Key statistics
- 2.9% of US med spas are national-chain locations; the other 51,669 are independents or small local groups, according to MedSpaStandard directory data for October 2026.
- Chain locations average 4.85 stars on Google, against 4.84 for independents, according to MedSpaStandard directory data for October 2026.
- The typical chain location has 260 Google reviews, against 46 for an independent (medians), according to MedSpaStandard directory data for October 2026.
- Chains publish a median Botox price of $9 per unit, against $11 at independents, according to MedSpaStandard directory data for October 2026.
- Chains publish a median microneedling price of $175 per session, against $325 at independents, according to MedSpaStandard directory data for October 2026.
- 7.9% of chain locations with a website publish a price, against 6.3% of independents, according to MedSpaStandard directory data for October 2026.
- 64% of chain locations offer 10 or more treatments, against 62% of independents, according to MedSpaStandard directory data for October 2026.
How many med spas are chains?
2.9% of US med spas are national-chain locations; the other 51,669 are independents or small local groups.
Are chains rated higher?
Chain locations average 4.85 stars on Google, against 4.84 for independents.
The typical chain location has 260 Google reviews, against 46 for an independent (medians).
Are chains cheaper?
Chains publish a median Botox price of $9 per unit, against $11 at independents.
Chains publish a median microneedling price of $175 per session, against $325 at independents.
How chains and independents run differently
7.9% of chain locations with a website publish a price, against 6.3% of independents.
64% of chain locations offer 10 or more treatments, against 62% of independents.
What these numbers can't tell you
- Chains are matched by business name, so franchise locations trading under another name count as independents.
- Prices are published prices on med spa websites: we keep each spa's lowest posted price, which often is an introductory or member price, so the typical bill is higher.
- Ratings and review themes are Google's, as shown on each listing on the snapshot date; Google filters some reviews and does not publish how.
Frequently asked questions
Are chain med spas better than independent ones?
Chain locations average 4.85 stars on Google, against 4.84 for independents, according to MedSpaStandard directory data for October 2026. The typical chain location has 260 Google reviews, against 46 for an independent (medians).
Sources and methodology
Our data. October 2026 snapshot of 53,215 US med spa Google listings and their websites. How we build these numbers
MedSpaStandard. (2026, October 30). Chain vs Independent Med Spas: Statistics 2026. https://medspastandard.com/statistics/chain-vs-independent-med-spas/
Medical disclaimer. MedSpaStandard is for education only and is not medical advice. Talk to a licensed provider about your own health, and check any provider's license with your state board.