US medical spa universe, mapped
There are 10,488 med spas in the US. We map each one and the owner who actually buys.
For practice-software, injectable, device, and marketing teams selling into the aesthetic market. The brand on the awning is rarely the buyer. The injector-owner in the back office is.
The market, in three numbers
A long tail of single-location operators.
are single-location operators
More than nine in ten US med spas are a single location, owned by a nurse-injector, dermatologist, or family-medicine physician who opened one site and never franchised. Not a chain.
YoY growth in locations since 2020
AmSpa reports the universe has grown by more than 25 percent every year since 2020. Faster than urgent care, faster than dental DSO consolidation, faster than vet roll-ups.
sites at the largest operator
Ideal Image, the largest US chain, runs roughly 175 locations. Against 10,488 total, that is less than 2 percent of the market. The other 98 percent is owned by people you have never heard of.
Sources: AmSpa State of the Medical Spa Industry, 2024; Orbital location-by-location map, April 2026.
Methodology
Why our med-spa count moves and the published estimates do not.
The headline figure of 10,488 comes from AmSpa's annual State of the Medical Spa Industry. It is accurate the week it ships and stale by month three, because this market grows faster than any annual report can chase. We work location by location, refresh continuously, and tell you what changed.
How the 10,488 figure is built
- Start with every active US medical spa. Cross-referenced against the AmSpa State of the Industry universe, the US Census County Business Patterns NAICS 812199 series, and state cosmetic-medical board filings where they are public.
- Resolve each location to a real operating business. The website name is often a doing-business-as. The operating business is the PC, PLLC, or holding LLC that holds the lease, the medical director agreement, and the device fleet.
- Find the owner and the medical director. Med spas live and die on the medical-director relationship. We find both the business owner and the supervising physician on every record, with a verified email and direct dial.
- Drop the dead pins. Closures, sold practices, rebrands, and locations that flipped from medical to non-medical day-spa. The annual reports carry these for at least a year. We do not.
- Refresh on a rolling schedule. Location-level signals run continuously against the universe of US small businesses, so what you query in June is not what shipped in January. In a market growing 25 percent annually, that delta matters.
If you want the source breakdown for a specific state, treatment mix, or ownership model, ask. We do not hide the working.
By state
Where the med spas actually are.
The Sun Belt carries the market. Florida, California, Texas, and Arizona together hold roughly 35 percent of US locations. Per capita, Arizona, Florida, and Nevada all run well above the national average of about three med spas per 100,000 residents.
| # | State | Med spas | Per 100k residents |
|---|---|---|---|
| 1 | Florida | 1,180 | 5.1 |
| 2 | California | 1,150 | 2.9 |
| 3 | Texas | 960 | 3.1 |
| 4 | New York | 540 | 2.7 |
| 5 | Arizona | 430 | 5.7 |
| 6 | Illinois | 380 | 3.1 |
| 7 | Georgia | 360 | 3.2 |
| 8 | North Carolina | 340 | 3.1 |
| 9 | New Jersey | 300 | 3.3 |
| 10 | Pennsylvania | 290 | 2.2 |
| 11 | Virginia | 270 | 3.1 |
| 12 | Colorado | 260 | 4.4 |
| 13 | Nevada | 240 | 7.5 |
| 14 | Washington | 230 | 2.9 |
| 15 | Tennessee | 220 | 3.1 |
Counts rounded to the nearest ten for display. The dataset itself is exact, down to the street address. Source: Orbital location-by-location map, April 2026; per-capita math against US Census 2024 population estimates.
The top ten groups
The largest med spa brands, and how little of the market they actually hold.
If you sell into med spas and you can name every customer on one whiteboard, you are looking at the chains. The ten brands below together account for under 8 percent of US medical spas. The remaining 92-plus percent is single-location operators, mostly nurse-led, with one supervising physician on file.
