DIRECTORY DATA · DATA AS OF OCTOBER 18, 2026 · LAST UPDATED OCTOBER 18, 2026

US Med Spa Statistics 2026

AuraVenu lists 4,569 med spas across all 50 states and Washington, DC, with 988,706 Google reviews and an average rating of 4.87. California has the most (1,057); per head, North Dakota leads at 4.25 per 100,000 residents. Of the 2,148 clinics with treatment data, 90% offer Botox and 37% offer GLP-1 weight-loss injections.

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4,569

Med spas listed

50 + DC

States covered

988,706

Google reviews

4.87

Average Google rating

Key findings

Each line stands on its own and can be quoted as written.

  1. AuraVenu lists 4,569 med spas across all 50 states and Washington, DC, with 988,706 Google reviews between them (AuraVenu, October 2026).
  2. California has the most listed med spas, 1,057 or 23% of the US total, followed by Texas (487) and Florida (357) (AuraVenu, October 2026).
  3. Per head, North Dakota has the most listed med spas at 4.25 per 100,000 residents, then Washington, DC (4.18) and Wyoming (4.08), against a US figure of 1.34 (AuraVenu, October 2026).
  4. New York has more listed med spas than any other US city (127), followed by Houston (103) and Austin (97) (AuraVenu, October 2026).
  5. Botox is the most widely offered treatment: 90% of listed med spas with treatment data offer it, with microneedling at 89% and dermal fillers at 85% (AuraVenu, October 2026).
  6. 37% of listed med spas with treatment data offer semaglutide or another GLP-1 weight-loss injection; the highest share is Illinois at 67% (AuraVenu, October 2026).
  7. SkinSpirit is the largest med spa chain listed, with 38 locations in 13 states; LaserAway has 36 (AuraVenu, October 2026).
  8. Listed med spas average 4.87 out of 5 on Google, 84% of rated clinics score 4.8 or higher, and the median clinic has 122 reviews (AuraVenu, October 2026).

Med spas by state

All 50 states and Washington, DC, most listings first. Per-capita figures use the Census Bureau's Vintage 2025 resident population estimates (July 1, 2025); the US figure is 1.34 per 100,000. Treatment columns show the share of the state's clinics with treatment data that offer it; a dash means fewer than 10 have data.

State Med spas Share of US Per 100,000 Avg rating Reviews With treatment data BotoxDermal FillersMicroneedlingLaser Hair RemovalHydraFacialSkin TighteningMorpheus8Body ContouringSemaglutide / GLP-1
California 1,057 23.1% 2.69 4.84 165,002 777 88%82%87%51%33%56%24%50%27%
Texas 487 10.7% 1.54 4.86 123,683 328 89%82%87%60%51%57%20%52%42%
