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Ambulance, Advanced Life Support Emergency (ALS 1)

Virginia 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?

$550

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $550 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$479 to $550
FacilityA hospital or hospital-owned outpatient department$550$347 to $891

How much rates vary

Facilitymedian $550 · 10th to 90th $234 to $7,413Professionalmedian $550 · 10th to 90th $331 to $603
$200$500$1K$2K$5K$10Kfacility $550professional $550

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
$229.09
Typical High
$331.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$549.54
Typical High
$602.56
CareFirst
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$537.03
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$371.54
Typical High
$371.54
Medcost
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$389.05
Typical High
$602.56
Sentara
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$562.34
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$416.87
Typical High
$549.54
United
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$446.68
Typical High
$489.78

Where Virginia 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.

Virginia· 20th of 51

$550

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.