UnitedHealthcare negotiated rates in Nebraska
How UnitedHealthcare's Nebraska rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Nebraska at a glance
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Nebraska with a rate index of 116 (100 = the Nebraska market median), across 228 procedure codes.
UnitedHealthcare has the highest median for only 49% of codes in Nebraska; UnitedHealthcare leads with an index of 116 in the files analyzed.
UnitedHealthcare's Nebraska rates sit 39% above its own national level, the 7th highest of its 51 states.
Largest premium over the Nebraska market: CPT 11302 (Shave skin lesion 1.1-2.0 cm) at 218% of market; largest discount: CPT 93298 (Rem interrog dev eval scrms) at 50%.
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 UnitedHealthcare pays most and least against the Nebraska market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 11302 Shave skin lesion 1.1-2.0 cm | $332 | $152 | +118% | 47 |
| 11104 Punch bx skin single lesion | $303 | $146 | +108% | 47 |
| 11102 Tangntl bx skin single les | $243 | $117 | +107% | 47 |
| 11301 Shave skin lesion 0.6-1.0 cm | $295 | $144 | +105% | 47 |
| 92012 Intrm oph exam est patient | $210 | $105 | +100% | 65 |
| 43251 Egd remove lesion snare | $1,171 | $608 | +93% | 45 |
| 43255 Egd control bleeding any | $1,196 | $623 | +92% | 45 |
| 92014 Compre oph exam est pt 1/> | $297 | $156 | +90% | 65 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $69 | $136 | -50% | 74 |
| 97110 Therapeutic exercises | $25 | $45 | -44% | 87 |
| 88313 Special stains group 2 | $76 | $124 | -39% | 45 |
| 88305 Tissue exam by pathologist | $67 | $110 | -39% | 92 |
| 88312 Special stains group 1 | $104 | $171 | -39% | 92 |
| 88342 Imhchem/imcytchm 1st antb | $99 | $162 | -39% | 47 |
| 99487 Cplx chrnc care 1st 60 min | $113 | $153 | -26% | 82 |
| 93297 Rem interrog dev eval icpms | $68 | $81 | -17% | 74 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Nebraska?
UnitedHealthcare ranks 1st of 4 in Nebraska with an index of 116. It is highest on 49% of codes.
Are UnitedHealthcare's Nebraska rates above or below its national level?
About 39% above.
Which procedure does UnitedHealthcare pay most above market in Nebraska?
CPT 11302 (Shave skin lesion 1.1-2.0 cm), at 218% 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 UnitedHealthcare contract at market in Nebraska?
Compare your negotiated rates for these codes with Nebraska medians for each payer.