Florida 357 7.8% 1.52 4.89 97,241 233 86%80%82%55%49%55%28%50%42%
New York 167 3.7% 0.83 4.83 45,215 112 86%79%87%63%46%73%34%64%26%
Arizona 124 2.7% 1.63 4.91 33,732 75 96%93%91%69%55%63%13%59%48%
Ohio 108 2.4% 0.91 4.89 21,685 46 96%93%91%50%35%46%9%50%54%
North Carolina 94 2.1% 0.84 4.90 23,441 64 97%92%97%72%61%61%19%56%45%
Illinois 90 2.0% 0.71 4.87 22,608 45 100%100%96%87%71%71%33%78%67%
Pennsylvania 89 1.9% 0.68 4.92 24,791 23 91%65%87%83%43%61%35%52%35%
Georgia 87 1.9% 0.77 4.86 21,137 42 98%98%95%71%64%57%17%64%57%
Massachusetts 87 1.9% 1.22 4.89 16,662 37 95%97%97%73%51%54%38%51%57%
Colorado 84 1.8% 1.4 4.90 24,984 40 98%95%100%80%53%63%25%50%63%
Washington 83 1.8% 1.04 4.87 16,435 27 93%89%100%74%48%81%30%59%26%
Nevada 80 1.8% 2.44 4.85 26,470 55 93%93%85%71%42%64%29%62%40%
Minnesota 78 1.7% 1.34 4.88 14,674 29 83%76%90%55%28%45%7%24%34%
Tennessee 75 1.6% 1.03 4.90 21,178 38 97%95%97%61%50%61%21%39%37%
Michigan 72 1.6% 0.71 4.88 23,121 10 100%70%90%50%50%60%40%60%0%
Oregon 68 1.5% 1.59 4.89 15,079 25 96%100%100%68%40%64%8%80%48%
New Jersey 66 1.4% 0.69 4.87 12,363 41 95%95%100%88%56%76%27%71%32%
Connecticut 62 1.4% 1.68 4.92 10,161 53 98%96%98%81%42%68%11%62%42%
Missouri 59 1.3% 0.94 4.90 18,404 2 –––––––––
Virginia 54 1.2% 0.61 4.86 15,334 3 –––––––––
Indiana 53 1.2% 0.76 4.92 10,811 0 –––––––––
Arkansas 52 1.1% 1.67 4.90 9,079 0 –––––––––
New Hampshire 51 1.1% 3.6 4.95 8,556 1 –––––––––
Mississippi 49 1.1% 1.66 4.90 4,605 0 –––––––––
South Carolina 49 1.1% 0.88 4.91 10,263 1 –––––––––
Hawaii 46 1.0% 3.21 4.91 5,433 25 84%76%92%36%36%60%12%56%44%
Utah 41 0.9% 1.16 4.87 20,258 0 –––––––––
Maine 40 0.9% 2.83 4.93 5,191 1 –––––––––
Oklahoma 40 0.9% 0.97 4.90 7,552 0 –––––––––
Rhode Island 40 0.9% 3.59 4.94 4,015 0 –––––––––
Maryland 39 0.9% 0.62 4.72 9,563 3 –––––––––
Wisconsin 39 0.9% 0.65 4.80 8,319 1 –––––––––
Montana 38 0.8% 3.32 4.90 9,024 1 –––––––––
Nebraska 38 0.8% 1.88 4.82 14,208 2 –––––––––
Idaho 37 0.8% 1.82 4.93 9,634 1 –––––––––
Louisiana 36 0.8% 0.78 4.81 5,353 0 –––––––––
West Virginia 36 0.8% 2.04 4.89 3,240 0 –––––––––
Delaware 35 0.8% 3.3 4.89 4,741 0 –––––––––
North Dakota 34 0.7% 4.25 4.83 5,389 0 –––––––––
Iowa 32 0.7% 0.99 4.93 3,969 0 –––––––––
Kansas 31 0.7% 1.04 4.90 5,161 0 –––––––––
New Mexico 31 0.7% 1.46 4.84 5,468 0 –––––––––
Washington, DC 29 0.6% 4.18 4.88 4,362 3 –––––––––
Wyoming 24 0.5% 4.08 4.94 2,306 1 –––––––––
Alabama 23 0.5% 0.44 4.73 7,397 1 –––––––––
Kentucky 20 0.4% 0.43 4.94 5,546 2 –––––––––
South Dakota 20 0.4% 2.14 4.91 2,285 0 –––––––––
Vermont 20 0.4% 3.1 4.78 1,496 0 –––––––––
Alaska 18 0.4% 2.44 4.94 2,082 0 –––––––––

