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Ambulance, Advanced Life Support Nonemergency (ALS 1)

Missouri 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?

$263

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $263 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 5 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$275$263 to $324
FacilityA hospital or hospital-owned outpatient department$263$245 to $263

How much rates vary

Facilitymedian $263 · 10th to 90th $245 to $263Professionalmedian $275 · 10th to 90th $240 to $646
$10$20$50$100$200$500$1Kfacility $263professional $275

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
$245.47
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$630.96
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$275.42
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$512.86

Where Missouri 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.

Missouri· 34th of 51

$263

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.