A question we hear often from patients exploring plantar fasciitis embolization is, “What will this procedure cost me?” The short answer: it varies based on your insurance coverage. The amount billed for the procedure is not the same as what you personally pay. Factors like your deductible, coinsurance, and annual out-of-pocket maximum all influence your final responsibility.
Below is a general overview of what patients commonly experience based on insurance type.
Commercial Insurance Plans
If you’re covered by a commercial insurer such as Blue Cross, Medica, HealthPartners, UnitedHealthcare, or similar carriers, your out-of-pocket plantar fasciitis embolization cost is influenced by:
- Your plan’s deductible
- Whether that deductible has already been met
- Your coinsurance percentage (commonly 20–30%)
- How close you are to your annual out-of-pocket maximum
Typical patient responsibility:
Most patients with commercial insurance pay between $1,500 and $2,500 out of pocket for PFE at our center. Where you fall within that range depends on your specific benefits and the timing within your plan year.
Traditional Medicare (Part B Only)
For patients enrolled in Medicare Part B without a supplemental policy, Medicare generally pays 80% of approved charges, leaving the remaining 20% as patient responsibility.
Typical patient responsibility:
Approximately $1,750–$2,250
Medicare With a Supplement (Medigap)
If you have Medicare paired with a supplemental plan such as Plan G or Plan N:
- Once the annual Part B deductible is satisfied
- Your supplement typically covers the remaining approved costs
Typical patient responsibility:
$0
Medicare Advantage (Part C)
Medicare Advantage plans differ by carrier, but many include set copays for outpatient procedures rather than percentage-based coinsurance.
Typical patient responsibility:
Often around $100, depending on your plan’s structure.
Medicaid Coverage
Medicaid generally provides full coverage for PFE.
Typical patient responsibility:
- State Medicaid: $0
- Managed Medicaid plans: Usually a minimal copay (typically under $40)
Coverage With Aetna
Aetna currently classifies PFE as investigational or experimental. As a result, the procedure is not routinely covered under standard policy guidelines.
That said, coverage is not always ruled out. In many cases, our team can pursue a medical exception—particularly when PFE represents the safest or most appropriate treatment option for your condition. Their policy is specific to an ultrasound-guided embolization; however, we use x-ray guidance for a more targeted treatment, which makes Aetna more likely to approve the procedure.
Medical exception criteria may apply.
Want a Personalized Cost Estimate? Schedule a Consultation
Because every insurance plan is different, the most accurate way to determine your expected cost is through a detailed benefits review.
During your consultation, our team can:
- Confirm your insurance coverage
- Review deductible and coinsurance details
- Check your out-of-pocket maximum
- Evaluate your plan’s coverage rules
- Provide an individualized estimate using the specific CPT codes for PFE
If you’re considering plantar fasciitis embolization, contact us to schedule a consultation. We’ll walk you through your benefits and help you understand your anticipated costs before proceeding.
Important Disclaimer About Plantar Fasciitis Embolization Cost
Insurance benefits and patient financial responsibility vary significantly between plans. The information provided on this page reflects common trends observed in our practice and is intended for general educational purposes only. It does not guarantee coverage, approval, or final cost.
While we will verify your benefits and do our best to explain your coverage, final payment decisions are made solely by your insurance carrier, and benefits may change without notice. As the policyholder, you are ultimately responsible for confirming coverage details and financial obligations directly with your insurer.
Each patient’s medical needs are unique, and treatment plans may differ. Additional services—such as imaging, medications, supplies, or follow-up care—may be required and could result in added charges. Whenever possible, we will discuss any recommended services in advance.
Any cost ranges listed are estimates based on typical patient experiences. Actual costs may be higher or lower depending on your individual benefits, deductibles, coinsurance, out-of-pocket limits, policy rules, and where you are in your plan year.
Viewing this page does not establish a patient-provider relationship. Coverage determinations, prior authorizations, medical exceptions, and appeals are handled by your insurance carrier. Final financial responsibility for services rendered remains with the patient.