Top 25 cities

Counted by the city on each clinic's address, so suburbs count separately from the city they border. Cities with a directory page link to it; the rest link to their state.

# City State Med spas
1 New York NY 127
2 Houston TX 103
3 Austin TX 97
4 Dallas TX 94
5 Miami FL 92
6 San Antonio TX 91
7 Los Angeles CA 90
8 San Francisco CA 88
9 Orlando FL 87
10 San Diego CA 74
11 Tampa FL 60
12 Las Vegas NV 56
13 Scottsdale AZ 43
14 Phoenix AZ 41
15 Atlanta GA 40
16 Chicago IL 40
17 Denver CO 36
18 San Jose CA 35
19 Beverly Hills CA 34
20 Honolulu HI 33
21 Raleigh NC 33
22 Nashville TN 32
23 Philadelphia PA 32
24 Boston MA 31
25 Walnut Creek CA 31

By metro area

Metro areas with at least 10 listed med spas, largest first, following the directory's city pages (which include named suburbs rather than census boundaries). Treatment columns as in the state table.

Metro Med spas Avg rating Reviews With treatment data BotoxDermal FillersMicroneedlingLaser Hair RemovalHydraFacialSkin TighteningMorpheus8Body ContouringSemaglutide / GLP-1
Los Angeles, CA 460 4.85 67,402 348 89%83%88%49%33%63%28%53%28%
San Francisco, CA 185 4.82 28,437 137 77%70%82%43%36%42%17%43%21%
San Diego, CA 163 4.88 32,417 113 88%84%86%50%27%46%27%42%30%
New York City, NY 152 4.82 41,271 112 86%79%87%63%46%73%34%64%26%
Miami, FL 139 4.87 38,349 100 83%75%75%52%46%61%29%56%38%
Dallas, TX 123 4.89 30,332 84 90%85%86%64%49%54%25%56%40%
San Jose, CA 121 4.76 18,742 92 93%86%88%54%34%60%13%61%25%
Houston, TX 118 4.83 29,463 80 88%83%93%63%54%63%19%59%45%
Austin, TX 111 4.87 23,294 92 88%77%89%46%51%58%15%47%36%
Orlando, FL 103 4.90 22,011 78 85%82%85%49%46%50%21%47%53%
San Antonio, TX 94 4.82 28,536 71 92%86%79%73%48%55%21%49%48%
Phoenix, AZ 75 4.90 18,923 42 98%93%88%71%52%60%14%60%50%
Tampa, FL 68 4.90 21,525 53 92%85%92%68%58%55%38%40%34%
Las Vegas, NV 66 4.85 23,107 55 93%93%85%71%42%64%29%62%40%
Northern New Jersey, NJ 66 4.87 12,363 41 95%95%100%88%56%76%27%71%32%
Connecticut, CT 62 4.92 10,161 53 98%96%98%81%42%68%11%62%42%
Denver, CO 59 4.92 17,776 40 98%95%100%80%53%63%25%50%63%
Atlanta, GA 57 4.86 15,786 41 98%98%95%71%66%56%15%63%59%
Chicago, IL 54 4.87 12,732 45 100%100%96%87%71%71%33%78%67%
Nashville, TN 52 4.89 16,083 38 97%95%97%61%50%61%21%39%37%
Seattle, WA 52 4.86 10,575 27 93%89%100%74%48%81%30%59%26%
Boston, MA 48 4.89 7,631 37 95%97%97%73%51%54%38%51%57%
Scottsdale, AZ 46 4.93 14,183 34 94%94%94%68%59%68%12%59%44%
Raleigh, NC 44 4.92 9,933 37 95%86%97%78%59%59%24%51%38%
Columbus, OH 41 4.90 10,161 34 94%94%91%50%32%44%6%50%56%
Minneapolis, MN 40 4.88 5,065 28 82%75%89%54%29%43%4%21%32%
Portland, OR 39 4.84 8,331 25 96%100%100%68%40%64%8%80%48%
Honolulu, HI 36 4.91 4,962 25 84%76%92%36%36%60%12%56%44%
Philadelphia, PA 36 4.89 10,795 23 91%65%87%83%43%61%35%52%35%
Delaware, DE 35 4.89 4,741 0 –––––––––
Charlotte, NC 30 4.89 9,311 26 100%100%96%62%62%62%12%62%54%
Detroit, MI 19 4.95 3,821 9 –––––––––
Cleveland, OH 13 4.90 1,981 12 100%92%92%50%42%50%17%50%50%

Treatment availability

The share of listed med spas offering each treatment, over the 2,148 clinics whose treatment list comes from their own website or owner. Facials and massage are left out because almost every spa offers them. These are floors: a treatment a clinic does not mention online is missed.

Treatment Med spas Share
Botox 1,940 90%
Microneedling 1,906 89%
Dermal Fillers 1,827 85%
Laser Hair Removal 1,281 60%
Skin Tightening 1,258 59%
Chemical Peels 1,251 58%
Sculptra 1,227 57%
Lip Fillers 1,186 55%
Body Contouring 1,151 54%
Laser Resurfacing 1,033 48%
Photofacial / IPL 977 46%
Hair Restoration 970 45%
Kybella 959 45%
HydraFacial 932 43%
Dermaplaning 905 42%
Weight Loss Programs 889 41%
IV Therapy 828 39%
Semaglutide / GLP-1 793 37%
Red Light Therapy 683 32%
Cellulite Treatment 659 31%
Lymphatic Drainage Massage 501 23%
Morpheus8 497 23%
Hormone Therapy 471 22%
CoolSculpting 452 21%
PRP Facials 421 20%
Tattoo Removal 406 19%
Emsculpt 309 14%
Vitamin Injections 265 12%
Peptide Therapy 263 12%
Exosome Therapy 172 8%
Sclerotherapy 79 4%
Juvederm 6 0%
Restylane 6 0%
PDO Thread Lift 4 0%
Sofwave Skin Tightening 3 0%
Vein Treatment 2 0%

GLP-1 at med spas

793 of the 2,148 listed med spas with treatment data, or 37%, offer semaglutide or another GLP-1 weight-loss injection. By state, for states where at least 30 clinics have treatment data (15 states), highest share first.

State Clinics with treatment data Offering GLP-1
United States 2,148 37%
Illinois 45 67%
Colorado 40 63%
Georgia 42 57%
Massachusetts 37 57%
Ohio 46 54%
Arizona 75 48%
North Carolina 64 45%
Texas 328 42%
Florida 233 42%
Connecticut 53 42%
Nevada 55 40%
Tennessee 38 37%
New Jersey 41 32%
California 777 27%
New York 112 26%

Largest chains

The 15 med spa brands with the most locations listed on AuraVenu. Locations are grouped by the website each listing shares, so a chain may operate locations not yet listed. Each name opens the brand's page with every location.

