How much does med spa marketing cost in the US?

Specialist agencies and platforms in this space typically run somewhere between roughly $1,000 and $10,000 a month depending on scope, with ad spend on top when paid channels are involved. VitalSignal publishes flat tiers at $1,500, $2,500, and $3,500 a month. Percent-of-ad-spend pricing is common at PPC-heavy agencies; flat retainers are more common for content and SEO work. Always get the deliverables list in writing.

What should a med spa look for in a marketing agency?

Four things. Proof in your niche: med spa case studies and independent reviews on Clutch or Google, not just testimonials on their own site. Compliance literacy: they should speak fluently about FTC substantiation, FDA rules on injectable advertising, Meta and Google Ads health policies, and your state medical board rules. Channel fit: an agency great at paid social may be weak at local SEO. And clean exit terms: month to month beats a 12-month lock-in while you are still evaluating fit.

Does HIPAA apply to med spa marketing?

Often yes. If a med spa is a covered entity and a marketing vendor touches protected health information, patient lists, booking data, photos, the vendor generally needs a signed business associate agreement under HIPAA. Even cash-pay med spas that fall outside HIPAA still face FTC enforcement on health data sharing, including how ad pixels handle patient information. If an agency has never heard of a BAA, that is a red flag.

Can med spas advertise Botox and fillers on Google and Meta?

Yes, but with real restrictions. Prescription-only products come with rules about claims, and both ad platforms restrict cosmetic procedure ads: Meta bans implied-transformation creative such as before and after photos, and Google limits personalized ad targeting for health-related categories. This is why aesthetics-specific agencies exist; generalists get ad accounts flagged. Our guide to Google and Meta ad policies for med spas covers the details.

Are med spa marketing rules different by state?

Yes. Med spas are regulated at the state level: who may own the practice, who may inject, what supervision is required, and how medical services may be advertised all vary by state. The American Med Spa Association (AmSpa) maintains state-by-state legal summaries, and any agency working with you should ask which state you operate in before proposing campaigns.

9 Best Med Spa Marketing Agencies in the US (2026)

Short answer: the best med spa marketing agency depends on the job. For flat-rate content, local SEO, and email with compliance built in, VitalSignal (that's us, disclosure below). For design-led aesthetic websites, Influx Marketing. For a healthcare website platform, DoctorLogic. For bundled software plus marketing, Growth99. For aesthetics-only full service, Plastix Marketing. For paid social, Pennock. For consult conversion, Aesthetic Conversion or DLM Conversion. For fixed-price healthcare packages across specialties, PatientGain.

This page exists because "who should market my med spa" is a genuinely hard question: the aesthetics industry mixes medical advertising law (FDA, FTC, state medical boards) with platforms (Google, Meta) that restrict cosmetic procedure ads. A generalist agency can be excellent and still get your ad account flagged. Below is how we compare the recognized names in the space, what each is best for, and the questions that separate a real specialist from a pitch deck.

How this list was built

Full transparency: VitalSignal is a marketing service for med spas and wellness clinics, so we are on this list and we put ourselves first. Everything written about the other eight agencies is based on their public positioning and is deliberately neutral; we do not repeat their claims as facts, we do not invent numbers, and we tell you to check their case studies and independent reviews rather than take anyone's word, including ours. The criteria we think matter, in order:

Aesthetics specialization. Med spa case studies, not "healthcare experience" in the abstract.
Compliance literacy. Fluency in FTC substantiation rules, FDA advertising rules for prescription injectables, HIPAA business associate agreements, Meta and Google health ad policies, and state med spa regulations (AmSpa publishes state-by-state summaries).
Transparent pricing and clean exits. Published prices and month-to-month terms beat opaque retainers with 12-month lock-ins.
Independent proof. Reviews on Clutch and Google, and references you can actually call.

1. VitalSignal

Best for: Med spas and wellness clinics that want flat-rate content, local SEO, and email with compliance built in.

Disclosure up front: this is us, so weigh this entry accordingly. VitalSignal is a productized marketing service for med spas, medical weight loss, TRT, and longevity clinics in the United States. Plans are flat rate at $1,500, $2,500, or $3,500 a month and the deliverables are public on the pricing page: local SEO articles, short-form video, patient email nurture, Google Business Profile work, and a plain-English monthly report. Every asset ships through an FTC health-claims compliance check before it goes out, which matters more in aesthetics than in almost any other niche. There are no long contracts and no percent-of-ad-spend fees. Start with the free audit and you will see the exact gaps we would work on before paying anything.

2. Influx Marketing

Best for: Aesthetic practices that want a design-led website and brand refresh.

