Industry report · 2026
Med Spas: industry report 2026
Google ratings, review benchmarks, website adoption and the toughest markets, from the 6,504 med spas listed in the Page One Partner directory.
- Listed in our directory
- 6,504
- Average Google rating
- 4.74
- Median reviews
- 71
- Reviews for top quarter
- 180+
- Have a website
- 93.6%
- Meet all 3 benchmarks
- 42%
Key findings
- The Page One Partner directory lists 6,504 med spas; the most listed are in California (1,423). These are the businesses in our directory, collected from the trade's 400 largest U.S. cities, not a count of every one in the country.
- Average Google rating: 4.74 (businesses with 10+ reviews), 10th of 60 trades. 64.8% are rated 4.8 or higher.
- Reviews: among med spas with Google reviews, the median has 71; 180+ is top quarter and 378+ top 10%. 20.9% have fewer than 10.
- Websites: 93.6% list a website; of those sites, 66.9% run Google Analytics and 96.8% are mobile-friendly.
- Only 42% meet all three visibility benchmarks for the trade (website, median reviews, 4.5+ rating).
- Hardest market to stand out in: Tampa, FL (377 reviews for the local top quarter).
- On Yelp, med spas score 4.33 on average against 4.73 on Google.
- The 10% most-reviewed med spas hold 49.2% of all the trade's Google reviews.
Page One Partner Research · 6,504 med spas in our directory · Updated November 2026 · Methodology
Where our directory lists the most med spas
Businesses listed in the Page One Partner directory by state, not a count of every business in each state.
- California1,423
- Texas910
- Florida728
- New York355
- Arizona265
- Colorado187
- Georgia160
- Washington157
- North Carolina155
- Illinois145
- Tennessee125
- Massachusetts122
Toughest markets for med spas
Google reviews needed for the local top quarter. Cities with at least 40 businesses in this trade.
Website adoption is highest in Pennsylvania (96.6%) and lowest in Utah (89%), among states with at least 100 med spas.
Med Spas by state
| State | Listed | Avg rating | Median reviews | Top-quarter reviews | Has a website |
|---|---|---|---|---|---|
| California | 1,423 | 4.71 | 43 | 106 | 94% |
| Texas | 910 | 4.75 | 92 | 207 | 93.5% |
| Florida | 728 | 4.75 | 105 | 240 | 94.9% |
| New York | 355 | 4.72 | 87 | 185.5 | 94.6% |
| Arizona | 265 | 4.77 | 80 | 201.3 | 96.2% |
| Colorado | 187 | 4.79 | 72.5 | 219 | 91.4% |
| Georgia | 160 | 4.73 | 87 | 213.5 | 91.9% |
| Washington | 157 | 4.73 | 76 | 132 | 93.6% |
| North Carolina | 155 | 4.8 | 85.5 | 232.8 | 93.5% |
| Illinois | 145 | 4.69 | 66 | 186.3 | 93.1% |
| Tennessee | 125 | 4.79 | 89 | 234.5 | 91.2% |
| Massachusetts | 122 | 4.74 | 75 | 159.3 | 93.4% |
| Pennsylvania | 118 | 4.69 | 67 | 167.3 | 96.6% |
| Ohio | 115 | 4.71 | 54 | 200 | 91.3% |
| Utah | 109 | 4.77 | 96 | 244.5 | 89% |
| Nevada | 97 | 4.76 | 79 | 209 | 97.9% |
| Michigan | 95 | 4.7 | 129.5 | 248.5 | 91.6% |
| Virginia | 94 | 4.66 | 63 | 224 | 90.4% |
| Maryland | 83 | 4.76 | 75 | 156 | 92.8% |
