Laser Treatment for Skin Cost in Missouri

Excimer lsr psriasis<250sqcm

CPT 96920

Missouri Medicare physician rate (2026)

-6.6% vs national

Average of 3 localities. Office range $122.79–$132.69.

Missouri (Office)
$128.90
Non-facility physician fee
Missouri (Hospital)
$40.02
Facility physician fee
Private plan est.
$168–$258
~130–200% of Medicare
Cash / self-pay est.
$103–$193
~80–150% of Medicare

Your ZIP in Missouri

Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.

What this number is

The figures on this page are 2026 Medicare physician allowed amounts for a specific CPT code: the professional fee, adjusted by geographic practice-cost indices. They are not a hospital chargemaster price, not your insurer's contracted rate, and not a quote. Hospital facility fees, anesthesia, implants, imaging reads, and pathology are billed separately when they apply. In Missouri the office and hospital physician lines for this CPT differ by $88.88.

National vs Missouri

National office$137.95
National hospital (physician)$41.08
Missouri vs national7% below the national office rate of $137.95

Where Missouri ranks for this CPT

Rank (lowest physician fee first)#14 of 51
Lowest stateArkansas ($121.85)
Highest stateDistrict of Columbia ($159.06)

CPT 96920 by Missouri locality

LocalityOffice
metropolitan st. louis$132.69
metropolitan kansas city$131.23
rest of missouri$122.79

PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.

Laser Treatment for Skin and how Missouri is priced

Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.

St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.

This procedure: This is laser treatment, typically with an excimer laser, for inflammatory skin disease such as psoriasis or vitiligo covering a total area under 250 square centimeters, roughly the size of a hand or two. The laser delivers targeted ultraviolet light only to affected patches, sparing normal skin and allowing stronger dosing than whole-body light booths. Each session takes 10 to 20 minutes with a mild sunburn-like sensation, and a course involves two or three sessions weekly for several weeks.

What Is Laser Treatment for Skin?

This is laser treatment, typically with an excimer laser, for inflammatory skin disease such as psoriasis or vitiligo covering a total area under 250 square centimeters, roughly the size of a hand or two. The laser delivers targeted ultraviolet light only to affected patches, sparing normal skin and allowing stronger dosing than whole-body light booths. Each session takes 10 to 20 minutes with a mild sunburn-like sensation, and a course involves two or three sessions weekly for several weeks.

What Affects the Cost

  • This is inherently a multi-session therapy, often 12 to 30 treatments per course, so the per-session price multiplied by the protocol defines the real cost.
  • Cost sharing applies per session on most plans, so even modest copays accumulate across a full course.
  • Larger treatment areas bill under higher-tier codes (96921, 96922), so the extent of your psoriasis changes the code and price.
  • Maintenance sessions after clearance, if needed, extend the spending beyond the initial course.
  • Alternatives compete on cost: topical treatments are cheaper, while biologic drugs are far more expensive, positioning laser in the middle of psoriasis economics.

Questions to Ask Before Booking

  • 1.How many sessions does my treatment plan involve, and what is my cost per session?
  • 2.Has prior authorization been approved, and for how many sessions?
  • 3.What happens to coverage if I need maintenance treatments after clearing?
  • 4.Have we documented that topicals failed, since my insurer may require that first?
  • 5.How does the total course cost compare with my other treatment options?

Laser Treatment for Skin in Missouri: questions

How much does laser treatment for skin cost in Missouri?

The 2026 Medicare physician office rate for CPT 96920 averages $128.90 across 3 Missouri localities, from $122.79 in REST OF MISSOURI to $132.69 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $40.02. Enter a ZIP for the exact locality.

Does the rate change inside Missouri?

Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $9.90 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.

What will a Medicare patient owe for the physician fee?

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $26 for the office physician line or $8 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.

Is this the full laser treatment for skin bill in Missouri?

No. $128.90 is the Medicare physician allowed amount for CPT 96920. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #14 of 51 states on this physician line (7% below the national office rate of $137.95).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.