How big is the medical spa market in the US and Canada? 2026 data
The US and Canada total addressable market for medical spas includes 43,700 active locations. More than 1 in 4 opened in the last 5 years.
US + Canada, 2026
of currently operating
When were today's med spas founded?
27.6% of currently operating medical spas were founded in 2020 or later. Another 33.0% opened between 2015 and 2019. More than 60% of operating medical spas opened in 2015 or later.
| Cohort | Share |
|---|---|
| Pre-2000 | 4.7% |
| 2000-2009 | 19.7% |
| 2010-2014 | 15.1% |
| 2015-2019 | 33.0% |
| 2020+ | 27.6% |
Only 4.7% of operating medical spas were founded before 2000.
How fragmented is the medical spa market?
Of the 43,700 medical spas we tracked across the US and Canada, 42,383 are single-location businesses. That is 97%. Only 5 operators run more than 50 locations.
| Locations | Operators |
|---|---|
| 1 | 42,383 |
| 2-5 | 1,212 |
| 6-10 | 66 |
| 11-50 | 34 |
| 50+ | 5 |
Only 105 operators run 6 or more locations.
Which US metros have the most medical spas?
The top 10 US metros hold 15,227 medical spas. New York leads at 2,679. Los Angeles follows at 2,266, then Miami at 2,156.
| Metro | Medical spas |
|---|---|
| New York | 2,679 |
| Los Angeles | 2,266 |
| Miami | 2,156 |
| Dallas | 1,581 |
| Houston | 1,376 |
| Phoenix | 1,375 |
| Chicago | 1,103 |
| Atlanta | 1,103 |
| Boston | 851 |
| Tampa | 737 |
Los Angeles and Miami are nearly tied on count, but LA's metro is 10 times larger by population.
Which US metros have the highest medical spa density?
Per capita the ranking flips. Scottsdale records 136 medical spas per 100,000 residents. Miami 106. Houston 24.
| City | Per 100K |
|---|---|
| Scottsdale | 136 |
| Miami | 106 |
| Orlando | 77 |
| Las Vegas | 54 |
| Houston | 24 |
Scottsdale's density is 5.7x Houston's.
Which US states have the most medical spas?
Florida leads at 4,907 medical spas, then California (4,871) and Texas (4,797). The top 3 states alone account for 14,575 medical spas, 33% of the US and Canada total.
| State | Medical spas |
|---|---|
| Florida | 4,907 |
| California | 4,871 |
| Texas | 4,797 |
| New York | 2,313 |
| Arizona | 1,662 |
| Georgia | 1,457 |
| Illinois | 1,237 |
| Colorado | 1,224 |
| North Carolina | 1,041 |
| Massachusetts | 1,025 |
Arizona is the 14th most populous US state but ranks 5th for medical spa count.
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What booking software do medical spas use?
We detected a booking link across 12,932 medical spa locations, 27.5% of those we tracked. Inside that group, Vagaro leads at 16.4% share. Square (15.5%), Jane App (12.7%), and Boulevard (10.0%) follow.
| Vendor | Share |
|---|---|
| Vagaro | 16.4% |
| Square | 15.5% |
| Jane App | 12.7% |
| Boulevard | 10.0% |
| GlossGenius | 8.5% |
| Zenoti | 7.2% |
| Others | 29.7% |
The top 6 vendors split 70.3% of detected bookings. The remaining 29.7% sits across smaller platforms.
How many medical spas are on LinkedIn?
73.7% of medical spas have no LinkedIn presence. Only 26.3% appear on the platform.
| Category | Share |
|---|---|
| On LinkedIn | 26.3% |
| Not on LinkedIn | 73.7% |
32,207 medical spas across the US and Canada are not on LinkedIn.
How active are medical spas on Google reviews?
17.0% of medical spas have zero Google reviews. Another 34.8% sit between 1 and 19. Only 1.8% have collected 500 or more.
| Bucket | Share |
|---|---|
| 0 | 17.0% |
| 1-19 | 34.8% |
| 20-49 | 17.5% |
| 50-99 | 12.6% |
| 100-199 | 9.9% |
| 200-499 | 6.3% |
| 500+ | 1.8% |
More than half the market, 51.8%, has fewer than 20 Google reviews.
How many medical spas have a website and online booking?
74.7% of medical spas have a website. Only 27.5% offer online booking.
| Category | Share |
|---|---|
| Website + Booking | 27.5% |
| Website (no booking) | 51.1% |
| No Website | 21.4% |
Half the market, 51.1%, has a website but does not let customers book online.
What technology stack do medical spas run on?