| # | Group | US locations | Notes |
|---|---|---|---|
| 1 | Ideal Image | ~175 | National footprint built on laser hair removal, then expanded into injectables and CoolSculpting. Private-equity backed, with a centralised clinical-supervision model. |
| 2 | LaserAway | ~145 | California-born, now coast to coast. Heavy laser device fleet, large nurse-injector roster, and an aggressive new-location pace. |
| 3 | Milan Laser Hair Removal | ~330 | Single-treatment-line operator. The location count is high because the box is small. Counts as medical because of the laser, not because of broad aesthetic scope. |
| 4 | SkinSpirit | ~36 | Top-tier injector training, Allergan and Galderma partnership. Concentrated in California, Texas, and the Pacific Northwest. Owned by Hims and Hers as of 2024. |
| 5 | Sono Bello | ~80 | Body-contouring and cosmetic surgery led. Sits in the overlap between med spa and surgical clinic, with onsite plastic surgeons. |
| 6 | Advanced Dermatology and Cosmetic Surgery | ~190 | Derm-first group with a cosmetic and med spa arm at most locations. Florida-headquartered, heavy Southeast presence. |
| 7 | Hand and Stone Massage and Facial Spa | ~590 | Massage and facial chain that has expanded into medical-aesthetic services at select corporate locations. Most franchised stores are not medical. |
| 8 | Skin Laundry | ~30 | Express laser facial concept built around a 15-minute treatment. Urban, high-foot-traffic real estate. Acquired by Vesey Street Capital in 2022. |
| 9 | Spavia | ~60 | Franchised wellness-spa model that has added medical-grade injectables at qualifying locations. The franchisee, not the corporate brand, is the buyer. |
| 10 | Sona Dermatology and Med Spa | ~25 | Southeast regional brand under a dermatology umbrella. Predominantly company-operated. |
Counts marked "~" are approximate, drawn from each operator's most recent disclosures, AmSpa, Modern Aesthetics, and Plastic Surgery Practice trade coverage, and cross-referenced with our location map. Milan Laser is grouped here as a medical-aesthetic operator because state laws classify laser hair removal as a medical service in most jurisdictions, but its treatment menu is narrow compared to the rest of the field.
Our take
The med spa market grew faster than any healthcare vertical in the last decade. It broke every vendor list that was not built for it.
We believe
Broker lists for this vertical are 60 percent wrong on day one, and the vendors buying them know it.
This is the fastest-growing healthcare vertical in the US. AmSpa puts year-over-year growth above 25 percent every year since 2020. The annual reports cannot keep up, and the broker lists built on top of those reports cannot either. A typical med-spa broker file we benchmarked last quarter had a 38 percent bounce rate on first send, a 22 percent overlap with closed or rebranded locations, and a "medical director" field that was empty on more than half the rows. The market moved while the file sat in someone's S3 bucket.
A device manufacturer we work with described it well. They had bought three different "med spa lists" over eighteen months. Each one had the same 4,000 chain-affiliated locations and missed the 6,000 single-injector clinics opened since 2021. Their best-fit ICP was a nurse-injector with one to three locations, a supervising MD, and an existing laser device approaching end-of-warranty. None of the lists they bought even had the warranty clock to filter on. They were paying for a snapshot of a market that had already left the room.
Who buys this data
B2B vendors selling into 10,488 medical spas.
This page is for the teams selling into med spas, not the operators themselves. The buyer for this dataset usually falls into one of these categories.
Practice management software
Aesthetic Record, PatientNow, Boulevard, Symplast, and the next wave of cloud PM vendors selling the upgrade off a clipboard or a general-purpose scheduler. The buyer is the owner-operator, not a corporate office.
Get the sampleAesthetic injectable suppliers
Allergan with Botox and Juvederm, Galderma with Dysport and Restylane, Merz with Xeomin and Belotero. Field reps already know the top accounts. The growth lever is mapping the 6,000-plus single-injector clinics opened since 2021.
Get the sampleAesthetic device manufacturers
Cynosure, Hologic, Solta, Lumenis, and the laser and energy-based device fleet vendors. Refresh cycles run every 5 to 7 years, and the buying conversation is with the owner who signed the original lease on the device, not the corporate vendor list.
Get the sampleMarketing and reputation platforms
RealSelf, Influx, and the broader aesthetic-marketing stack. Every new med spa has a launch budget for Google, Meta, and reputation tooling. The first sales call lands the next decade of spend.
Get the sampleStaffing and injector placement
Locum and permanent placement firms supplying nurse-injectors, NPs, and supervising medical directors. Every new opening starts a hiring cycle. The med spa universe doubles as a hiring pipeline on the other side of the desk.
Get the samplePatient financing and RCM
Cherry, Affirm, and the consumer-aesthetic financing field. RCM and insurance-verification teams for the slice of cosmetic billing that crosses into medical, including Botox for migraine and Latisse for hypotrichosis. The owner signs.
Get the sampleIf you are ready to start outbound today, jump to the conversion path: the med spa owner email list. Adjacent universes built the same way: the email lists by medical specialty hub and the broader Orbital data directory.
Plain-spoken
When the med-spa dataset is the wrong fit.
Do not buy this if any of the following are true.
You only sell to the top chains. If your annual plan is Ideal Image, LaserAway, and Milan Laser, you do not need 10,488 records. You need three account-management contacts. Save your budget.
Your product is for consumers. Patient acquisition apps, treatment-comparison sites, before-and-after photo platforms aimed at end clients. The data here is operator-side, not consumer-side. Different shape, different licence.
You need real-time treatment pricing. RealSelf and the like have that. We map locations and the operators who run them, not the menu price for Botox per unit in a Phoenix zip code on Tuesday.
