Med Spa Trends 2026: What 18,100+ Listed Clinics Show
By Natasha Pomelova, Founder
Directory snapshot generated
Medical Spa Locator indexes 18,100+ listed providers across 1,000+ cities, covering 25+ aesthetic and wellness treatments. This report describes what those listings contain. Every figure below is read from the production directory when this page rebuilds — not from a fixed extract — so the numbers here and on our press page always agree.
Which treatments do listed med spas actually offer?
Counted by matching each provider's listed treatment menu against our treatment registry. A clinic that performs a treatment without listing it publicly is not counted, so every figure here is a floor.
| Treatment | Share of listed providers | Providers |
|---|---|---|
| Botox & Neurotoxins | 11% | 1,984 |
| Dermal Fillers | 11% | 2,023 |
| Microneedling | 11% | 1,931 |
| Chemical Peels | 10% | 1,778 |
| Laser Hair Removal | 2% | 442 |
| HydraFacial | 2% | 293 |
Where are US med spas concentrated?
By raw count of listed providers. Counts track population and metro density, so large states lead; a per-capita ranking would look different.
States by provider count
- 1. Florida1,721
- 2. California1,571
- 3. Texas1,318
- 4. Illinois1,171
- 5. New York851
Cities by provider count
- 1. New York, NY185
- 2. Atlanta, GA185
- 3. St. Petersburg, FL182
- 4. Jacksonville, FL179
- 5. Brooklyn, NY178
How do ratings and review volume distribute?
The provider-count-weighted average Google rating across the directory is 4.8, aggregated from 2,255,414 Google reviews across 53 states and territories. Weighting by provider count keeps a single-listing city from moving the mean as much as a major metro.
This average includes unclaimed and poorly rated listings. A directory that removes low-rated clinics reports a higher average by construction — the number describes the filter as much as the market.
What do med spa treatments cost in 2026?
Published ranges for the treatments above. These are editorial reference ranges for a licensed provider in a mid-sized US market, not directory-derived medians; New York, Los Angeles and other major metros typically run 20–50% higher.
| Treatment | Typical published range | Session length |
|---|---|---|
| Botox & Neurotoxins | $200–$900 per session | 15–30 minutes |
| Dermal Fillers | $600–$2,000 per syringe | 30–60 minutes |
| Laser Hair Removal | $150–$500 per session | 15–60 minutes |
| Microneedling | $200–$700 per session | 30–60 minutes |
| Chemical Peels | $100–$800 per treatment | 30–60 minutes |
| HydraFacial | $150–$350 per session | 30–45 minutes |
| CoolSculpting | $750–$4,000 per area | 35–60 minutes per area |
| Semaglutide (Ozempic/Wegovy) | $300–$1,500 per month | Weekly injection |
Per-treatment and per-state detail, including patient-reported prices where enough have been submitted, lives in the Med Spa Price Index.
Methodology and limits
Sample. Every active listing in the directory, including clinics that are unclaimed, unverified, poorly rated, or missing data. Obvious seeded test records are excluded. We do not filter providers out by review quality, so availability and rating figures here are not survivorship-filtered.
Sources. Listings are compiled from publicly available business records and the Google Places API. Ratings and review counts are shown as Google reports them; Medical Spa Locator does not edit, reorder, or independently authenticate individual reviews.
Counting. Treatment availability is a match between a provider's listed menu and a canonical treatment registry, so every share is a floor. Provider totals are rounded down to the nearest hundred. Figures are recomputed daily.
What this does not measure. Directory inclusion does not certify clinical credentials, and nothing here describes treatment safety, efficacy, or outcomes. Practitioner credentials shown on listings are reported by the provider. This report makes no claim about what any AI assistant or search engine recommends.
How this compares with industry estimates
Directory coverage and industry census figures measure different things. For market-level context — revenue, growth, employment, average practice economics — these published sources are the reference, and each figure is attributed to the publisher that produced it in our Med Spa Industry Statistics 2026 report.
- Medical Spa State of the Industry Report — American Med Spa Association (AmSpa)
- 2024 State of the Industry Executive Report Recap — American Med Spa Association (AmSpa)
- United States Medical Spa Market Size & Outlook — Grand View Research
Frequently asked questions
How many med spas are there in the United States?+
Medical Spa Locator lists 18,100+ active US med spas across 1,000+ cities. That is a directory count, not a census. The American Med Spa Association's 2024 executive-report recap gives 10,488 US locations in 2023, up from 8,899 in 2022; a separate AmSpa release describes more than 11,000 locations and over 100,000 employees as of June 2024. Directory counts and industry census counts measure different things and should not be used interchangeably.
Which treatments do most med spas offer?+
Among providers listed on Medical Spa Locator, botox & neurotoxins appears on the most treatment menus (11% of listings), while hydrafacial appears on the fewest of those we track (2%). These are floors rather than ceilings: a clinic that offers a treatment without listing it publicly is not counted.
Is this a random sample of US med spas?+
No, and the distinction matters. These figures describe every active listing in the Medical Spa Locator directory, including clinics that are unclaimed, unverified, poorly rated, or missing data. We do not remove low-rated providers from the sample. Directories that filter clinics out by review quality produce availability and rating figures shaped by that filter; ours are not.
How much do med spa treatments cost in 2026?+
Published ranges vary widely by treatment, market, and provider: botulinum toxin runs roughly $200–$900 per session, dermal fillers $600–$2,000 per syringe, laser hair removal $150–$500 per session, and GLP-1 weight-loss programs $300–$1,500 per month. Major metros typically run 20–50% above these ranges. See the pricing table below and the Med Spa Price Index for per-treatment and per-state detail.
Where are US med spas concentrated?+
By count of listed providers, Florida, California, Texas lead the directory. Concentration tracks population and metro density, so raw counts favour large states; a per-capita view would rank differently.
How are these figures produced?+
Listings are compiled from publicly available business records and the Google Places API. Ratings and review counts are shown as Google reports them; individual reviews are not independently authenticated. Treatment availability is counted by matching each provider’s listed treatment menu against a canonical treatment registry. Figures are recomputed from the production database daily, and provider totals are rounded down to the nearest hundred.
Can I cite these figures in an article?+
Yes, with attribution to Medical Spa Locator and a link to this page. Because figures refresh daily and reflect current directory coverage rather than a fixed sample, please cite the date you retrieved them. For a custom data pull — a specific city, state, or treatment — email hello@medicalspalocator.com.
Does paying affect a clinic’s rating or position in this data?+
No. Claiming or paying for a listing contributes zero to any trust or visibility score, and no figure in this report is weighted by whether a provider pays. Paid tiers can affect ordering within search results, which is disclosed separately as Sponsored wherever it applies.
Cite this report
Journalists and researchers are welcome to cite these figures with attribution to Medical Spa Locator and a link to this page.
“According to Medical Spa Locator, a directory of 18,100+ US med spas, 11% of listed providers name botox & neurotoxins on their treatment menu.”
Figures refresh daily and reflect current directory coverage rather than a fixed sample, so please cite the date you retrieved them. For a custom data pull or an interview, email hello@medicalspalocator.com, or see the press page.
About the author
Natasha Pomelova is the founder of MedicalSpaLocator.com and melov.ai (AI Governance for Healthcare). She leads source verification and governance of provider data and produces the site’s market analysis content, with a background in data governance and health research and 15 years of pharmaceutical industry experience at Takeda, Amgen, Astellas, and Horizon Therapeutics.