Nebraska Medicaid Fee Schedule

Nebraska Medicaid, published by the Nebraska Department of Health and Human Services (DHHS). Schedules effective through 2026.

Nebraska publishes 11,464 Medicaid fee-for-service rates across 8 service categories. An established-patient office visit (99213) pays $99.69, a two-view chest X-ray (71046) $62.50 and a CPAP device (E0601) $394.02. Pooled across categories with a national Medicare comparator, Nebraska's published rates run a median 100% of the Medicare amount, ranking 8 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes Nebraska schedules export as CSV with the Rates plan.

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Nebraska's published schedules by category

Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.

CategoryCodesEffectiveMedian % of MedicareExample ratePA required
Physician6,5332026121.4%$99.69 Office visit, established patient, low complexity (20-29 min) (99213)--
Lab & Imaging1,9142026100%$62.50 Chest X-ray, 2 views (71046)--
DME & Supplies1,769202686.7%$394.02 Continuous positive airway pressure (cpap) device (E0601)--
Drugs9022026------
Vision123202648.6%$95.96 Eye exam, new patient, comprehensive (92004)--
Hearing482026--$1,129.79 Hearing aid, digital, binaural, bte (V5261)--
Transport172026--$154.89 Ambulance service, basic life support, non-emergency transport, (bls) (A0428)--
State-Specific Services158202690.4%$26.74 Telehealth originating site facility fee (Q3014)--
DentalNebraska's dental Medicaid rates live in the dental section, with their own per-state page.

Nebraska also publishes 3 behavioral health codes (2026), too few or too old to summarize here.

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.

Where Nebraska publishes its fee schedules

Publisher
Nebraska Department of Health and Human Services (DHHS)
Program
Nebraska Medicaid
Official source
https://dhhs.ne.gov/Pages/Medicaid-Provider-Rates-and-Fee-Schedules.aspx
Last checked
Aug 23, 2026

ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.

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These are common-procedure samples. The complete Nebraska schedules, every category and every code, export as CSV on the Rates plan.

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Frequently asked questions

Does Nebraska publish a Medicaid fee schedule?

Yes. Nebraska publishes 11,464 Medicaid fee-for-service procedure rates across 8 service categories, effective through 2026, all collected and normalized here with plain-language procedure names. Nebraska Department of Health and Human Services (DHHS) publishes Nebraska's Medicaid fee schedules.

Who publishes Nebraska's Medicaid fee schedule?

Nebraska Department of Health and Human Services (DHHS) publishes Nebraska's Medicaid fee schedules. The state's own fee-schedule page is https://dhhs.ne.gov/Pages/Medicaid-Provider-Rates-and-Fee-Schedules.aspx. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 23, 2026).

What does Nebraska Medicaid pay for common services?

An established-patient office visit (99213) pays $99.69, a two-view chest X-ray (71046) $62.50 and a CPAP device (E0601) $394.02. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.

How do Nebraska's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, Nebraska's published rates run a median 100% of the Medicare amount, ranking 8 of 49 jurisdictions with a comparable basis.

What service categories does Nebraska publish?

Physician (6,533 codes), Lab & Imaging (1,914 codes), DME & Supplies (1,769 codes), Drugs (902 codes), Vision (123 codes), Hearing (48 codes), Transport (17 codes), State-Specific Services (158 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from Nebraska's currently published fee schedules, the newest effective 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.