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Ambulance, Advanced Life Support Emergency (ALS 1)

North Dakota 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?

$575

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $234 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$575$234 to $1,230
FacilityA hospital or hospital-owned outpatient department$234$234 to $1,549

How much rates vary

Facilitymedian $234 · 10th to 90th $234 to $1,549Professionalmedian $575 · 10th to 90th $234 to $1,259
$500$1K$2Kfacility $234professional $575

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
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,230.27
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$575.44
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$562.34
Typical High
$1,096.48

Where North Dakota 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.

North Dakota· 8th of 51

$575

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.