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Ambulance, Advanced Life Support Nonemergency (ALS 1)

Virginia 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?

$219

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 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 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$219$219 to $316
FacilityA hospital or hospital-owned outpatient department$263$219 to $295

How much rates vary

Facilitymedian $263 · 10th to 90th $200 to $347Professionalmedian $219 · 10th to 90th $219 to $380
$10.0$20.0$50.0$100.0$200.0$500.0facility $263professional $219

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$363.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$478.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$346.74
Sentara
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$223.87
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$302.00

Where Virginia sits

The same service costs 4.3 times more in Alaska than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $219 · 49th of 51
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.