The State of the U.S. Medical Spa Industry
A current, sourced snapshot of one of the fastest-growing corners of healthcare. The headline counts come from MedspaSourcing's own 2026 census of 38,000+ screened locations; patient and revenue figures come from the leading industry surveys. Every number is attributed. Free to cite with a link back.
Last updated: June 2026
The most complete count of U.S. medical spas
We screened every populated ZIP code in the country and verified each location individually. The result is a location-level census that is materially larger and more current than survey-based estimates, with competitive and ownership detail no survey captures.
MedspaSourcing figures are computed directly from our verified location database (June 2026). “Verified” means a real, operating medical spa confirmed across multiple sources. Free to cite with attribution to MedspaSourcing.
A $17B industry compounding in the low-teens
The U.S. medical aesthetics industry generates well over $17 billion a year and has been adding more than $1 billion in revenue annually. Analyst firms differ on the exact figure and scope, but their growth rates cluster tightly.
Projection scopes and end years differ between firms and are shown as published. Treat market-size forecasts as directional; the consistent signal is a 12-15% compound annual growth rate.
More medical spas than the surveys show
Survey-based counts have long understated the market. AmSpa reported 10,488 U.S. medical spas in 2023; our 2026 location-level census verifies 19,000+. Part of that gap is real growth (AmSpa itself measured a 17.9% year-over-year jump), and part is the long tail of single-location spas a survey never reaches.
What a single location looks like
The average medical spa is a real small business: seven figures of revenue, a few hundred visits a month, and healthy margins for well-run operators.
Revenue, visit and margin figures are from AmSpa survey data and industry estimates; MedspaSourcing does not collect location-level financials.
Who visits a medical spa
The medical spa patient is overwhelmingly female, concentrated in midlife, and increasingly loyal, with nearly three in four returning as repeat visitors. These are survey figures from AmSpa; patient identity is not something the public record captures.
- 54%Age 35-54
- 24%Age 55+
- 22%Age 18-34
Injectables drive the business
Facial injectables are nearly universal and account for the majority of procedure volume. Skin, laser and body treatments fill out the menu.
A small-business, owner-operated industry
Most medical spas are single locations run by their owners. Our census confirms how fragmented the base is; AmSpa adds the owner-profile detail on who those operators are.
A fragmented market in the early innings of roll-up
With more than four in five spas operating as single locations and only a sliver under private-equity ownership, the medical spa industry looks much like dentistry or veterinary care did before their consolidation waves. We track the consolidators directly.
MedspaSourcing has verified 30+ PE-backed medical spa platforms by name, with their sponsors and footprints, and 40+ counting aesthetics platforms with a substantial medspa arm. Treat it as a floor, not a ceiling: M&A advisors commonly cite around 20 (Levin Associates, Physician Growth Partners, 2024-2025), but bottom-up tracking finds more, and AmSpa projects 2026 to be the highest medspa M&A year on record, so new platforms keep forming.
MedspaSourcing maps and scores every verified medical spa nationwide, from owner-operated single locations to small multi-site groups, so acquirers and vendors can find and qualify them in seconds.
Common questions about the medical spa market
How many medical spas are there in the United States?
MedspaSourcing's 2026 census identifies more than 19,000 verified medical spas operating in the U.S., drawn from a nationwide screen of 38,000+ candidate locations across all 50 states and DC. Survey-based estimates from the American Med Spa Association (AmSpa) reported 10,488 in 2023; the gap reflects both continued growth and the long tail of single-location spas that surveys miss.
How fast is the medical spa industry growing?
Independent analyst firms project a 12 to 15 percent compound annual growth rate for the U.S. medical spa market through the early 2030s. AmSpa reported a 17.9 percent year-over-year increase in the number of U.S. medical spas between 2022 and 2023.
How much revenue does the average medical spa make?
AmSpa reports the average U.S. medical spa generates about $1.4 million in annual revenue per location, on roughly 245 patient visits per month at an average of $527 per visit. Well-run operators see 30 to 40 percent profit margins.
Who owns medical spas?
Ownership is highly fragmented. In MedspaSourcing's data, 83 percent of verified medical spas are single-location practices. AmSpa reports that two thirds are single-owner practices not owned by a physician, and that nurse-practitioner ownership has more than doubled since 2019.
How many medical spas are owned by private equity?
About 3 percent of U.S. medical spas are under private-equity ownership (AmSpa), a share largely unchanged since 2022. MedspaSourcing has verified 30+ PE-backed platforms consolidating the category, more than the roughly 20 advisors commonly cite, and that number is a floor that keeps rising. The fragmented, single-location base makes medical spas an active roll-up target.
Where these numbers come from
Counts, geographic coverage, competitive density, ownership structure, ratings and service mix are MedspaSourcing primary data, computed from our verified national database. We built it by screening every populated U.S. ZIP code for medical spas and verifying each location across multiple sources. Patient demographics and revenue per location come from the American Med Spa Association (AmSpa), the industry's primary survey authority. Market-size forecasts come from independent research firms and are presented as a range.
- MedspaSourcing, U.S. Medical Spa Census, 2026 (counts, geography, competitive density, ownership structure, ratings, service mix)
- AmSpa (American Med Spa Association), Medical Spa State of the Industry Report, 2024 (patient demographics, revenue, ownership profile)
- Grand View Research, U.S. Medical Spa Market outlook, 2024
- Mordor Intelligence, Medical Spa Market report, 2025
- Precedence Research, U.S. Medical Spa Market report, 2025
- Levin Associates / Scope Research, medical spa M&A coverage, 2025
“The State of the U.S. Medical Spa Industry,” MedspaSourcing, June 2026. https://medspasourcing.com/industry