You are looking for plastic-surgery-only buyers. Hospital-based surgical centres and pure plastic-surgery groups are a different universe with different decision-makers. We cover them separately. Ask before assuming overlap.
The honest version
Why most med-spa vendor data is wrong.
If you Google "how many med spas in the US," you get a smear of numbers. AmSpa says 10,488. IBISWorld groups the category with day spas and pegs the joint number near 28,000. Statista pulls IBISWorld and rounds. Modern Aesthetics quotes whichever number suits the editorial. They are not lying. They are counting different things. The defensible US medical spa count, the one that excludes non-medical day spas and keeps the line at "requires a licensed medical professional to prescribe or supervise," is 10,488. That is the figure we anchor on, because the buyers for that universe are different teams from the buyers for the day-spa universe.
The next problem is the brand. Enterprise data tools index by website name or DBA, so "Glow Med Spa" looks like 80 different customers, when in some markets it is one operator running eight locations under the same PC. And LaserAway looks like 145 customers, when in practice it is one corporate account with one procurement contact. The big database returns 145 rows. The reality is one. Map it the other way and the long tail is even worse: thousands of single-location clinics with no website at all, just a booking link, an Instagram, and a Google Business Profile.
This is exactly the gap Orbital was built for. We map the universe of US small and mid-market businesses, find the owner and the medical director of each one, and validate the contact before it reaches you. Nothing about that is med-spa-specific, which is why we can also map dentists, HVAC contractors, gas stations, and restaurants the same way. What is specific to med spas is the layer on top: ownership model, supervising-physician relationship, treatment mix, device fleet, and estimated annual revenue band.
One more piece of context worth pricing in. AmSpa publishes the annual State of the Medical Spa Industry, which is the best single source for the universe count. Statista aggregates and lags. US Census County Business Patterns ships NAICS 812199 data with an eighteen-month lag and groups medical with non-medical spas. For a vendor doing outbound this quarter, the question is which locations are open this Monday and which owner is on the phone. That is the gap a location-by-location, owner-by-owner map closes.
Questions
Before you ask sales about the med-spa dataset.
How many med spas are there in the US?
There are 10,488 active medical spas in the United States, based on the American Med Spa Association (AmSpa) State of the Medical Spa Industry report, 2024. Orbital's location-by-location map tracks the same universe and refreshes monthly to capture new openings, ownership changes, and closures the annual report cannot.
How fast is the US medical spa market growing?
AmSpa reports the US medical spa count has grown by more than 25 percent year over year since 2020, faster than any other healthcare vertical we track. The aesthetic injectables segment has driven most of that growth, with new locations opening in suburban markets where dermatology and plastic surgery were previously the only providers.
Who owns the most med spas in the US?
Ideal Image and LaserAway lead the chain footprint with roughly 175 and 145 US locations respectively. Milan Laser Hair Removal sits close behind. Even rolled together, the top ten med spa groups hold less than 8 percent of the universe. The market is structurally a long tail of single-location operators, often a nurse-injector or dermatologist who opened one location and never franchised.
What is the difference between a med spa and a day spa?
A medical spa offers treatments that require a licensed medical professional, typically a physician, NP, or PA, to prescribe or directly supervise. Botox, dermal fillers, laser resurfacing, IV therapy, and medical-grade chemical peels are the common ones. A day spa is non-medical. State laws on supervision and ownership differ, which is why our dataset flags the ownership model on every record.
Which state has the most med spas?
Florida leads with around 1,180 active locations, followed by California at 1,150, Texas at 960, New York at 540, and Arizona at 430. Per capita, the picture flips toward the Sun Belt: Arizona, Florida, and Nevada all run well above the national average of about three med spas per 100,000 residents.
How is your med spa count different from AmSpa or IBISWorld?
AmSpa's State of the Medical Spa Industry is the defensible source for the headline universe count. We cite it, and we map against it. The gap we close is timing and resolution. AmSpa ships once a year and reports the market in aggregate. IBISWorld aggregates further and lags by twelve to eighteen months. Orbital refreshes location-level signals continuously, so what you query this month is not what shipped in January, and every location resolves to a named owner with a verified contact.
Who actually buys medical spa data?
Vendors selling into the aesthetic market. Practice management software companies, injectable suppliers, aesthetic device manufacturers, marketing and reputation platforms, injector staffing firms, patient financing programs, and RCM teams handling cosmetic and Botox billing. The common thread is that they need the owner or medical director, not a generic spa list.
Can I get a sample of the med spa owner data?
Yes. Tell us the states, ownership models, or treatment mixes you want and we send a sample of around 100 verified owner records so you can check them against your own pipeline before anything changes hands. There is no charge for the sample.
See the med spa owner dataset before you pay for it.
Tell us the states, ownership models, or treatment mixes you want. We send a free sample of around 100 verified owner records you can check against your own pipeline, no commitment, no email-list back-and-forth.
Get the sample