Med Spas NAICS 812199

        Med Spas

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Industry Summary

The 8,800 medical spas offer cosmetic medical procedures and traditional spa services under the supervision of licensed healthcare professionals. Operators provide a variety of aesthetic, minimally invasive, and non-invasive procedures that enhance physical appearance. Popular treatments include dermal fillers, neuromodulators/Botox, laser treatments, microdermabrasion, and chemical peels. Medical spas employ trained staff, such as registered nurses (RN), nurse practitioners (NP), physician assistants (PA), and aestheticians, to administer procedures.

Medical Complications

Medical procedures naturally come with some risk of complications, and those performed by nonphysician personnel in medical spas have elevated risks.

Government Regulation

Because medical spas are technically medical practices, operators are subject to regulatory oversight by state medical boards, which determine what constitutes a medical procedure, who can perform the procedure, the staffing ratio of physicians to non-physicians, and what qualifies as on-site/off-site supervision.


Recent Developments

May 19, 2025 - Spa Revenues Up
  • US spa revenue, locations, and visits are growing, according to the annual US Spa Industry Study report results in Skin Inc. The study is commissioned by the International SPA Association (ISPA), which includes med spa members, and conducted by PwC. Overall revenue at US spas increased 5.8% in 2024 to $22.5 billion year over year. Total spa visits rose 3.1%, reaching 187 million in 2024, while the number of spa locations grew year over year 0.6% to 21,980 in 2024. The report noted that 30% of properties surveyed said they’d renovated their retail in 2024, and 25% had improved their treatment rooms. Revenue per visit also grew 2.6% year over year in 2024, reaching $120.30 in 2024. In addition, spa industry employment increased 1.6% year over year in 2024.
  • Med spas are monitoring potential impacts of recent tariffs implemented by the Trump administration on cosmetic injectables and fillers, which could raise the prices of beauty procedures and enhancements, according to a report on MSN.com. The level of price increases depends on the percentage of the tariff and where the injectable is sourced from. According to Dr. Sean McNally, “Most neurotoxin supplies come from Europe, Botox and Juvéderm are produced in Ireland and France, respectively, so any EU tariffs would affect pricing for those. Daxxify is made in the US, so it may be a big winner in this scenario.” McNally noted that clients who currently use Boxtox and fillers are on a regular maintenance schedule for best results and would be impacted by any price increases.
  • Memberships were a top growth area for salons, waxing centers, and medspas, which averaged a 24% boost in membership in 2024 compared to a year ago, according to the 2025 Beauty and Wellness Benchmark Report by Zenoti in Salon Today. Membership programs increase the number of customers who visit more than five times a year by 10% and benefit salons by providing reliable recurring revenue and building client relationships. However, medspas saw a decrease in average ticket size from $500 in 2023 to $454 in 2024 for top-earners, reflecting the pricing pressures in this growing category. The report found that the beauty and wellness industry showed a 2% increase in growth in 2024 compared to 5% in 2023. Businesses that focused on adding locations in 2024 saw a 5% increase in revenue. Customer loyalty stood out as a vital income generator, with 42% of loyal clients driving 80% of revenue.
  • Med spa visits may be affected by falling consumer confidence, an indicator of discretionary spending, according to two major indicators. The final index of consumer sentiment from the University of Michigan dropped 8% in April 2025 from the previous month, according to CFO Dive. An index measuring consumers’ expectations for the future fell nearly a third since January, the steepest three-month percentage decline since the 1990 recession. According to survey director Joanne Hsu, “Consumers perceived risks to multiple aspects of the economy, in large part due to ongoing uncertainty around trade policy and the potential for a resurgence of inflation looming ahead.” The Consumer Confidence Index declined by 7.9 points in April 2024, compared to the previous month. Consumer confidence levels have fallen for five consecutive months, reaching levels not seen since the beginning of the COVID pandemic, according to The Conference Board, which publishes the monthly index.

Industry Revenue

Med Spas


Industry Structure

Industry size & Structure

The average medical spa operates out of a single location and generates almost $2 million annually, according to the American Med Spa Association. Single-location medical spas employ an average of eight workers and generate just over $121,000 annually. Multi-location operators employ an average of 16 workers at the primary facility.

    • The medical spa industry consists of over 8,800 operators that employ 70,000 workers and generate about $15 billion, according to the American Med Spa Association.
    • The medical spa industry is fragmented; over 80% of firms operate out of a single location. Multi-location operators average six locations.
    • Two-thirds of medical spas have a single owner. Over 60% of medical spas have an owner who is not a physician.
    • Large firms include Ideal Image and Laser Away.

                          Industry Forecast

                          Industry Forecast
                          Med Spas Industry Growth
                          Source: Vertical IQ and Inforum

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