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Ichelon Consulting US · City findings · Northeast

Northeast med spas on Google: New York, Boston, Philadelphia and Washington DC (2026)

Northeast med spa markets are review-deep and weekend-open. Boston and New York have some of the deepest review profiles in the country, and Boston and Philadelphia have the highest weekend opening we found. Washington DC is the exception: highly rated, but with thinner review profiles.

Research for US med spa owners · Published September 28, 2026

TL;DR
  • Typical reviews: 244.5 in Boston, 226 in New York, 195 in Philadelphia (US 148).
  • Weekend opening: 90% in Boston and Philadelphia, the highest of any city.
  • Washington DC: 4.92★, among the highest ratings, but a typical profile of just 102.5 reviews.
  • New York med spas average 6.1 days open a week, the most in the study.
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the Northeast at a glance

How the Northeast med spas compare

Short answer: review-deep and weekend-open, with Washington DC as the one market where typical review counts are below the national figure.

MetroMed spas studiedAvg ratingTypical reviewsUnder 50 reviews500+ reviewsOpen a weekend day
New York334.87★22612.1%9.1%81.8%
Boston204.89★244.55%5%90%
Philadelphia204.88★19510%5%90%
Washington DC204.92★102.510%10%85%
United States5554.87★14815.9%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.

Free report · PDF
Get every finding, benchmarks for 19 US cities and a worksheet to score your own med spa.
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City by city

What stands out in each city

New York (33 med spas studied)

The typical New York med spa has 226 reviews, and 48.5% sit in the 200 to 499 band. They average 4.87 stars and are open 6.1 days a week on average, the most of any city we studied. 81.8% open a weekend day. In New York, being open and well reviewed is expected; responsiveness is what differs.

Med spa marketing in New York →

Boston (20 med spas studied)

Boston med spas have deep profiles (typical 244.5 reviews) and only 5% have fewer than 50. 90% open a weekend day, tied for the highest in the study. The average rating is 4.89 stars. Competing here means matching a high baseline on every visible signal.

Philadelphia (20 med spas studied)

Philadelphia looks similar to Boston: a typical profile of 195 reviews, 90% open a weekend day and an average rating of 4.88 stars. Only 5% have 500 or more reviews, so the very top of the market is less crowded than the middle.

Washington DC (20 med spas studied)

Washington DC med spas are among the highest rated in the study (4.92★), but the typical profile has only 102.5 reviews, below the national 148. 75% sit in the 50 to 199 band. That makes review pace the clearest lever for a DC med spa.

What it means

What this means for a med spa in the Northeast

  • New York, Boston, Philadelphia: high baselines on reviews and weekend hours. Differentiate on recency, replies and booking speed.
  • Washington DC: ratings are excellent but review depth is modest, so a steady review routine can set a med spa apart quickly.
  • Across the region: weekend availability is expected; not listing weekend hours is the exception.

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.

Free report · PDF
The full report includes all 19 city benchmarks, what patients value and a worksheet to score your own med spa.
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Our research · US med spa consumer behaviour 2026

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.

Free report · PDF
US Med Spa Consumer Behaviour Report 2026: What Patients Expect vs What They Get
Top 5 things patients value · the mismatches · benchmarks for 19 US cities · a worksheet to score your own med spa.
Download the full report →
Consumer behaviour
Google presence
City findings
Keep reading

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.

How we work

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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.

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FAQ

Common questions

Which Northeast city has the most competitive med spa market on Google?

By review depth, Boston: the typical med spa has 244.5 Google reviews and 90% open at weekends. New York is close, with a typical profile of 226 reviews.

How many med spas were studied in each city?

Med spas studied: New York 33, Boston 20, Philadelphia 20, Washington DC 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.

Common questions

How should a med spa with locations in several Northeast cities set up Google Business Profiles?

Create one profile per real, staffed location. Google's guidelines say not to create more than one profile for each location, and each location should be able to serve clients during its listed hours. Use the real-world business name on every profile, without adding keywords such as "injectables Boston" or neighborhood tags, which can get a profile suspended. Give each location its own hours, phone number, booking link, photos and service list, and link it to a matching location page on your website. Individual clinicians may qualify for their own profiles in some cases, but never create extra profiles simply to take up more space in results.

How can a new med spa compete in Boston or Philadelphia, where established spas already have deep review profiles?

Accept that you will start below the local baseline and compete on what a new profile can win. Ask every client for a review after each visit, with no incentives, and reply to every review so the profile looks active. Fill in every Google profile field, list weekend hours if you offer them and post real photos of the space and team. Run local search ads for specific treatments while organic reviews build. Responsiveness is a lever you control from the first day: answering calls and messages quickly earns the kind of reviews that slower, established competitors sometimes lack.

Do these city figures apply to suburbs like Long Island, northern New Jersey or the Main Line?

Use them as a reference point, not a target. The figures describe med spas in each large metro, and suburban markets can look quite different, with fewer competitors within easy driving distance, thinner review profiles or different weekend patterns. The more useful benchmark is the set of med spas that actually appear above you in Google Maps when someone near your location searches for your main treatments. Record their review counts, ratings, hours and photos, compare them with your own and repeat the check regularly as competitors open, close or improve. That local comparison tells you which gap to close first.

Why do Washington DC med spas have high ratings but thinner review profiles, and what should a DC owner do?

The study shows the pattern but not its cause, so treat any explanation as a guess. Possible factors range from how recently many businesses opened to how consistently they ask for reviews. For an owner, the reason matters less than the opening it creates: when ratings are high across the market, review volume and recency become the clearest visible difference. Build a standard review request into checkout for every client, reply to each review and track new reviews per month. Pair that with accurate hours and a working booking link, so a stronger profile turns into booked appointments.

What should a Northeast med spa's Google profile show beyond ratings and hours?

Show prospective clients enough to choose you without calling first. List services by their plain names, add a direct online booking link and post recent photos of the team, treatment rooms and entrance. On the linked website, name the clinicians who perform each treatment and their credentials, and explain physician supervision where state rules require it. Fill in accessibility and parking details, which matter in dense cities. Keep before-and-after images off the profile unless each one has written client authorization and an honest caption. Finally, reply to reviews consistently, since review replies are visible proof that the business is attentive.

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