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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 October 2026.

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

$1,259

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,514 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$1,259 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,514$295 to $1,585

How much rates vary

Facilitymedian $1,514 · 10th to 90th $234 to $1,585Professionalmedian $1,259 · 10th to 90th $646 to $1,259
$500$1K$2Kfacility $1,514professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
BCBS North Dakota
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$1,584.89
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$812.83
Medica
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$416.87
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$426.58
Typical High
$575.44
United
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$426.58

Where North Dakota 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.

North Dakota· 2nd of 51

$1,259

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.