Commercial healthcare reimbursement in New Hampshire
How New Hampshire compares with the nation, by payer, specialty and procedure.
New Hampshire at a glance
What the data shows
New Hampshire ranks 14th of 51 states for commercial reimbursement, with an index of 121 (100 = national median) across 228 procedure codes; the Northeast region averages 107.
Commercial rates in New Hampshire run a median 174% of Medicare.
UnitedHealthcare has the highest index in the state (139) and Aetna the lowest (64), a 75-point gap, in the files analyzed.
CPT 93298 (Rem interrog dev eval scrms) is the strongest relative to the national median (177% of it, a 77% premium); CPT 27130 (Total hip arthroplasty) is furthest below (94% of the national median, 6% lower).
By specialty, New Hampshire is strongest for dermatology (ranks 6th of 50 states for that specialty) and weakest for ophthalmology (19th of 50).
Against Medicare, gastroenterology has the highest ratio in New Hampshire (259% of Medicare) and ophthalmology the lowest (134%).
Payer ranking in New Hampshire
| Payer | Index | Rank | Level | Codes | Providers | TINs |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 139 | 1 | 228 | 629 | 290 | |
| Cigna | 105 | 2 | 227 | 665 | 371 | |
| Blue Cross Blue Shield | 100 | 3 | 228 | 692 | 469 | |
| Aetna | 64 | 4 | 224 | 619 | 375 |
Reimbursement index by specialty in New Hampshire
| Specialty | Index | Rank among states | % of Medicare | Level | Codes | Providers |
|---|---|---|---|---|---|---|
| Dermatology | 150 | 6 of 50 | 145% | 44 | 78 | |
| Urology | 127 | 7 of 50 | 230% | 37 | 51 | |
| Gastroenterology | 134 | 7 of 50 | 259% | 36 | 75 | |
| Cardiology | 127 | 10 of 51 | 202% | 38 | 117 | |
| Internal medicine | 122 | 10 of 51 | 142% | 25 | 110 | |
| Diagnostic radiology | 113 | 13 of 51 | 186% | 49 | 129 | |
| Orthopedic surgery | 110 | 18 of 51 | 147% | 39 | 118 | |
| Ophthalmology | 111 | 19 of 50 | 134% | 42 | 56 |
Specialty by payer in New Hampshire
| Specialty | UHC | Aetna | Cigna | BCBS |
|---|---|---|---|---|
| Internal medicine | 183 | 73 | 131 | 130 |
| Dermatology | 260 | 84 | 161 | 143 |
| Ophthalmology | 145 | 92 | 112 | 103 |
| Cardiology | 188 | 73 | 137 | 145 |
| Orthopedic surgery | 124 | 77 | 126 | 113 |
| Diagnostic radiology | 150 | 78 | 110 | 132 |
| Urology | 195 | 79 | 130 | 122 |
| Gastroenterology | 198 | 75 | 142 | 139 |
New Hampshire compared with Northeast region states
| State | Index | Rank | % of Medicare | Providers | Level |
|---|---|---|---|---|---|
| New Hampshire | 121 | 14 | 174% | 734 | |
| Massachusetts | 123 | 13 | 190% | 921 | |
| Connecticut | 124 | 12 | 201% | 935 | |
| Vermont | 107 | 18 | 157% | 365 | |
| New Jersey | 100 | 22 | 154% | 887 | |
| Maine | 100 | 23 | 148% | 647 |
Procedures that pay most and least in New Hampshire vs the nation
Highest vs national
| Code | New Hampshir | National | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $92 | $52 | +77% | 117 |
| 93297 Rem interrog dev eval icpms | $89 | $52 | +71% | 117 |
| 93229 Remote 30 day ecg tech supp | $1,803 | $1,088 | +66% | 116 |
| 96574 Dbrdmt prmlg les w/pdt | $520 | $315 | +65% | 77 |
| 99490 Chrnc care mgmt staff 1st 20 | $95 | $60 | +57% | 345 |
| 96910 Photchmtx tar&uvb/ptrltm&uvb | $194 | $125 | +55% | 77 |
| 14040 Tis trnfr f/c/c/m/n/a/g/h/f | $1,235 | $800 | +54% | 78 |
| 14301 Tis trnfr any 30.1-60 sq cm | $1,776 | $1,155 | +54% | 78 |
| 17261 Dstrj mal les t/a/l .6-1.0cm | $202 | $132 | +54% | 78 |
| 17313 Mohs 1 stage t/a/l | $789 | $515 | +53% | 78 |
| 17311 Mohs 1 stage h/n/hf/g | $878 | $577 | +52% | 78 |
| 12052 Intmd rpr face/mm 2.6-5.0 cm | $439 | $289 | +52% | 78 |
| 14041 Tis trnfr f/c/c/m/n/a/g/h/f | $1,502 | $991 | +52% | 78 |
| 11602 Exc tr-ext mal+marg 1.1-2 cm | $345 | $228 | +51% | 78 |
| 17110 Destruction b9 les up to 14 | $153 | $101 | +51% | 78 |
Lowest vs national
| Code | New Hampshir | National | Gap | Prov. |
|---|---|---|---|---|
| 27130 Total hip arthroplasty | $2,029 | $2,158 | -6% | 118 |
| 93971 Extremity study | $162 | $172 | -6% | 128 |
| 27447 Total knee arthroplasty | $2,095 | $2,190 | -4% | 118 |
| 27487 Revise/replace knee joint | $2,732 | $2,840 | -4% | 118 |
| 29848 Wrist endoscopy/surgery | $792 | $817 | -3% | 118 |
| 97110 Therapeutic exercises | $31 | $31 | -3% | 118 |
| 23472 Reconstruct shoulder joint | $2,257 | $2,318 | -3% | 118 |
| 92201 Opscpy extnd rta draw uni/bi | $26 | $27 | -2% | 56 |
| 92202 Opscpy extnd on/mac draw | $16 | $17 | -2% | 56 |
| 29827 Sho arthrs srg rt8tr cuf rpr | $1,669 | $1,701 | -2% | 118 |
| 63047 Lam facetec & foramot lumbar | $1,764 | $1,796 | -2% | 118 |
| 27245 Treat thigh fracture | $1,972 | $1,994 | -1% | 118 |
| 20550 Njx 1 tendon sheath/ligament | $73 | $74 | -1% | 118 |
| 27236 Treat thigh fracture | $1,918 | $1,918 | +0% | 118 |
| 22551 Arthrd ant ntrbdy cervical | $2,788 | $2,778 | +0% | 118 |
Frequently asked questions
How do commercial reimbursement rates in New Hampshire compare with the rest of the country?
New Hampshire ranks 14th of 51 states with an index of 121, across 228 procedure codes. Median commercial rates run 174% of the Medicare rate.
Which payer has the highest rates in New Hampshire?
In the files we analyzed, UnitedHealthcare has the highest index (139) and Aetna the lowest (64). 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 New Hampshire?
Dermatology ranks 6th of 50 states.
How many providers does this New Hampshire page cover?
734 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 New Hampshire and the national median?
CPT 93298 (Rem interrog dev eval scrms) is highest relative to the nation at 177% of the national median; CPT 27130 (Total hip arthroplasty) is lowest at 94%.
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 New Hampshire contracts
Compare your negotiated rates with these state medians by payer and specialty.