Blue Cross Blue Shield negotiated rates in New Hampshire
How Blue Cross Blue Shield's New Hampshire rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Blue Cross Blue Shield in New Hampshire at a glance
What the data shows
Blue Cross Blue Shield ranks 3rd of 4 payers in New Hampshire with a rate index of 100 (100 = the New Hampshire market median), across 228 procedure codes.
Blue Cross Blue Shield has the highest median for only 11% of codes in New Hampshire; UnitedHealthcare leads with an index of 139 in the files analyzed.
Blue Cross Blue Shield's New Hampshire rates sit 28% above its own national level, the 9th highest of its 51 states.
Largest premium over the New Hampshire market: CPT 93298 (Rem interrog dev eval scrms) at 286% of market; largest discount: CPT 92004 (Compre oph exam new pt 1/>) at 60%.
In New Hampshire, BCBS rates come from 35 licensee file sets; the largest is Compcare Health Services Insurance Corporation (644 sampled providers).
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 Blue Cross Blue Shield pays most and least against the New Hampshire market
Highest above market
| Code | BCBS | Market | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $264 | $92 | +186% | 113 |
| 93297 Rem interrog dev eval icpms | $156 | $89 | +75% | 113 |
| 88313 Special stains group 2 | $146 | $85 | +71% | 68 |
| 88312 Special stains group 1 | $193 | $117 | +65% | 139 |
| 88342 Imhchem/imcytchm 1st antb | $177 | $112 | +58% | 71 |
| 88305 Tissue exam by pathologist | $133 | $89 | +50% | 139 |
| 74177 Ct abd & pelvis w/contrast | $774 | $576 | +34% | 120 |
| 74176 Ct abd & pelvis w/o contrast | $479 | $364 | +32% | 120 |
Furthest below market
| Code | BCBS | Market | Gap | Prov. |
|---|---|---|---|---|
| 92004 Compre oph exam new pt 1/> | $80 | $134 | -40% | 53 |
| 92136 Ophthalmic biometry | $51 | $83 | -39% | 53 |
| 92250 Fundus photography w/i&r | $40 | $61 | -34% | 53 |
| 92012 Intrm oph exam est patient | $55 | $79 | -31% | 53 |
| 92014 Compre oph exam est pt 1/> | $77 | $107 | -28% | 53 |
| 91110 Gi trc img intral esoph-ile | $1,189 | $1,577 | -25% | 69 |
| 92133 Cptrzd oph dx img pst sgm on | $33 | $44 | -24% | 53 |
| 17111 Destruction b9 lesions 15/> | $137 | $180 | -24% | 72 |
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 New Hampshire
| Licensee file set | Sampled providers |
|---|---|
| Compcare Health Services Insurance Corporation | 644 |
| Anthem (Elevance) | 643 |
| Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. | 144 |
| BCBS MA | 99 |
| Community Insurance Company | 70 |
| BCBS VT | 32 |
| HealthKeepers, Inc. | 32 |
| Healthy Alliance Life Insurance Company | 19 |
| Matthew Thornton Health Plan, Inc. | 17 |
| BCBS IL | 13 |
| BCBS TX | 12 |
| BCBS NC | 11 |
| BCBS TN | 8 |
| Horizon Healthcare of New Jersey | 8 |
| BCBS NJ (Horizon) | 8 |
| Capital BlueCross | 7 |
| Capital BC | 7 |
| BCBS RI | 6 |
| Blue Cross and Blue Shield of Massachusetts, Inc. | 5 |
| Excellus BCBS | 5 |
| Regence | 3 |
| BS CA | 3 |
| Premera | 3 |
| Blue Shield of California Life & Health Insurance Company | 3 |
| Wellmark | 2 |
| BCBS AZ | 2 |
| BCBS AL | 2 |
| BCBS OK | 2 |
| Blue Cross Blue Shield of Wyoming | 2 |
| HMO Colorado, Inc. | 2 |
| BCBS MN | 2 |
| BCBS Kansas City | 1 |
| Carefirst BCBS | 1 |
| BCBS NM | 1 |
| BCBS MI | 1 |
Frequently asked questions
Does Blue Cross Blue Shield pay more or less than the other payers in New Hampshire?
Blue Cross Blue Shield ranks 3rd of 4 in New Hampshire with an index of 100. It is highest on 11% of codes.
Are Blue Cross Blue Shield's New Hampshire rates above or below its national level?
About 28% above.
Which procedure does Blue Cross Blue Shield pay most above market in New Hampshire?
CPT 93298 (Rem interrog dev eval scrms), at 286% 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 Blue Cross Blue Shield contract at market in New Hampshire?
Compare your negotiated rates for these codes with New Hampshire medians for each payer.