California med spas on Google: Los Angeles, San Diego and San Francisco (2026)
California's three big med spa markets look nothing alike. San Diego has the deepest review profiles in the country, San Francisco has the lowest average rating we report, and Los Angeles has an unusually large share of med spas with thin profiles.
- San Diego: typical med spa has 289.5 reviews, the most of any city we report.
- San Francisco: average rating 4.74★, the lowest city average.
- Los Angeles: 26.3% of med spas have fewer than 50 reviews.
- Across California, replies and review pace matter more than chasing a perfect rating.
- Every practice welcome — retainers from $499/mo, Goals-Driven engagements, Performance-Linked Payout Models available.
- Dallas, Texas LLC
- US client team · Central Time (CST)
- 25+ US healthcare clients
- BAA signed with every client
- HIPAA compliance training across client and delivery teams
- Contracts and invoices in USD
-
Primary Care · North Dallas, TXCase study →
-
MedSpa · North Dallas, TX
-
Skin Care · Beverly Hills, CA
-
Dental · Christiansburg, VACase study →
-
Pediatrics · Blacksburg, VACase study →
-
Pediatric Dentistry · Blacksburg, VACase study →
-
Dental · Roanoke, VACase study →
-
Functional Medicine · Telehealth · USACase study →
“They were able to get all my ideas and work with me over a period of three to four months and create this amazing website. It's super customized, very modern, and it incorporates all the elements that I had wanted — the patient portal, nice pictures, a very interactive website, patient reviews. I would highly recommend their company to anyone who wants to make an excellent website.”
How California med spas compare
Short answer: San Diego is the deepest review market in the study; San Francisco is where ratings dip; Los Angeles has many thin profiles.
| Metro | Med spas studied | Avg rating | Typical reviews | Under 50 reviews | 500+ reviews | Open a weekend day |
|---|---|---|---|---|---|---|
| Los Angeles | 38 | 4.84★ | 118 | 26.3% | 10.5% | 81.6% |
| San Diego | 20 | 4.85★ | 289.5 | 15% | 20% | 85% |
| San Francisco | 20 | 4.74★ | 116.5 | 20% | 5% | 75% |
| United States | 555 | 4.87★ | 148 | 15.9% | 13% | 74.2% |
"Typical reviews" is the median Google review count. City figures come from smaller samples (shown) and swing more than national ones; read them as typical, not exact.
What stands out in each city
Los Angeles (38 med spas studied)
Los Angeles med spas average 4.84 stars, and the typical profile has 118 reviews, below the national 148. 26.3% have fewer than 50 reviews, about one in four, one of the highest shares we found. In a market this large, many med spas are still building their review base, which rewards a steady routine.
Med spa marketing in Los Angeles →
San Diego (20 med spas studied)
San Diego has the deepest review profiles of any city in our study: the typical med spa has 289.5 reviews, and 20% have 500 or more. The average rating is 4.85 stars and 85% open a weekend day. A newer med spa here competes against profiles several times deeper, so recency and replies are how to look current.
San Francisco (20 med spas studied)
San Francisco med spas average 4.74 stars, the lowest city average we report, though still a strong rating. The typical profile has 116.5 reviews and only 5% have 500+. Where ratings run a little lower, how a med spa replies to a less-than-perfect review is visible to every reader.
What this means for a med spa in California
- San Diego: the review bar is the highest in the country. Focus on recency rather than trying to match the total overnight.
- San Francisco: careful, consistent replies matter more where ratings are slightly lower.
- Los Angeles: many competitors still have thin profiles, so a steady review routine can move a med spa ahead.
Method: Google profile data for 555 US med spas across 20 metros, collected in September 2026. City samples are smaller than the national one and swing more; read them as typical, not exact. See the methodology & data and all 19 city benchmarks.
What US med spa patients expect, and where they don't get it
Findings from our study of 555 US med spas across 20 metros and about 3,000 patient reviews. Read the findings below, or download the complete report.
Related pages from the US team
Benchmarks for all 19 US cities
Every city figure in one table.
How many reviews does a med spa need?
Review counts, nationally and by city.
Are med spas open on weekends?
Weekend opening by city.
Top 5 things patients value
What patients write about.
Every practice welcome — Goals-Driven engagements from $499/mo
We benchmark your last 90 days, agree monthly goals with you, and track them live on Ichelon Agency OS with a report every Monday. Performance-Linked Payout Models are available. Our US leadership is based in Dallas, and strategy calls run in US business hours.
Common questions
Which California city has the most-reviewed med spas?
San Diego. The typical San Diego med spa has 289.5 Google reviews, the most of any of the 19 cities in our study, compared with 118 in Los Angeles and 116.5 in San Francisco.
How many med spas were studied in each city?
Med spas studied: Los Angeles 38, San Diego 20, San Francisco 20. Every city shown has at least 10 med spas.
How reliable are city figures?
City samples are smaller than the national sample of 555, so they swing more. Treat them as typical of each city rather than exact.
A note on this guide: it explains marketing practice, not legal advice. Rules on privacy, advertising and insurance change and vary by state, so confirm anything compliance-related with your own counsel.
Want your med spa benchmarked against your city?
A free 30-minute call with the US team. We'll compare your profile with your city's numbers and tell you what we'd fix first.