Published July 2026 · Updated October 2026. By Natasha Pomelova, founder of MedicalSpaLocator.com. Every figure below is drawn from the live directory or names its source and date; the method is at the end of the page.
We analyzed the directory dataset to surface what consumers actually encounter when they search for aesthetic care in 2026. Figures are drawn from the live directory and update as the data refreshes.
The dataset at a glance
Our analysis covers 18,173+ active medical spas spanning all 50 states and over 1,000 cities, aggregating real Google ratings and review counts for each provider — enough scale to compare local markets rather than relying on a single metro. The companion post, medical spa industry statistics, puts these directory counts next to the national benchmarks.
Self-test (2 minutes): Find your metro in the data. Search the directory for your city and count how many providers compete on your top treatment — that local count, not the national total, is your actual market.
Next step: if you are planning a practice, read the med spa business plan with your local provider count in hand.
For med spa owners
See how complete and readable your listing is
Your free AI Visibility Score checks your listing’s public information and machine readability. It does not query AI assistants. Claim your free listing to update your business details.
Ratings run high — but review volume is the real differentiator
Med spas cluster at the top of the rating scale, with most established providers averaging well above four stars. Because ratings compress near the top, total review volume is the more useful signal. As an illustration: a 4.8 across 800 reviews is far more reliable than a 5.0 across a dozen — a perfect 5.0 from twelve reviews tells you almost nothing. (Those profiles are illustrative examples, not measured directory averages.)
Self-test (2 minutes): Look up your own listing and your closest competitor. Compare review counts before star ratings — if they have several times your volume at a similar rating, volume is the gap to close.
Next step: see how that trust signal is scored in our AI Visibility and Trust Index for med spas.
The most in-demand treatments
Injectables lead demand by a wide margin, with Botox and dermal fillers offered by the largest share of providers, followed by laser hair removal, medical weight loss (GLP-1 medications like semaglutide), and skin treatments such as microneedling and HydraFacial. For the prices patients compare inside that demand, see GLP-1 program prices compared and the Chicago Botox price report.
What published prices show
The directory counts supply; published prices show what patients can actually compare. In our Chicago competitor pull (October 23, 2026), published Botox ran $10–$16 per unit standard (median $13.50) and published lip filler $449–$750 per syringe. Against that, AmSpa's State of the Industry puts average Botox visit spend at roughly $283. A practice that publishes no price is absent from both comparisons.
Next step: the full benchmark set — acquisition cost, marketing spend, and price ranges — is in how to get more med spa clients.
Local markets vary widely
Provider density and pricing differ sharply by metro; smaller cities often have a handful of standout providers. Comparing within your own city — by rating and review volume — is the most practical way to choose. Owners weighing a directory can read MedicalSpaLocator vs. RealSelf, Yelp and Google.
Methodology
Figures are derived from Medical Spa Locator's directory of active, verified U.S. medical spas, using each provider's aggregated Google rating and review count. The directory is updated on an ongoing basis; this report reflects the dataset as of 2026, with counts checked October 2026.
Sources
Directory: MedicalSpaLocator, October 2026 (18,173+ listings, 1,000+ cities, 50 states; Google ratings/review counts per provider). Prices: Chicago competitor pull, October 23, 2026 (Botox $10–$16/unit, median $13.50; filler $449–$750/syringe). Benchmark: AmSpa State of the Industry (~$283 average Botox visit spend). Checked October 2026; the check date is part of the data.
Own a med spa? Find out how your practice compares against 18,173+ providers: run your free AI Visibility Score and claim your free listing so your ratings, prices, and providers are the ones patients find.