Aetna negotiated rates in New Hampshire
How Aetna's New Hampshire rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Aetna in New Hampshire at a glance
What the data shows
Aetna ranks 4th of 4 payers in New Hampshire with a rate index of 64 (100 = the New Hampshire market median), across 224 procedure codes.
Aetna has the highest median for only 1% of codes in New Hampshire; UnitedHealthcare leads with an index of 139 in the files analyzed.
Aetna's New Hampshire rates sit 2% below its own national level, the 30th highest of its 51 states.
Largest premium over the New Hampshire market: CPT 76512 (Oph us dx b-scan) at 132% of market; largest discount: CPT 93297 (Rem interrog dev eval icpms) at 29%.
How the four payers compare in New Hampshire
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 139 | 1 | 76% | 629 | |
| Cigna | 105 | 2 | 12% | 665 | |
| Blue Cross Blue Shield | 100 | 3 | 11% | 692 | |
| Aetna | 64 | 4 | 1% | 619 |
Where Aetna pays most and least against the New Hampshire market
Highest above market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 76512 Oph us dx b-scan | $93 | $70 | +32% | 47 |
| 77080 Dxa bone density axial | $98 | $78 | +25% | 106 |
| 92250 Fundus photography w/i&r | $77 | $61 | +25% | 52 |
| 55866 Laps surg prst8ect rpbic rad | $2,998 | $2,716 | +10% | 18 |
| 65778 Cover eye w/membrane | $77 | $73 | +6% | 30 |
| 92133 Cptrzd oph dx img pst sgm on | $46 | $44 | +4% | 52 |
| 92136 Ophthalmic biometry | $86 | $83 | +4% | 51 |
| 92083 Extended visual field xm | $88 | $88 | +0% | 52 |
Furthest below market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 93297 Rem interrog dev eval icpms | $26 | $89 | -71% | 77 |
| 93298 Rem interrog dev eval scrms | $28 | $92 | -70% | 86 |
| 99490 Chrnc care mgmt staff 1st 20 | $35 | $95 | -63% | 62 |
| 46221 Ligation of hemorrhoid(s) | $191 | $488 | -61% | 48 |
| 43248 Egd guide wire insertion | $200 | $507 | -61% | 47 |
| 93229 Remote 30 day ecg tech supp | $720 | $1,803 | -60% | 27 |
| 93280 Pm device progr eval dual | $64 | $159 | -60% | 86 |
| 43235 Egd diagnostic brush wash | $154 | $375 | -59% | 55 |
Where Aetna pays above and below its national level
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 306 | 211 | |
| Idaho | 152 | 491 | |
| Washington | 142 | 708 | |
| Mississippi | 138 | 608 | |
| Montana | 136 | 80 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Indiana | 80 | 698 | |
| South Dakota | 82 | 147 | |
| Florida | 82 | 758 | |
| Minnesota | 84 | 774 | |
| North Dakota | 85 | 211 |
Frequently asked questions
Does Aetna pay more or less than the other payers in New Hampshire?
Aetna ranks 4th of 4 in New Hampshire with an index of 64. It is highest on 1% of codes.
Are Aetna's New Hampshire rates above or below its national level?
About 2% below.
Which procedure does Aetna pay most above market in New Hampshire?
CPT 76512 (Oph us dx b-scan), at 132% of the New Hampshire 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 Aetna contract at market in New Hampshire?
Compare your negotiated rates for these codes with New Hampshire medians for each payer.