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Tattoo removal cost calculator

Updated

This tattoo removal cost calculator estimates laser sessions with the Kirby-Desai scale, a six-factor score published in the Journal of Clinical and Aesthetic Dermatology in 2009, then multiplies them by the per-session price your clinic quotes. No prices are built in. The session count is the authors' estimate, not a promise, and treatment decisions belong to a dermatologist.

The form opens on example answers, not typical ones, and the price is a round placeholder rather than an average: this calculator holds no price data. The examples in brackets after the two limb regions are our reading of the terms; the paper names the regions without examples. Nothing you enter leaves this browser tab.

Estimate

$2,200

11 laser sessions at $200 each.

Kirby-Desai score
11 on a scale of 4 to 26
Estimated sessions
11
First to last session, 6–8 weeks apart
60–80 weeks, about 14–18 months
FactorYour answerPoints
Skin typeType II2
LocationDistal extremity5
ColorBlack only1
Amount of inkModerate3
Scarring and tissue changeNo scar0
LayeringNo0
TotalEstimated sessions11

This is the authors' estimate, not a promise. Among the 100 patients in their study, the number of sessions actually needed ranged from 3 to 20.

Copies the score, each factor’s points and the source

How to use the tattoo removal cost calculator

Answer six questions the way a clinician would score the tattoo, then enter the per-session price your clinic quoted. The authors read the Kirby-Desai score directly as a session count, and the calculator multiplies it by that price. Each answer shows its points, so the sum can be checked by hand.

  1. Step 1Pick a skin type by how it reacts to sunFitzpatrick types sort skin into six classes by how easily it burns and tans. Type I scores 1, Type VI scores 6.
  2. Step 2Place it, then describe the inkAmount of ink follows the paper’s wording: amateur means letters, words or small symbols; significant means a multicolored, complex design.
  3. Step 3Let someone who has seen it grade the scarScarring moves the score by up to 5 points, as much as any factor. If the skin is raised or textured, try more than one level and ask the clinic.
  4. Step 4Enter the quote, not a guessThe price opens on a placeholder. If your quote is a package, divide it by the number of sessions it covers.

The example answers in the form score 11. At $200 a session that is $2,200, spread over 60–80 weeks, about 14–18 months, at the interval the scale assumes.

The Kirby-Desai scale, factor by factor

The Kirby-Desai scale gives points to six factors and adds them; the total is the authors’ estimate of the laser sessions a tattoo needs. The table carries the point values of tables 1 to 6 of the paper on PubMed Central, checked against that copy on September 15, 2026.

FactorPointsAnswers
Skin type1–6Type I (always burns, never tans) 1; Type II (usually burns, tans with difficulty) 2; Type III (sometimes mild burn, gradually tans) 3; Type IV (rarely burns, tans with ease) 4; Type V (very rarely burns, tans very easily) 5; Type VI (never burns, tans very easily) 6
Location1–5Head and neck 1; Upper trunk 2; Lower trunk 3; Proximal extremity 4; Distal extremity 5
Color1–4Black only 1; Mostly black with some red 2; Mostly black and red with other colors 3; Multiple colors 4
Amount of ink1–4Amateur 1; Minimal 2; Moderate 3; Significant 4
Scarring and tissue change0–5No scar 0; Minimal scarring 1; Moderate scarring 3; Significant scarring 5
Layering0–2No 0; Yes 2

Two factors can each move the total by 5 points: skin type, and scarring and tissue change. Layering moves it least, by 2. Scores run from 4 to 26.

The paper does not define where the upper trunk ends, or which body parts count as proximal or distal. The bracketed examples in the calculator are our reading of those words: nearer to or farther from the trunk. Neighboring regions differ by 1 point, which is 1 session either way for a tattoo on a border.

What the 2009 study measured

Kirby, Desai and colleagues reviewed the charts of 100 patients treated at the first author’s Beverly Hills clinic from July 2004 through August 2008. One investigator scored each tattoo from history and pre-treatment photographs, and the scores were compared with the sessions each patient went on to have.

r = 0.757Correlation between the Kirby-Desai score and the sessions actually needed, across 100 patients (Kirby et al., 2009)

Those patients needed 9.91 sessions on average (standard deviation 3.18, range 3 to 20), against an average score of 9.87. Treated as a straight line, a correlation of 0.757 means the score accounts for about 57% of the variation in session counts; the other 43% it does not capture.

The paper is not fully consistent with itself: the abstract reports satisfactory removal in all patients, the results say complete removal, and the discussion gives p<0.0001 where the abstract and results give p<0.001. The scale is the same either way, but satisfactory and complete are different answers to whether a tattoo will disappear.

Turning a session count into a budget

A session count becomes a budget only when it meets a price, the one number this calculator will not guess. Before comparing quotes, ask whether each covers one session or a package, whether it changes with size, and what extra sessions cost. A new tattoo is priced from an artist’s hourly rate in the tattoo cost calculator.

The one other removal calculator we read, inkstudioai’s, on September 15, 2026, builds in per-session price bands by tattoo size, from $100–$200 for the smallest tier to $400 and up for the largest, and names no source for them. We read that page but did not test its calculator.

Where the scale stops being useful

The authors proposed the scale as a consultation aid for physicians. They call for larger studies to confirm it is reproducible, and note that their patients may have included too few difficult tattoos, such as scarred or layered ones.

Scores above 15The authors say these tattoos may be difficult to remove, and that a physician should decide whether laser is the right method.
Scores above 20No patient in the study needed more than 20 sessions, but the scale runs to 26. Past 20, the count is extrapolation.
Another laser or scheduleThe scale assumes a Q-switched Nd:YAG or Alexandrite laser, with 6 to 8 weeks between sessions. Other setups are outside the paper.

The study also excluded patients who stopped early because of pain, missed appointments or lost contact, so it says nothing about how often people finish. It has no size question beyond amount of ink, and it scores location by blood and lymph supply, which is about clearing ink rather than how a tattoo wears; the placement guide covers that.

None of this is medical advice. Whether and how to treat a tattoo is a decision for a dermatologist or another physician who examines the skin.

Questions people ask

How much does it cost to remove a tattoo fully?
A full course of laser tattoo removal costs the per-session price times the number of sessions, and the Kirby-Desai scale estimates the second number. With the example answers on this page the score is 11, so at $200 a session the course comes to $2,200. Anything a clinic charges outside the sessions is not included.
Can a tattoo be 100% removed?
The 2009 Kirby-Desai study reported removal in all 100 patients it analyzed, but that is not a success rate. It left out everyone who stopped treatment early, and the authors say their sample may lack hard cases such as scarred or layered tattoos. Whether a particular tattoo can fully clear is a question for a dermatologist who examines it.
How long does laser tattoo removal take from first to last session?
The Kirby-Desai scale assumes 6 to 8 weeks between laser sessions. At that spacing, the 11 sessions estimated for the example answers span 60–80 weeks, about 14–18 months from first to last. The authors add that clinics wait longer between sessions on darker skin types, so a real calendar can run past this.
Does removing a cover-up tattoo take more sessions?
On the Kirby-Desai scale, a tattoo layered over an older one adds 2 points, which the scale reads as 2 more sessions. The authors reason that the covering tattoo is usually larger and darker than the one it hides. At the placeholder price of $200, that adds $400 to the same tattoo without layering.
When is a Kirby-Desai estimate the wrong number to plan around?
A Kirby-Desai estimate is the wrong basis for a plan when the score is above 15, which the authors hand to a physician's judgment; when it is above 20, past any session count in their study; when a clinic uses a different laser or spacing; and whenever a clinician who has examined the tattoo says otherwise.