The short answer · US med spas on Google, November 2026
- Average Google rating
- 4.867,547 rated listings
- Rated 4.8 or higher
- 83%of rated listings
- Highest state
- 4.95New Hampshire, 51 listings
- Highest metro
- 4.92Denver, Scottsdale and Raleigh
Average of each listing’s Google star rating. States and metros with at least 30 listings.
Med spas rate very well on Google. Across the 7,547 US listings on AuraVenu that carry a Google rating, the average is 4.86 stars, and 83% are rated 4.8 or higher. Between them they hold 1,524,416 Google reviews, and the typical listing has 107.
Every state we can measure averages at least 4.81, so the differences between places are small: New Hampshire, the highest, is 0.14 stars above the lowest. To see the clinics near you with their ratings and reviews, browse med spas by state and city. For the wider picture of the industry, see our US med spa statistics.
Which states have the highest-rated med spas?
- New Hampshire51 listings4.95
- Rhode Island40 listings4.94
- Indiana62 listings4.93
- Maine40 listings4.93
- Idaho37 listings4.93
- Iowa32 listings4.93
- Connecticut63 listings4.92
- Arkansas51 listings4.91
- South Carolina51 listings4.91
- Hawaii46 listings4.91
- Arizona125 listings4.90
- Colorado85 listings4.90
- Missouri60 listings4.90
- Mississippi49 listings4.90
- Oklahoma40 listings4.90
- Montana38 listings4.90
- Kansas31 listings4.90
Average Google rating across each state's listings. States with at least 30 listings, 45 in all. The scale starts at 4.7; the US average is 4.86.
New Hampshire leads at 4.95, followed by Rhode Island at 4.94 and four states at 4.93: Indiana, Maine, Idaho and Iowa. Seventeen of the 45 states we can measure average 4.90 or higher. All ten states at the top have fewer than 65 listings each, and in a small state a handful of clinics can move the average. Arizona, with 125 listings, is the largest state at 4.90 or above.
How do the biggest states compare?
- Pennsylvania243 listings4.88
- Florida1,504 listings4.87
- Texas493 listings4.86
- Illinois573 listings4.85
- California1,063 listings4.84
- Georgia430 listings4.84
- Minnesota190 listings4.84
- Washington276 listings4.82
- Virginia249 listings4.81
- Maryland212 listings4.81
Average Google rating across each state's listings. The scale starts at 4.7; the US average is 4.86.
In the ten states with the most med spas, averages sit close to the national 4.86. Pennsylvania is highest of the ten at 4.88, Florida, the largest with 1,504 listings, is at 4.87 and Texas matches the US average. California, the second largest, averages 4.84. Even the lowest of the ten, Virginia and Maryland at 4.81, are above the 4.8 mark.
Which metros have the highest-rated med spas?
- Denver76 listings4.92
- Scottsdale47 listings4.92
- Raleigh45 listings4.92
- Honolulu39 listings4.91
- Detroit158 listings4.90
- Phoenix76 listings4.90
- Columbus49 listings4.90
- Palm Beach226 listings4.89
- San Diego170 listings4.89
- Northern New Jersey115 listings4.89
- Nashville56 listings4.89
Average Google rating across each metro's listings. 37 metros with at least 30 listings; Connecticut and Delaware are covered as states. The scale starts at 4.7.
Denver, Scottsdale and Raleigh share the top spot at 4.92, with Honolulu at 4.91 and Detroit, Phoenix and Columbus at 4.90. The two Arizona metros both appear, and so does Palm Beach, the largest metro in this group with 226 listings.
The biggest metros again sit near the national average. Among the ten with the most listings, the Florida markets are highest: Palm Beach at 4.89, Tampa and Fort Lauderdale at 4.88 and Orlando at 4.87. Los Angeles and Miami average 4.86, Chicago 4.85 and Atlanta 4.84, while Seattle is at 4.81 and Northern Virginia at 4.80. Every one of the 37 metros we can measure averages 4.77 or higher.
Where do med spas have the most reviews?
- Scottsdale47 listings237
- Denver76 listings222
- Nashville56 listings218
- Charlotte33 listings180
- Phoenix76 listings171
- Houston121 listings168
- Dallas133 listings157
- Columbus49 listings149
- New York City156 listings146
- Portland48 listings145
Median number of Google reviews per listing in each metro. The US median is 107. Metros with at least 30 listings.
A star rating means more when many people have left one. The typical US listing has 107 Google reviews. In Scottsdale the median is 237, in Denver 222 and in Nashville 218, about twice the national figure. By state, Utah has the highest median at 255, followed by Colorado at 216 and Tennessee at 207.
Clinics in Los Angeles and the Bay Area have fewer reviews each: the median is 72 in Los Angeles and San Jose and 68 in San Francisco. Our data shows how many reviews clinics have, not why. It cannot tell us whether that reflects how long clinics have been open, how many there are to choose from, or how often local customers leave reviews.
What to look at beyond the star rating
With most clinics rated between 4.8 and 5.0, the stars alone rarely separate two good options. A few things say more:
- The number of reviewsA 4.9 from several hundred people is a steadier signal than a 5.0 from a dozen.
- How recent they areReviews from the past few months tell you about the clinic as it is now.
- The treatment you wantLook for reviews that mention it by name, and the provider who did it.
- Who treats youRatings do not show credentials. Our guide on how to check a med spa is legitimate covers what to verify.
How we got these numbers
- The sourceAuraVenu’s US listings as of November 3, 2026: 7,588 med spas and aesthetic clinics, of which 7,547 have a Google rating. Ratings and review counts come from each listing’s Google Business Profile.
- What the average isThe mean of each listing’s star rating, so a clinic with 20 reviews counts the same as one with 2,000. Review counts are medians across all listings in the area, including those with none.
- Enough clinics to be fairA state or metro needs at least 30 listings before we show it: 45 states, counting Washington, DC, and 37 metros. Connecticut and Delaware are covered as states rather than metros.
- No clinic rankingsWe compare places, not individual clinics. Each clinic’s own rating and reviews are on its listing page.
- Coverage changed this monthWe added thousands of listings in November, mostly in ten large metros. Do not compare these figures with our October numbers, because the group of clinics is different.
You can download the figures as CSV files: by state and by metro. They are free to reuse with credit to AuraVenu.
Frequently asked questions
What is the average Google rating for a med spa?
In our November 2026 data, US med spas average 4.86 stars on Google, across 7,547 rated listings. 83% are rated 4.8 or higher. The typical listing has 107 Google reviews.
Which state has the best-rated med spas?
New Hampshire has the highest average Google rating, at 4.95 across 51 listings, followed by Rhode Island at 4.94. Indiana, Maine, Idaho and Iowa each average 4.93. These figures cover the 45 states, including Washington, DC, with at least 30 listings.
Which city has the best-rated med spas?
Denver, Scottsdale and Raleigh share the highest metro average, at 4.92 stars. Honolulu follows at 4.91, then Detroit, Phoenix and Columbus at 4.90. These figures cover the 37 metros with at least 30 listings.
Is a 4.8 rating good for a med spa?
It is typical. 83% of rated US med spas hold 4.8 stars or higher, and the national average is 4.86. Between clinics with similar ratings, the number of reviews, how recent they are and whether they mention the treatment you want tell you more.
