PAE Cost and Insurance Coverage

Written and medically reviewed by Goke Akinwande, MD — Board-Certified Interventional Radiologist and Medical Director of MINT. Last reviewed: August 24, 2026.

The cost of prostate artery embolization (PAE) can vary based on your insurance plan, facility and physician services, imaging, laboratory testing, medications, and authorization requirements. Coverage and out-of-pocket responsibility also vary, so understanding your specific benefits is an important part of planning treatment.

MINT helps patients understand the clinical evaluation and insurance-review steps involved in planning PAE. Coverage, authorization requirements, and out-of-pocket responsibility depend on the individual plan and care setting.

What May Be Included in the Cost of PAE?

  • Initial consultation
  • Laboratory testing
  • Prostate or vascular imaging
  • Physician services
  • Facility services
  • Sedation or anesthesia services
  • Medications
  • Follow-up visits or testing

The amount billed and the amount a patient owes are not necessarily the same. Network contracts, deductibles, coinsurance, copayments, and authorization decisions all affect patient responsibility.

Does Insurance Cover PAE?

Many insurance plans now cover PAE when their medical-necessity and authorization criteria are met. Other plans may apply different criteria, request additional documentation, or deny coverage.

Coverage may depend on the specific plan, network status, prior authorization, documented BPH symptoms, previous treatment history, required imaging, deductible, coinsurance, and site of service.

Our team at MINT will work on getting preauthorization from your insurance company so that you are not burdened with it.

Questions to Ask Your Insurance Company

  1. Is prostate artery embolization covered under my plan?
  2. Is prior authorization required?
  3. Must I see a urologist first?
  4. Are the physician and facility in network?
  5. What is my remaining deductible?
  6. What coinsurance or copayment applies?
  7. Are imaging, laboratory, sedation, and facility services billed separately?
  8. What is the appeal process if authorization is denied?

What Happens Before Scheduling?

1. Clinical evaluation

MINT determines whether PAE is medically appropriate and whether additional records or testing are required. 

2. Benefits and authorization review

The team reviews available network and authorization requirements using the patient’s insurance information. 

3. Patient estimate

When sufficient information is available, the patient receives an estimate of expected responsibility.

4. Final decision

The patient can review clinical alternatives and expected financial responsibility before proceeding.

Frequently Asked Questions

They usually do, however, coverage depends on the patient’s Medicare arrangement, medical necessity, documentation, network status, and other requirements.

Understand Coverage Before You Proceed

MINT can help explain the available insurance information and next steps before treatment.

Medical Disclaimer: This information is provided for educational purposes and is not a substitute for individualized medical advice, diagnosis, or treatment. Whether PAE is appropriate for you should be determined after evaluation by a qualified medical professional.

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