CPT96920

Laser Treatment for Skin Cost in Utah

Excimer lsr psriasis<250sqcm

$246Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Utah Medicare physician rate (2026)

-4.9% vs national

Single statewide locality.

Utah (Hospital)
$40.19
Facility physician fee
Private plan est.
$171–$262
~130–200% of Medicare
Cash / self-pay est.
$105–$197
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Physician fee alone
$41
Only 17% of the hospital total

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Utah

Look up your ZIP for your part of Utah, whether Salt Lake City, Provo, Ogden, Logan, St. George, or the rural east and canyon country.

What laser treatment for skin costs at hospitals near you

Everything above is a national average. The hospital you pick in Utah moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Utah the office and hospital physician lines for this CPT differ by $91.05.

National vs Utah

National office$137.95
National hospital (physician)$41.08
Utah vs national5% below the national office rate of $137.95

Where Utah ranks for this CPT

Rank (lowest physician fee first)#19 of 51
Lowest stateArkansas ($121.85)
Highest stateDistrict of Columbia ($159.06)

Laser Treatment for Skin and how Utah is priced

Utah's fee schedule operates as a single statewide locality with geographic indices slightly below the national average, so the Wasatch Front and the remote canyon country share identical Medicare-approved amounts. Salt Lake City's growth into a major regional economy has not split the locality. From Logan to St. George, the same adjustments apply, making the statewide figures a clean guide for any Utah address. As usual, the choice between hospital-based and office-based settings will move a bill more than in-state geography can.

The Wasatch Front from Ogden through Salt Lake City to Provo concentrates nearly all of Utah's specialty care, anchored by an academic medical center and a large integrated system known nationally for cost discipline. Salt Lake City is also the referral hub for a huge intermountain region covering parts of Idaho, Wyoming, and Nevada. Fast-growing St. George serves the southwest corner, but rural and canyon-country residents still travel far for procedures.

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 Utah: questions

Utah is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 96920 is $131.24 in an office and $40.19 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Utah uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

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 Utah. Medigap may cover that 20%. This is not the hospital facility fee.

No. $131.24 is only the physician's share. Adding Medicare's facility payment brings the total to about $246 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. Utah ranks #19 of 51 states on the physician line (5% 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.