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Ambulance, Advanced Life Support Emergency (ALS 1)

Maryland rates for HCPCS A0427

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

Rates data updated July 2026.

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

$309

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $288 to $331.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $214 · 10th to 90th $6 to $1,096Professionalmedian $309 · 10th to 90th $288 to $407
$10$20$50$100$200$500$1Kfacility $214professional $309

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
$288.40
Median
$288.40
Typical High
$331.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$416.87
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$549.54

Where Maryland sits

The same service costs 6.5 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.

Maryland· 21st of 51

$309

AK $1,318SC $204

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.