The five things that actually separate the tiers
Measured irradiance at the body. Consumer marketing often quotes output at the LED surface, which is a much larger, much less useful number. Serious equipment publishes irradiance at the distance you'll actually be.
LED quality and binning. Binned diodes hold their wavelength and output consistently across the panel and across years. Unbinned bargain LEDs drift, so your dose quietly changes over time.
Coverage. A medical-grade full-body bed treats front and back surfaces in one session. A small panel treats a patch, which multiplies the time you need to spend.
Duty cycle and thermal design. Active airflow, low-flicker drivers, and structural framing are what let a device run repeatedly without output sag. This is the single biggest hidden difference between a clinic bed and a home unit.
Documentation and support. Spec sheets, testing data, an installation path, and a warranty written for daily use.