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Ambulance, Advanced Life Support Nonemergency (ALS 1)

Iowa rates for HCPCS A0426

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

Rates data updated July 2026.

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

$251

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $479 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$240 to $275
FacilityA hospital or hospital-owned outpatient department$479$479 to $631

How much rates vary

Facilitymedian $479 · 10th to 90th $331 to $1,660Professionalmedian $251 · 10th to 90th $219 to $282
$200$500$1Kfacility $479professional $251

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$512.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$630.96
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$426.58
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63

Where Iowa sits

The same service costs 4.3 times more in Alaska than in South Carolina. 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.

Iowa· 39th of 51

$251

AK $832SC $195

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.