go back

Ambulance, Advanced Life Support Emergency (ALS 1)

Washington 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?

$513

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $562 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$363$288 to $537
FacilityA hospital or hospital-owned outpatient department$562$427 to $575

How much rates vary

Facilitymedian $562 · 10th to 90th $363 to $646Professionalmedian $363 · 10th to 90th $245 to $1,202
$200$500$1Kfacility $562professional $363

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$363.08
Median
$363.08
Typical High
$380.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$309.03
Typical High
$363.08
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$489.78
Typical High
$616.60
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$501.19
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$436.52
Typical High
$616.60
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$645.65
United
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$524.81
Typical High
$616.60
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
QN · Ambulance by provider
Typical Low
$630.96
Median
$630.96
Typical High
$630.96

Where Washington 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.

Washington· 24th of 51

$513

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.