How many Google reviews does a med spa need? Benchmarks for the US and 19 cities
There's no magic number, but there is a local bar. A typical US med spa has 148 Google reviews, and in some cities the typical profile has nearly twice that. Here is how many reviews med spas actually have, nationally and in 19 cities.
- Typical (median) US med spa: 148 Google reviews.
- 15.9% have fewer than 50; 13% have 500 or more.
- Deepest cities: San Diego (289.5), Boston (244.5), New York (226).
- Thinnest: Las Vegas (58.5), Nashville (85), Washington DC (102.5).
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How many reviews US med spas have
Short answer: a median of 148, with most med spas between 50 and 500.
Share of 555 US med spas across 20 metros, by total Google review count.
Typical review count in 19 US cities
Short answer: the bar varies more than fourfold between cities, so set your target locally.
| # | Metro | Med spas | Typical reviews |
|---|---|---|---|
| 1 | San Diego | 20 | 289.5 |
| 2 | Boston | 20 | 244.5 |
| 3 | New York | 33 | 226 |
| 4 | Miami | 20 | 217.5 |
| 5 | Philadelphia | 20 | 195 |
| 6 | Dallas | 34 | 176.5 |
| 7 | Denver | 20 | 166 |
| 8 | Scottsdale | 47 | 156 |
| 9 | Chicago | 37 | 154 |
| 10 | Houston | 36 | 148 |
| 11 | Seattle | 20 | 138 |
| 12 | Atlanta | 20 | 128.5 |
| 13 | Orlando | 64 | 124 |
| 14 | Austin | 20 | 123 |
| 15 | Los Angeles | 38 | 118 |
| 16 | San Francisco | 20 | 116.5 |
| 17 | Washington DC | 20 | 102.5 |
| 18 | Nashville | 37 | 85 |
| 19 | Las Vegas | 20 | 58.5 |
| United States | 555 | 148 |
Median Google review count. City samples are 20 to 64 med spas; read them as typical, not exact.
How to set a realistic review target
- Find your local bar. Use your city's typical count above, or check the three med spas that appear next to you on the map.
- Work out the gap. If you have 60 reviews in a city where the typical profile has 200, that's your gap.
- Divide by months, not days. A steady pace beats a burst. The median med spa gets about 6 new reviews a month; see review velocity.
- Ask every happy client, every time. A one-tap link by text (with consent) or a QR code at checkout.
- Stay within the rules. No undisclosed incentives and no reviews from staff or family, under the FTC's rule on consumer reviews.
Method: Google review counts for 555 US med spas across 20 metros, collected in September 2026. Cities with fewer than 10 med spas (Phoenix) are not reported. See the methodology & data.
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
How many new reviews a month is normal?
Review velocity benchmarks.
Average med spa Google rating
4.87 stars, city by city.
Benchmarks for 19 US cities
Every city figure in one table.
The med spa review gap
Velocity and reply rates.
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Common questions
How many Google reviews does a med spa need?
A useful target is your city's typical count. Nationally, the median US med spa has 148 Google reviews; in our 19 reported cities the median ranges from 58.5 (Las Vegas) to 289.5 (San Diego). Below 50 reviews, each new review changes how a profile looks most.
What share of med spas have fewer than 50 reviews?
15.9% of the 555 US med spas we studied, about one in six.
How many med spas have more than 500 reviews?
13% nationally, about one in eight. In Dallas the share is higher, at about one in four.
Is it better to have more reviews or a higher rating?
Both matter, but ratings barely differ between med spas (almost all are near 4.9), while review counts differ enormously. A steady flow of recent reviews is usually the bigger opportunity.
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.
How far is your med spa from your city's bar?
A free 30-minute call with the US team. We'll compare your review count and pace with your city and set a realistic target.