Commercial healthcare reimbursement in Nebraska
How Nebraska compares with the nation, by payer, specialty and procedure.
Nebraska at a glance
What the data shows
Nebraska ranks 4th of 51 states for commercial reimbursement, with an index of 138 (100 = national median) across 228 procedure codes; the Midwest region averages 115.
Commercial rates in Nebraska run a median 198% of Medicare.
UnitedHealthcare has the highest index in the state (116) and Aetna the lowest (65), a 52-point gap, in the files analyzed.
CPT 93298 (Rem interrog dev eval scrms) is the strongest relative to the national median (259% of it, a 159% premium); CPT 51798 (Us urine capacity measure) has the smallest premium (98% of the national median).
By specialty, Nebraska is strongest for ophthalmology (ranks 2nd of 50 states for that specialty) and weakest for cardiology (11th of 51).
Against Medicare, gastroenterology has the highest ratio in Nebraska (251% of Medicare) and internal medicine the lowest (152%).
Payer ranking in Nebraska
| Payer | Index | Rank | Level | Codes | Providers | TINs |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 116 | 1 | 228 | 556 | 298 | |
| Cigna | 114 | 2 | 227 | 551 | 328 | |
| Blue Cross Blue Shield | 83 | 3 | 228 | 574 | 432 | |
| Aetna | 65 | 4 | 141 | 226 | 232 |
Reimbursement index by specialty in Nebraska
| Specialty | Index | Rank among states | % of Medicare | Level | Codes | Providers |
|---|---|---|---|---|---|---|
| Ophthalmology | 168 | 2 of 50 | 201% | 42 | 71 | |
| Dermatology | 164 | 3 of 50 | 156% | 44 | 48 | |
| Gastroenterology | 141 | 4 of 50 | 251% | 36 | 46 | |
| Orthopedic surgery | 135 | 5 of 51 | 198% | 39 | 95 | |
| Internal medicine | 138 | 6 of 51 | 152% | 25 | 89 | |
| Urology | 128 | 6 of 50 | 201% | 37 | 50 | |
| Diagnostic radiology | 120 | 7 of 51 | 192% | 49 | 121 | |
| Cardiology | 126 | 11 of 51 | 192% | 38 | 81 |
Specialty by payer in Nebraska
| Specialty | UHC | Aetna | Cigna | BCBS |
|---|---|---|---|---|
| Internal medicine | 182 | 93 | 155 | 114 |
| Dermatology | 250 | n/a | 203 | 131 |
| Ophthalmology | 205 | 73 | 200 | 135 |
| Cardiology | 155 | 79 | 146 | 103 |
| Orthopedic surgery | 149 | 115 | 153 | 105 |
| Diagnostic radiology | 138 | 72 | 144 | 109 |
| Urology | 146 | 131 | 160 | 106 |
| Gastroenterology | 160 | n/a | 146 | 116 |
Nebraska compared with Midwest region states
| State | Index | Rank | % of Medicare | Providers | Level |
|---|---|---|---|---|---|
| Nebraska | 138 | 4 | 198% | 601 | |
| South Dakota | 135 | 6 | 202% | 474 | |
| Iowa | 128 | 8 | 195% | 716 | |
| North Dakota | 127 | 9 | 197% | 369 | |
| Minnesota | 126 | 10 | 167% | 853 | |
| Wisconsin | 159 | 2 | 225% | 869 |
Procedures that pay most and least in Nebraska vs the nation
Highest vs national
| Code | Nebraska | National | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $136 | $52 | +159% | 81 |
| 65756 Corneal trnspl endothelial | $2,752 | $1,425 | +93% | 70 |
| 17311 Mohs 1 stage h/n/hf/g | $1,078 | $577 | +87% | 48 |
| 15823 Blepharp upr eyelid xcsv skn | $1,261 | $677 | +86% | 70 |
| 92242 Fluorescein&icg angiography | $532 | $288 | +85% | 70 |
| 52332 Cystoscopy and treatment | $665 | $360 | +85% | 50 |
| 66991 Xcapsl ctrc rmvl insj 1+ | $1,544 | $840 | +84% | 70 |
| 65820 Goniotomy | $1,754 | $955 | +84% | 70 |
| 66821 After cataract laser surgery | $719 | $393 | +83% | 71 |
| 92202 Opscpy extnd on/mac draw | $31 | $17 | +82% | 71 |
| 15260 Fth/gft fr n/e/e/l 20 sqcm/< | $1,965 | $1,078 | +82% | 48 |
| 67036 Removal of inner eye fluid | $2,023 | $1,117 | +81% | 70 |
| 92025 Cptrized corneal topography | $73 | $40 | +81% | 71 |
| 11102 Tangntl bx skin single les | $117 | $65 | +81% | 48 |
| 11104 Punch bx skin single lesion | $146 | $81 | +80% | 48 |
Lowest vs national
| Code | Nebraska | National | Gap | Prov. |
|---|---|---|---|---|
| 51798 Us urine capacity measure | $21 | $21 | -2% | 50 |
| 93296 Rem interrog evl pm/ids | $40 | $39 | +2% | 81 |
| 64566 Neuroeltrd stim post tibial | $71 | $69 | +3% | 50 |
| 52224 Cystoscopy and treatment | $477 | $459 | +4% | 50 |
| 70551 Mri brain stem w/o dye | $426 | $402 | +6% | 120 |
| 55866 Laps surg prst8ect rpbic rad | $2,379 | $2,237 | +6% | 50 |
| 51720 Treatment of bladder lesion | $118 | $111 | +6% | 50 |
| 37243 Vasc embolize/occlude organ | $914 | $858 | +7% | 118 |
| 72148 Mri lumbar spine w/o dye | $407 | $382 | +7% | 215 |
| 73721 Mri jnt of lwr extre w/o dye | $426 | $399 | +7% | 215 |
| 73221 Mri joint upr extrem w/o dye | $427 | $399 | +7% | 215 |
| 93656 Compre ep eval abltj atr fib | $1,732 | $1,615 | +7% | 81 |
| 72141 Mri neck spine w/o dye | $418 | $390 | +7% | 120 |
| 72131 Ct lumbar spine w/o dye | $266 | $248 | +7% | 120 |
| 72125 Ct neck spine w/o dye | $268 | $249 | +8% | 120 |
Frequently asked questions
How do commercial reimbursement rates in Nebraska compare with the rest of the country?
Nebraska ranks 4th of 51 states with an index of 138, across 228 procedure codes. Median commercial rates run 198% of the Medicare rate.
Which payer has the highest rates in Nebraska?
In the files we analyzed, UnitedHealthcare has the highest index (116) and Aetna the lowest (65). Each payer's figures describe the specific plans and networks in the files used, not its whole book of business.
Which specialty has the strongest rates in Nebraska?
Ophthalmology ranks 2nd of 50 states.
How many providers does this Nebraska page cover?
601 sampled providers across 4 payers. The data comes from a random sample of providers, so counts describe the sample, not every provider in the state.
Which procedures differ most between Nebraska and the national median?
CPT 93298 (Rem interrog dev eval scrms) is highest relative to the nation at 259% of the national median; CPT 51798 (Us urine capacity measure) is lowest at 98%.
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.
Benchmark your Nebraska contracts
Compare your negotiated rates with these state medians by payer and specialty.