Influx Marketing is a California agency that has worked in the aesthetics space for years, with a portfolio weighted toward plastic surgeons, dermatologists, and med spas. Their public positioning centers on custom website design and branding for aesthetic practices, with SEO and digital marketing layered on top. If your problem is an outdated site that undersells the practice, they are one of the recognized names to shortlist. Review their case studies and their Clutch profile, and ask how ongoing content and local SEO are handled after the site launches.

3. DoctorLogic

Best for: Practices that want a healthcare website platform rather than a retainer agency.

DoctorLogic is a website marketing platform built for medical practices, including med spas. The model is platform plus services: the site runs on their technology, and SEO, content, and patient review tools are part of the subscription. That is a different bet than hiring an independent agency, because switching costs are higher if you leave, but the technology base is purpose-built for healthcare. Ask about content ownership, what happens to the site if you cancel, and look for med spa case studies specifically rather than general medical ones.

4. Growth99

Best for: Med spas that want software (CRM, chat, booking) bundled with marketing.

Growth99 sells a technology platform aimed at medical aesthetics and wellness practices: websites, lead capture, CRM style follow-up, reputation tools, and social media services under one subscription. The appeal is consolidation, one vendor for the tech stack and the marketing. The tradeoff to evaluate is depth: bundled services can be thinner per channel than a specialist. Read recent customer reviews, ask which services are automated versus human-produced, and confirm who writes the clinical content that goes out under your brand.

5. Plastix Marketing

Best for: Plastic surgery and med spa practices that want an aesthetics-only agency.

Plastix Marketing works exclusively in aesthetics, primarily plastic surgery and medical spas. Niche focus is genuinely valuable here because the advertising rules around injectables and body procedures trip up generalist agencies. Their services span SEO, paid search, social, and web design. As with any agency on this list, ask for med spa case studies with timelines and the actual channel mix, and check independent reviews rather than testimonials on their own site.

6. Pennock

Best for: Med spas ready to spend meaningfully on paid social and influencer-style creative.

Pennock is a growth agency focused on the aesthetics and wellness industry with an emphasis on paid social, creative, and influencer-adjacent campaigns for med spas. Paid social for cosmetic services is a compliance minefield, Meta restricts how procedures and outcomes can be shown, so an agency that runs these campaigns daily earns its fee partly by keeping your ad account alive. Ask how they handle Meta ad rejections and what their creative testing cadence looks like.

7. Aesthetic Conversion

Best for: Practices whose traffic is fine but whose inquiry-to-consult conversion is weak.

Aesthetic Conversion positions itself around the conversion side of med spa marketing: turning website visitors and leads into booked consultations through funnels, follow-up, and sales process. That is a real and commonly ignored gap, many med spas buy traffic and then leak it. Evaluate them the same way you would the others: recent case studies, references from practices your size, and clarity about what they need from your front desk to make the system work.

8. DLM Conversion

Best for: Med spas that want direct-response campaigns measured in booked consultations.

DLM Conversion markets itself on a direct-response promise for medical aesthetics: campaigns judged by booked consultations rather than impressions or traffic. Outcome-framed agencies are worth a look precisely because the metric is the one you care about, but scrutinize the definition, a booked consult that no-shows is not revenue. Ask how they count results, what the guarantee terms actually say, and talk to a current client before signing.

9. PatientGain

Best for: Budget-conscious practices that want a fixed monthly healthcare marketing package.

PatientGain is a healthcare marketing company serving many specialties, med spas among them, with fixed-price monthly plans covering websites, SEO, ads management, and patient communication tools, and it makes a point of HIPAA awareness in how its systems handle patient data. Because it serves all of healthcare rather than aesthetics alone, ask specifically for med spa references and check that the content quality matches what an aesthetics audience expects.

How to evaluate any med spa marketing agency

Whichever names make your shortlist, run the same five checks:

Ask for med spa case studies with dates and channel mix. "We grew a clinic 300%" means nothing without the timeframe, the spend, and which services did the work (SEO, Google Ads, social, email).
Check independent reviews. Clutch profiles, Google reviews, and a phone call with a current client beat any testimonial page.
Test compliance knowledge in the first call. Ask how they handle Meta's restrictions on cosmetic procedure creative, whether they will sign a HIPAA business associate agreement if they touch patient data, and how they substantiate claims under FTC health advertising guidance. Hesitation on any of these is your answer.
Confirm who owns what. Your website, your content, your ad accounts, and your data should remain yours when you leave. Platform-based vendors deserve extra scrutiny here.
Ask which state rules apply to you. Ownership, delegation, and advertising rules for med spas vary by state. An agency that does not ask where you operate has not done this before. See our guide to med spa advertising laws by state.

For the regulatory background, we keep three plain-English guides current: HIPAA rules for med spa marketing, FDA and FTC advertising claim rules for med spas, and Google and Meta ad policies for med spas in 2026.

The 9 best med spa marketing agencies in the US (2026)