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Ambulance, Advanced Life Support Emergency (ALS 1)

Alabama rates for HCPCS A0427

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

Rates data updated October 2026.

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

$389

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $324 to $501.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $501 · 10th to 90th $501 to $708Professionalmedian $372 · 10th to 90th $229 to $708
$500$1Kfacility $501professional $372

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
Professional
Modifier
None
Typical Low
$229.09
Median
$323.59
Typical High
$446.68
BCBS Alabama
Setting
Professional
Modifier
41
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$891.25
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$346.74
Typical High
$478.63
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
SH · Second concurrent infusion
Typical Low
$512.86
Median
$512.86
Typical High
$758.58

Where Alabama sits

The same service costs 6.6 times more in Minnesota than in North 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.

Alabama· 41st of 51

$389

MN $1,820NC $275

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.