Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A0426 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ambulance service, advanced life support, non-emergency transport, level 1 (ALS 1)
| Key Fact | Detail |
|---|---|
| Service Type | Ambulance and Other Transport Services and Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for A0426 |
National average reimbursement for HCPCS A0426 by major payers:
$400.27
$287.25
$284.86
$326.44
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A0426.
HCPCS A0426
5 of 25 sample ratesHigher to lower in this preview
Brian Lee
$1,723.33Published rateSurendra Pawar
Camelot Radiology Associates, Ltd. Dba Northern Illinois Radiology
$337.95Published rateCraig Callovini
Tyrone Hospital
$295.22Published rateBarry Marks
Highmark Health
$273.55Published rateAatika Malik
St Lukes Physician Group Inc
$162.85Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A0426 vs. Other Ambulance and Other Transport Services and Supplies Codes
The HCPCS A0426 code is part of the Ambulance and Other Transport Services and Supplies services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A0426 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A0425-HCPCS | Low | Ground mileage, per statute mile |
| A0426-HCPCS | Moderate | Ambulance service, advanced life support, non-emergency transport, level 1 (ALS 1) |
| A0427-HCPCS | Moderate | Ambulance service, advanced life support, emergency transport, level 1 (ALS 1-emergency) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A0426. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A0426 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A0426) and we'll show you how you compare in 15 minutes or less.