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Ambulance, Advanced Life Support Emergency (ALS 1)

New York 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?

$407

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $933 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 8 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$295$257 to $550
FacilityA hospital or hospital-owned outpatient department$933$933 to $1,096

How much rates vary

Facilitymedian $933 · 10th to 90th $437 to $1,778Professionalmedian $295 · 10th to 90th $219 to $603
$10$20$50$100$200$500$1Kfacility $933professional $295

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$501.19
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,715.35
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$489.78
Typical High
$660.69
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$891.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$323.59
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$776.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Univera
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$891.25

Where New York 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.

New York· 12th of 51

$407

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.