| Oregon | 82 | 4.77 | 86 | 174.5 | 97.6% |
| South Carolina | 73 | 4.7 | 104.5 | 257 | 94.5% |
| Oklahoma | 59 | 4.75 | 69 | 190 | 91.5% |
| Alabama | 57 | 4.66 | 43 | 138 | 89.5% |
| Indiana | 57 | 4.68 | 73 | 140 | 91.2% |
| New Jersey | 56 | 4.77 | 77.5 | 186 | 94.6% |
| Louisiana | 56 | 4.8 | 59 | 130.5 | 91.1% |
| Missouri | 55 | 4.74 | 89 | 211.8 | 89.1% |
| Kentucky | 54 | 4.72 | 129 | 287 | 92.6% |
| Idaho | 51 | 4.81 | 58 | 182 | 94.1% |
| New Mexico | 49 | 4.68 | 45 | 139.5 | 89.8% |
| Wisconsin | 45 | 4.75 | 56 | 163 | 88.9% |
| Kansas | 41 | 4.82 | 51.5 | 159.5 | 97.6% |
| Connecticut | 39 | 4.7 | 36 | 117.5 | 87.2% |
| District of Columbia | 31 | 4.73 | 94.5 | 195 | 93.5% |
| Iowa | 29 | 4.71 | 41.5 | 127.3 | 96.6% |
| Minnesota | 29 | 4.84 | 55.5 | 112 | 93.1% |
| Hawaii | 26 | 4.71 | 41.5 | 70.3 | 92.3% |
| Arkansas | 25 | 4.87 | 94 | 242 | 92% |
Largest med spas markets
| City | Listed | Avg rating | Median reviews | Top-quarter reviews | Has a website |
|---|---|---|---|---|---|
| New York, NY | 173 | 4.7 | 99 | 195 | 98.3% |
| Houston, TX | 156 | 4.79 | 95.5 | 217.3 | 93.6% |
| Beverly Hills, CA | 141 | 4.68 | 50 | 118.5 | 98.6% |
| Miami, FL | 126 | 4.66 | 144 | 313 | 96.8% |
| San Francisco, CA | 96 | 4.65 | 28 | 73 | 95.8% |
| Newport Beach, CA | 91 | 4.82 | 64 | 130 | 98.9% |
| Dallas, TX | 85 | 4.7 | 70.5 | 176.5 | 89.4% |
| Austin, TX | 78 | 4.79 | 106 | 185 | 97.4% |
| Atlanta, GA | 77 | 4.73 | 97 | 199 | 92.2% |
| San Antonio, TX | 71 | 4.74 | 150 | 257 | 93% |
| Los Angeles, CA | 71 | 4.69 | 53 | 96 | 94.4% |
| San Diego, CA | 69 | 4.74 | 61 | 135.5 | 97.1% |
| Denver, CO | 67 | 4.81 | 124.5 | 258 | 92.5% |
| Chicago, IL | 66 | 4.69 | 68.5 | 183 | 98.5% |
| Fort Lauderdale, FL | 63 | 4.76 | 112.5 | 209.8 | 92.1% |
Answers
Questions about med spas
How many med spas are in the Page One Partner directory?
6,504, as of November 2026, collected from Google Business Profiles in the trade's 400 largest U.S. cities. It is not a count of every one of the med spas in the U.S.: businesses outside those cities, or without a Google Business Profile, may be missing.
What is the average Google rating for med spas?
4.74 stars among med spas with 10 or more reviews; 64.8% are rated 4.8 or higher and 3.2% below 4.0 (Page One Partner Research, November 2026).
How many Google reviews do med spas have?
The median is 71 among those with reviews; the top quarter have 180+ and the top 10% 378+. 20.9% have fewer than 10 (Page One Partner Research, November 2026).
What percentage of med spas have a website?
93.6% list a website on their Google Business Profile (Page One Partner Research, November 2026).
Which state has the best-rated med spas?
North Carolina (average 4.8), among states with at least 50 med spas with 10+ reviews (Page One Partner Research, November 2026).
Every number here comes from the Page One Partner studies: review benchmarks, ratings by industry, websites, visibility gap and competitive markets.
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