Coast to Coast AM is broadcast on over 500 United States affiliates, as well as numerous Canadian affiliates, several of which stream the show on their station's Web site. The show's Streamlink service offers live Internet feeds of the show by subscription. The program is also broadcast on XM Satellite Radio in the United States, on Talk Radio 165. Currently, the XM channel is not available to XM Radio Canada subscribers due to CanCon regulations limiting content produced outside of Canada.
In addition, XM Satellite Radio's operational assistance agreement with Clear Channel provides the satellite broadcaster with exclusive rights to all Clear Channel content, and doesn't permit the broadcast of Coast to Coast AM on competitor Sirius Satellite Radio.
Coast to Coast AM is also available via C-Band on the W3 (GE3) Transponder 18, Sub-Carrier 6.8 MHz wide band. There are several feeds and re-feeds of the show.
* A re-feed of the previous weekday show's last three hours is played Monday through Friday at 10 p.m. Eastern/7 p.m. Pacific. Weekend shows are exempt from this feed.
* The live show is fed every night at 1 a.m. Eastern/10 p.m. Pacific.
* Following the live show, another re-feed is broadcast every morning at 5 a.m. Eastern/2 a.m. Pacific.
* Art Bell, Somewhere in Time is fed Saturday nights at 9 p.m. Eastern/6 p.m. Pacific.
* A four hour George Noory "best-of" show is fed Sunday nights at 9 p.m. Eastern/6 p.m. Pacific.
The show's complete schedule can be found on its website. Because the show is so frequently repeated, audible cue signals are inserted at the beginning and end of commercial breaks, to facilitate substitution of commercials by local stations.