Internal medicine · New Hampshire

Internal medicine commercial reimbursement in New Hampshire

How New Hampshire internal medicine rates compare with the national market.

Internal medicine in New Hampshire

25 codes · 110 sampled providers
Index vs national
122
22% above
Rank among states
10 of 51
1 = highest
Codes above national
25 of 25
median code at 121%
Providers
110
sampled

What the data shows

1

Internal medicine ranks 10th of 51 states in New Hampshire with an index of 122 (100 = the specialty's national median), across 25 codes and 110 sampled providers.

2

Of the 25 internal medicine codes with enough data in New Hampshire, 25 pay above the national median and 0 below; the typical code sits at 121% of the national median.

3

Largest premium over the national median: CPT 99490 (Chrnc care mgmt staff 1st 20) at 153%; largest discount: CPT 93880 (Extracranial bilat study) at 107%.

4

Measured against Medicare, New Hampshire internal medicine rates have a median of 142% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeNew HampshNationalGapProv.
99490
Chrnc care mgmt staff 1st 20
$94$61+53%109
99487
Cplx chrnc care 1st 60 min
$172$121+42%109
96372
Ther/proph/diag inj sc/im
$34$24+41%110
93306
Tte w/doppler complete
$416$319+30%110
99457
Rpm tx mgmt 1st 20 min
$69$53+30%109

Lowest vs national

CodeNew HampshNationalGapProv.
93880
Extracranial bilat study
$306$285+7%110
99349
Home/res vst est mod mdm 40
$187$174+8%110
99348
Home/res vst est low mdm 30
$119$109+10%110
78452
Ht muscle image spect mult
$687$621+11%109
99350
Home/res vst est high mdm 60
$276$247+12%110

All internal medicine codes in New Hampshire

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeNew HampshirNationalGap% of MedicareProvidersTINsLevel
CPT 99490
Chrnc care mgmt staff 1st 20
$94$61+53%141%109191
CPT 99487
Cplx chrnc care 1st 60 min
$172$121+42%119%109190
CPT 96372
Ther/proph/diag inj sc/im
$34$24+41%221%110203
CPT 93306
Tte w/doppler complete
$416$319+30%212%110196
CPT 99457
Rpm tx mgmt 1st 20 min
$69$53+30%133%109194
CPT 93000
Electrocardiogram complete
$32$25+28%209%110200
CPT 99214
Office o/p est mod 30 min
$171$134+28%126%110203
CPT 99497
Advncd care plan 30 min
$138$108+27%159%110195
CPT 99215
Office o/p est hi 40 min
$238$188+27%124%110203
CPT 99213
Office o/p est low 20 min
$115$92+25%121%110203
CPT 99205
Office o/p new hi 60 min
$317$256+24%134%110204
CPT 99495
Transj care mgmt mod f2f 14d
$259$211+23%118%110202
CPT 99454
Rem mntr physiol param 16-30
$93$76+21%178%109193
CPT 99203
Office o/p new low 30 min
$152$125+21%129%110204
CPT 99496
Transj care mgmt high f2f 7d
$351$291+21%118%110202
CPT 45385
Colonoscopy w/lesion removal
$640$535+20%286%110196
CPT 99204
Office o/p new mod 45 min
$234$196+20%132%110205
CPT 99212
Office o/p est sf 10 min
$62$52+19%104%110203
CPT 20610
Drain/inj joint/bursa w/o us
$99$83+19%144%110201
CPT 90960
Esrd srv 4 visits p mo 20+
$531$453+17%143%109193
CPT 99350
Home/res vst est high mdm 60
$276$247+12%143%110195
CPT 78452
Ht muscle image spect mult
$687$621+11%161%109186
CPT 99348
Home/res vst est low mdm 30
$119$109+10%151%110195
CPT 99349
Home/res vst est mod mdm 40
$187$174+7%142%110195
CPT 93880
Extracranial bilat study
$306$285+7%162%110195

Frequently asked questions

How do New Hampshire internal medicine rates compare with the rest of the country?

New Hampshire ranks 10th of 51 states with an index of 122; 25 of 25 codes are above the national median.

Which internal medicine code has the biggest premium in New Hampshire?

CPT 99490 (Chrnc care mgmt staff 1st 20), at 153% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

Methodology

How these numbers are calculated
  • 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.

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