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Ambulance, Advanced Life Support Nonemergency (ALS 1)

California rates for HCPCS A0426

Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1)

Rates data updated October 2026.

How much does Ambulance, Advanced Life Support Nonemergency (ALS 1) cost?

$389

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $417 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$234 to $407
FacilityA hospital or hospital-owned outpatient department$417$372 to $617

How much rates vary

Facilitymedian $417 · 10th to 90th $331 to $813Professionalmedian $257 · 10th to 90th $186 to $933
$100$200$500$1K$2K$5K$10Kfacility $417professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$331.13
Typical High
$389.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$239.88
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$891.25
Typical High
$3,090.30
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$616.60
Typical High
$912.01
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Central California Alliance for Health
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Providence
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$416.87
Typical High
$588.84
Providence
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$257.04
Typical High
$331.13

Where California sits

The same service costs 7.6 times more in Illinois than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 18th of 51

$389

IL $891TX $117

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.