WordPress.org appears on 45% of medical spa stacks where we have technology data. Gmail and Google Apps follow at 44% each. Outlook (31%), Facebook Widget (30%), and Facebook Custom Audiences (30%) round out the top tier. 25% run Slack.
| Technology | Share |
|---|---|
| WordPress.org | 45% |
| Gmail | 44% |
| Google Apps | 44% |
| Outlook | 31% |
| Facebook Widget | 30% |
| Facebook Custom Audiences | 30% |
| Slack | 25% |
| Cloudflare DNS | 23% |
| YouTube | 21% |
Slack shows up on 1 in 4 medical spa stacks.
Which medical spas have the most Google reviews?
The most reviewed medical spa we tracked is Qualiphy at 5,349 Google reviews. Beauty Lab + Laser sits at 3,584. Advanced Aesthetics, Charette Cosmetics, and The One Med Spa all clear 2,000 reviews.
| Medical spa | Reviews |
|---|---|
| Qualiphy | 5,349 |
| Beauty Lab + Laser | 3,584 |
| Advanced Aesthetics - The Medspa | 2,356 |
| Charette Cosmetics Medical Spa | 2,351 |
| The One Med Spa | 2,182 |
| LUX MedSpa Brickell | 2,104 |
| Natura Med Spa & Iv Bar | 2,095 |
| Scruples Medispa and Hair Salon | 1,940 |
| Novuskin Med Spa | 1,924 |
| Urban Medspa & Weight Loss Center | 1,833 |
The top 10 most-reviewed medical spas average 2,572 Google reviews. The market median falls in the 1 to 19 review bracket.
Which medical spa brands operate the most locations?
4Ever Young Anti-Aging Solutions runs the most locations of any medical spa brand we tracked, at 74. SkinSpirit follows with 60. iCRYO has 50.
| Brand | Locations |
|---|---|
| 4Ever Young Anti-Aging Solutions | 74 |
| SkinSpirit | 60 |
| iCRYO | 50 |
| NakedMD | 41 |
| Elase Medspa | 35 |
| Kalologie Medspa | 34 |
| Dermani Medspa | 31 |
| Lash and Company Franchising | 26 |
| Victoria Park Medispa | 25 |
| IntraVene | 21 |
Every brand in the top 10 by location count operates as a franchise.
Frequently asked questions
How big is the medical spa market in the US and Canada?
We tracked 43,700 active medical spas across the US and Canada in 2026. Florida (4,907), California (4,871), and Texas (4,797) lead the US count.
When were today's medical spas founded?
27.6% of currently operating medical spas were founded in 2020 or later. Another 33.0% opened between 2015 and 2019. More than 60% opened in 2015 or later.
What software do medical spas use for booking?
We detected a booking link across 27.5% of medical spas. Among those, Vagaro leads at 16.4% share, followed by Square (15.5%), Jane App (12.7%), Boulevard (10.0%), GlossGenius (8.5%), and Zenoti (7.2%).
Where are most medical spas located?
The largest US metros by medical spa count are New York (2,679), Los Angeles (2,266), and Miami (2,156). Per capita, Scottsdale leads at 136 medical spas per 100,000 residents.
What percentage of medical spas are independent versus chains?
97% of medical spas are single-location businesses. Only 5 operators run more than 50 locations. The largest brand by location count, 4Ever Young Anti-Aging Solutions, runs 74.
What is medical spa management software?
Medical spa management software is the all-in-one system medical spas use to run booking, billing, inventory, client records, and reporting. Platforms like Vagaro, Boulevard, Jane App, GlossGenius, and Zenoti serve as both booking layer and management system. Across medical spas with a detected booking link, the top 6 vendors split 70.3% of the market.
How many medical spas opened in the last 5 years?
27.6% of currently operating medical spas were founded in 2020 or later. Applied to the 43,700 total tracked across the US and Canada, that is roughly 12,061 medical spas opened in the last 5 years.
What percentage of medical spas have a website?
78.6% of medical spas have a website according to the website and booking presence chart. Among them, 27.5% offer online booking and 51.1% do not. 21.4% have no website at all.
Which medical spa brand has the most locations?
4Ever Young Anti-Aging Solutions runs the most locations of any medical spa brand we tracked at 74. SkinSpirit follows at 60 and iCRYO at 50. Every brand in the top 10 by location count operates as a franchise.
Methodology
The figures on this page come from Orbital's business database, which tracks active medical spas across the US and Canada. Each location is identified and categorized using a combination of business name, registered address, and business activity, then matched to the medical spa market.
Website presence, Google review counts, and software detection are drawn from publicly observable signals: business websites, Google Business Profiles, and the technologies running on each site. A business is counted as having a website only when a live site is detected. The dataset is refreshed regularly to reflect new locations, closures, and changes in online presence.