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Ambulance, Advanced Life Support Emergency (ALS 1)

Texas 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?

$324

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $324 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 11 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$355$288 to $417
FacilityA hospital or hospital-owned outpatient department$324$324 to $324

How much rates vary

Facilitymedian $324 · 10th to 90th $324 to $355Professionalmedian $355 · 10th to 90th $234 to $794
$200$500$1K$2Kfacility $324professional $355

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
$229.09
Median
$288.40
Typical High
$316.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$288.40
Typical High
$371.54
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$3,630.78
Typical High
$3,630.78
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$1,548.82
Baylor Scott & White
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$575.44
Christus
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$416.87
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$416.87
Typical High
$416.87
Moda Health
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$309.03
Typical High
$794.33
Moda Health
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$309.03
Typical High
$371.54
Molina
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Providence
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$407.38
Typical High
$575.44
Providence
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$549.54
Typical High
$549.54
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$489.78
Typical High
$660.69
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
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
RH · Ambulance R to H
Typical Low
$407.38
Median
$1,621.81
Typical High
$1,621.81

Where Texas 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.

Texas· 46th of 51

$324

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.