Med spa Google benchmarks for 19 US cities (2026)
How competitive is the med spa market on Google in your city? This page brings together every city figure from our study of 555 US med spas: ratings, how many reviews a typical med spa has, how many have very thin or very deep review profiles, and how many open at weekends.
- Deepest review profiles: San Diego (typical med spa 289.5 reviews). Thinnest: Las Vegas (58.5).
- Most med spas with 500+ reviews: Dallas (26.5%).
- Most med spas with under 50 reviews: Las Vegas (45%).
- Weekend opening ranges from 40% (Austin) to 90% (Boston).
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Every city at a glance
Short answer: ratings barely differ between cities; review depth and weekend opening differ a lot.
| Metro | Med spas studied | Avg rating | Typical reviews | Under 50 reviews | 500+ reviews | Open a weekend day |
|---|---|---|---|---|---|---|
| Atlanta | 20 | 4.87★ | 128.5 | 10% | 10% | 85% |
| Austin | 20 | 4.9★ | 123 | 10% | 5% | 40% |
| Boston | 20 | 4.89★ | 244.5 | 5% | 5% | 90% |
| Chicago | 37 | 4.87★ | 154 | 2.7% | 13.5% | 83.8% |
| Dallas | 34 | 4.82★ | 176.5 | 8.8% | 26.5% | 76.5% |
| Denver | 20 | 4.89★ | 166 | 15% | 15% | 75% |
| Houston | 36 | 4.79★ | 148 | 16.7% | 19.4% | 83.3% |
| Las Vegas | 20 | 4.92★ | 58.5 | 45% | 10% | 55% |
| Los Angeles | 38 | 4.84★ | 118 | 26.3% | 10.5% | 81.6% |
| Miami | 20 | 4.91★ | 217.5 | 10% | 10% | 80% |
| Nashville | 37 | 4.92★ | 85 | 32.4% | 13.5% | 56.8% |
| New York | 33 | 4.87★ | 226 | 12.1% | 9.1% | 81.8% |
| Orlando | 64 | 4.91★ | 124 | 17.2% | 14.1% | 64.1% |
| Philadelphia | 20 | 4.88★ | 195 | 10% | 5% | 90% |
| San Diego | 20 | 4.85★ | 289.5 | 15% | 20% | 85% |
| San Francisco | 20 | 4.74★ | 116.5 | 20% | 5% | 75% |
| Scottsdale | 47 | 4.9★ | 156 | 12.8% | 19.1% | 66% |
| Seattle | 20 | 4.88★ | 138 | 10% | 5% | 70% |
| Washington DC | 20 | 4.92★ | 102.5 | 10% | 10% | 85% |
| 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.
Four patterns across US cities
- Ratings are compressed. Every city averages between 4.74 (San Francisco) and 4.92 stars. A great rating is expected everywhere. See average med spa rating.
- Review depth varies about fivefold. From 58.5 reviews for a typical med spa in Las Vegas to 289.5 in San Diego. The bar a new med spa has to clear depends on where it is. See how many reviews a med spa needs.
- Thin profiles cluster in a few cities. Las Vegas (45%) and Nashville (32.4%) have the most med spas under 50 reviews, which leaves room for newer med spas to catch up.
- Weekend access is a local choice. In Austin only 40% open a weekend day; in Boston, 90%. See weekend hours.
Read your region in more detail
Texas
Dallas, Houston, Austin
Florida
Miami, Orlando
California
Los Angeles, San Diego, San Francisco
Northeast
New York, Boston, Philadelphia, Washington DC
Southwest and Mountain
Scottsdale, Las Vegas, Denver
South, Midwest and Pacific Northwest
Atlanta, Nashville, Chicago, Seattle
Method: Google profile data for 555 US med spas across 20 metros, collected in September 2026. Metros with fewer than 10 med spas are not reported. See the methodology & data, or download the aggregate dataset (CSV).
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
Texas med spas
Dallas, Houston and Austin.
Florida med spas
Miami and Orlando.
California med spas
LA, San Diego and San Francisco.
Northeast med spas
New York, Boston, Philadelphia, DC.
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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 US city has the most competitive med spa market on Google?
By review depth, San Diego stands out: the typical med spa there has about 289.5 Google reviews, versus 148 nationally. Dallas has the highest share of med spas with 500 or more reviews (26.5%).
In which city is it easiest for a new med spa to stand out on Google?
Where review profiles are thinnest. In Las Vegas, the typical med spa has about 58.5 reviews and 45% have fewer than 50, so a steady review routine can move a med spa up quickly.
Which cities are included?
The 19 metros with at least 10 med spas in our sample: Atlanta, Austin, Boston, Chicago, Dallas, Denver, Houston, Las Vegas, Los Angeles, Miami, Nashville, New York, Orlando, Philadelphia, San Diego, San Francisco, Scottsdale, Seattle, Washington DC. Phoenix had 9 and is not reported on its own.
How reliable are city figures?
City samples range from 20 to 64 med spas, so they swing more than national figures. 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.
Key findings
- San Diego has the deepest med spa review profiles (typical 289.5 reviews); Las Vegas the thinnest (58.5).
- Dallas has the highest share of med spas with 500+ reviews, at 26.5%.
- Las Vegas has the most med spas with under 50 reviews, at 45%.
- Weekend opening ranges from 40% in Austin to 90% in Boston and Philadelphia.
- Ratings barely differ between cities (4.74 in San Francisco to 4.92 in Las Vegas, Nashville and Washington DC); review depth and weekend access differ a lot.
How to cite this report
Med Spa Benchmarks for 19 US Cities, Ichelon Consulting Group, 2026. https://ichelonconsulting.com/us/med-spa-market-benchmarks-by-city-2026
Free to quote and reuse with attribution and a link to this page.
Related research
Questions this report answers
Which US city has the most competitive med spa market on Google?
By review depth, San Diego, where the typical med spa has 289.5 reviews. Dallas has the highest share with 500+ reviews at 26.5%. Figures come from Ichelon Consulting US's 555-med-spa study, covering 19 cities with at least 10 med spas each.
Where is it easiest for a new med spa to compete on reviews?
Las Vegas, where the typical med spa has 58.5 reviews and 45% have fewer than 50. Nashville is also thin at a typical 85 reviews, with 32.4% under 50, according to the city benchmarks.
Are med spas open on weekends in my city?
It varies widely. Weekend opening runs from 40% in Austin to 90% in Boston and Philadelphia. Dallas sits at 76.5%, Houston at 83.3% and Los Angeles at 81.6% in the September 2026 study.
Do med spa Google ratings differ by city?
Barely. Average ratings run from 4.74 in San Francisco to 4.92 in Las Vegas, Nashville and Washington DC. The study finds review depth and weekend access are what actually separate med spa markets city to city.