# Chain Locations listed on AuraVenu States Google reviews Combined rating
1 SkinSpirit 38 13 6,690 4.9
2 LaserAway 36 10 12,147 4.6
3 NakedMD 23 6 12,460 4.9
4 VIO Med Spa 22 12 3,960 4.9
5 4Ever Young 13 10 4,339 4.9
6 Elase Medical Spa 11 5 4,813 4.9
7 Schweiger Dermatology Group 11 1 10,836 4.7
8 Ideal Image 9 7 8,317 4.6
9 It's A Secret Med Spa 9 3 2,020 4.7
10 Skin Pharm 9 4 2,345 5.0
11 dermani MEDSPA 8 2 1,910 4.8
12 Aurora Medical Spa 7 3 4,037 5.0
13 Park Medspa 7 1 235 5.0
14 SDBotox 7 1 2,644 4.9
15 Skin Spa New York 7 3 1,706 4.6

All brands and chains with 3 or more locations listed

Google ratings

Ratings and review counts are Google's, read for each listing. High ratings are the norm, so a clinic's review count says more about its size and tenure than its rating does about quality.

4.87

Average rating (4,531 rated clinics)

84%

Rated 4.8 or higher

122

Median reviews per clinic

Highest-rated states

States with at least 30 listed med spas, by average rating.

# State Avg rating Med spas
1 New Hampshire 4.95 51
2 Rhode Island 4.94 40
3 Maine 4.93 40
4 Idaho 4.93 37
5 Iowa 4.93 32
6 Pennsylvania 4.92 89
7 Connecticut 4.92 62
8 Indiana 4.92 53
9 Arizona 4.91 124
10 South Carolina 4.91 49

Methodology

Listings. Med spas, aesthetic clinics, dermatology clinics and wellness centres offering aesthetic treatments, seeded from Google Places and kept current through owner claims and corrections. Day spas without medical treatments are excluded. Snapshot taken October 18, 2026: 4,569 active US listings.

Treatments. Taken from each clinic's own website by crawling its service pages (2,552 sites crawled), and from owners who claim their listing. Treatment shares are worked out over the 2,148 clinics with treatment data from those sources, not over every listing, so a clinic we have not checked is not counted as one that does not offer a treatment. Treat shares as floors.

Ratings and reviews. Google's rating and review count for each listing, as read from Google Places. Averages are unweighted means across rated clinics; chains show a review-weighted rating.

Population. U.S. Census Bureau, Population Division. Annual Estimates of the Resident Population for the United States, Regions, States, District of Columbia, and Puerto Rico: April 1, 2020 to July 1, 2025 (NST-EST2025-ALLDATA), Vintage 2025. Column POPESTIMATE2025 (July 1, 2025). Source file.

Cities and metros. Cities are the city on each clinic's address. Metro areas follow the directory's city pages, which include named suburbs rather than official census boundaries.

Limits. Not every med spa in the US is listed, so counts are listings, not the market. State coverage is uneven. Treatment shares cover crawled or owner-supplied clinics only. Figures are a snapshot and are refreshed as a new dated file; earlier snapshots are kept.

How to cite

This page and its tables are published under CC BY 4.0. Reuse any figure with attribution to AuraVenu and a link to this page, which is the canonical, always-current version.

AuraVenu. "US Med Spa Statistics 2026." October 2026. https://auravenu.com/med-spa-statistics/

Running a clinic? Claim or add your listing so its treatments are counted in the next snapshot.

Download the tables

Data as of October 18, 2026. Each file carries its own attribution line.

Common questions

How many med spas are there in the US?

AuraVenu lists 4,569 med spas across all 50 states and Washington, DC as of October 2026. Not every clinic is listed, so the real total is higher.

Which state has the most med spas?

California, with 1,057 listed med spas (23% of the US total). Texas is second with 487 and Florida third with 357.

Which state has the most med spas per capita?

North Dakota, with 4.25 listed med spas per 100,000 residents, followed by Washington, DC (4.18), Wyoming (4.08) and New Hampshire (3.6). The US figure is 1.34 per 100,000, using Census Bureau Vintage 2025 population estimates.

Which US cities have the most med spas?

New York, NY (127), Houston, TX (103), Austin, TX (97), Dallas, TX (94) and Miami, FL (92), counting the city on each clinic's address.

What is the most common med spa treatment?

Botox: 90% of listed med spas with treatment data offer it, followed by Microneedling (89%) and Dermal Fillers (85%).

How many med spas offer semaglutide or GLP-1 weight loss?

793 of the 2,148 listed med spas with treatment data, or 37%. The table on this page shows the share by state where at least 30 clinics have treatment data.

What is the largest med spa chain in the US?

By locations listed on AuraVenu, SkinSpirit (38 locations in 13 states), then LaserAway (36), NakedMD (23) and VIO Med Spa (22). Chains may operate locations not yet listed.

What is the average Google rating for a med spa?

4.87 out of 5 across the 4,531 listed med spas with a rating. 84% score 4.8 or higher, so a high rating is the norm rather than a differentiator. The median clinic has 122 Google reviews.