 11 |
| BCBS IL | 10 |
| BCBS NC | 10 |
| BS CA | 10 |
| Blue Shield of California Life & Health Insurance Company | 10 |
| BCBS Kansas City | 9 |
| BCBS MA | 9 |
| BCBS NM | 8 |
| Premera | 4 |
| Compcare Health Services Insurance Corporation | 3 |
| Capital BC | 3 |
| BCBS MI | 3 |
| Carefirst BCBS | 3 |
| Capital BlueCross | 3 |
| BCBS MT | 3 |
| BCBS HI | 2 |
| Excellus BCBS | 2 |
| HMO Missouri, Inc. | 1 |
| BCBS AZ | 1 |
| Horizon Healthcare of New Jersey | 1 |
| BCBS NJ (Horizon) | 1 |
| BCBS RI | 1 |
Frequently asked questions
Does Blue Cross Blue Shield pay more or less than the other payers in Nebraska?
Blue Cross Blue Shield ranks 3rd of 4 in Nebraska with an index of 83. It is highest on 1% of codes.
Are Blue Cross Blue Shield's Nebraska rates above or below its national level?
About 19% above.
Which procedure does Blue Cross Blue Shield pay most above market in Nebraska?
CPT 93297 (Rem interrog dev eval icpms), at 114% 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 Blue Cross Blue Shield contract at market in Nebraska?
Compare your negotiated rates for these codes with Nebraska medians for each payer.