Med spas on Google in Atlanta, Nashville, Chicago and Seattle (2026)
Four metros, four different gaps. Nashville combines top ratings with thin review profiles and limited weekend hours. Chicago has almost no med spas with thin profiles. Atlanta is weekend-open, and Seattle sits close to the national middle.
- Nashville: 4.92★, but 32.4% have fewer than 50 reviews and only 56.8% open at weekends.
- Chicago: only 2.7% of med spas have fewer than 50 reviews, the lowest share we found.
- Atlanta: 85% open a weekend day.
- Seattle: typical profile 138 reviews, 70% weekend opening.
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How Atlanta, Nashville, Chicago and Seattle med spas compare
Short answer: Nashville has thin profiles and few weekend hours despite top ratings; Chicago has almost no thin profiles; Atlanta and Seattle sit near the national middle.
| 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% |
| Nashville | 37 | 4.92★ | 85 | 32.4% | 13.5% | 56.8% |
| Chicago | 37 | 4.87★ | 154 | 2.7% | 13.5% | 83.8% |
| Seattle | 20 | 4.88★ | 138 | 10% | 5% | 70% |
| 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
Atlanta (20 med spas studied)
Atlanta med spas average 4.87 stars and the typical profile has 128.5 reviews, a little below the national 148. 85% open at least one weekend day, above the national 74.2%. Half sit in the 50 to 199 review band, so the middle of the market is crowded and recency is what separates profiles.
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Nashville (37 med spas studied)
Nashville med spas are among the highest rated in the study (4.92★), but the typical profile has only 85 reviews and 32.4% have fewer than 50. Only 56.8% open a weekend day. Both review pace and weekend hours are open lanes here.
Med spa marketing in Nashville →
Chicago (37 med spas studied)
Chicago stands out for how few med spas have thin profiles: only 2.7% have fewer than 50 reviews, the lowest share of any city. The typical profile has 154 reviews, the average rating is 4.87 stars and 83.8% open a weekend day. Almost every competitor is established, so a newer med spa needs a steady review routine from day one.
Seattle (20 med spas studied)
Seattle med spas average 4.88 stars, with a typical profile of 138 reviews and 70% open a weekend day. 70% sit in the 50 to 199 band and only 5% have 500+, so the top of the market is not crowded.
What this means for a med spa in Atlanta, Nashville, Chicago and Seattle
- Nashville: great ratings, thin profiles and few weekend hours. A steady review routine and a Saturday clinic both stand out.
- Chicago: competitors are established; plan for consistent reviews and replies from the start.
- Atlanta and Seattle: crowded middles, where recency, replies and easy booking decide who looks most active.
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.
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Common questions
Which of these cities has the most room for a new med spa to stand out on Google?
Nashville. Its med spas are highly rated (4.92★), but 32.4% have fewer than 50 reviews and only 56.8% open at weekends.
How many med spas were studied in each city?
Med spas studied: Atlanta 20, Nashville 37, Chicago 37, Seattle 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.