{"title":"Botox Statistics 2026","url":"https://medspastandard.com/statistics/botox/","snapshot":"2026-10-30","source":"MedSpaStandard directory snapshot 2026-10-30 (https://medspastandard.com/statistics/botox/)","numbers":[{"id":"providers","label":"med spas offering Botox","value":38113,"display":"38,113","kind":"count","n":38113,"denominator":null,"scope":"national","statement":"38,113 of the 53,215 US med spas in the MedSpaStandard directory (72%) offer Botox, going by their Google listings and websites, as of October 2026.","method":"Listings whose Google listing (services, description, review topics) or website names the treatment."},{"id":"providers_share","label":"of US med spas","value":71.62,"display":"72%","kind":"share","n":38113,"denominator":53215,"scope":"national","statement":"72% of the 53,215 US med spas in the MedSpaStandard directory offer Botox, as of October 2026."},{"id":"rank","label":"of 81 treatments by provider count","value":1,"display":"1st","kind":"rank","n":null,"denominator":null,"scope":"national","statement":"Botox ranks 1st by provider count among the 81 treatments MedSpaStandard tracks, as of October 2026."},{"id":"states","label":"states with providers","value":51,"display":"51","kind":"count","n":null,"denominator":null,"scope":"national","statement":"Med spas offering Botox are listed in 51 of the 51 states (counting Washington, DC), according to MedSpaStandard directory data for October 2026."},{"id":"top_state","label":"providers in California","value":4894,"display":"4,894","kind":"count","n":null,"denominator":null,"scope":"national","statement":"California has the most Botox providers, with 4,894 med spas, according to MedSpaStandard directory data for October 2026."},{"id":"per100k","label":"providers per 100,000 residents","value":11.206,"display":"11.2","kind":"rate","n":null,"denominator":null,"scope":"national","statement":"Nationally there are 11.2 med spas offering Botox per 100,000 residents, according to MedSpaStandard directory data for October 2026.","method":"Per-capita rates use Census Bureau Vintage 2024 population estimates (July 1, 2024)."},{"id":"top_state_pc","label":"per 100,000 in Colorado","value":18.9509,"display":"19.0","kind":"rate","n":null,"denominator":null,"scope":"state","statement":"Colorado has the most Botox providers per capita: 19.0 per 100,000 residents (1,129 med spas), according to MedSpaStandard directory data for October 2026."},{"id":"low_state_pc","label":"per 100,000 in Alabama","value":4.3624,"display":"4.4","kind":"rate","n":null,"denominator":null,"scope":"state","statement":"Among states with at least 30 providers, Alabama has the fewest per capita: 4.4 per 100,000 residents, according to MedSpaStandard directory data for October 2026."},{"id":"cities","label":"cities with providers","value":5469,"display":"5,469","kind":"count","n":null,"denominator":null,"scope":"national","statement":"Botox is offered in 5,469 US cities and towns in the MedSpaStandard directory, as of October 2026."},{"id":"top_city","label":"providers in Manhattan, NY","value":682,"display":"682","kind":"count","n":null,"denominator":null,"scope":"national","statement":"Manhattan, NY has the most med spas offering Botox: 682, according to MedSpaStandard directory data for October 2026."},{"id":"chain_share","label":"belong to a national chain","value":2.18,"display":"2.2%","kind":"share","n":832,"denominator":38113,"scope":"national","statement":"2.2% of med spas offering Botox belong to one of the 42 national chains we match by name; the rest are independents or small local groups, according to MedSpaStandard directory data for October 2026."},{"id":"claimed_share","label":"claimed Google listing","value":96.65,"display":"97%","kind":"share","n":36837,"denominator":38113,"scope":"national","statement":"97% of Botox providers have claimed their Google listing, according to MedSpaStandard directory data for October 2026."},{"id":"co_dermal-fillers","label":"also offer dermal fillers","value":90.78,"display":"91%","kind":"share","n":34599,"denominator":38113,"scope":"national","statement":"91% of med spas offering Botox also offer dermal fillers, according to MedSpaStandard directory data for October 2026."},{"id":"co_microneedling","label":"also offer microneedling","value":77.25,"display":"77%","kind":"share","n":29444,"denominator":38113,"scope":"national","statement":"77% of med spas offering Botox also offer microneedling, according to MedSpaStandard directory data for October 2026."},{"id":"co_chemical-peel","label":"also offer chemical peels","value":71.5,"display":"72%","kind":"share","n":27251,"denominator":38113,"scope":"national","statement":"72% of med spas offering Botox also offer chemical peels, according to MedSpaStandard directory data for October 2026."},{"id":"co_lip-filler","label":"also offer lip filler","value":59.33,"display":"59%","kind":"share","n":22611,"denominator":38113,"scope":"national","statement":"59% of med spas offering Botox also offer lip filler, according to MedSpaStandard directory data for October 2026."},{"id":"co_laser-hair-removal","label":"also offer laser hair removal","value":52.37,"display":"52%","kind":"share","n":19960,"denominator":38113,"scope":"national","statement":"52% of med spas offering Botox also offer laser hair removal, according to MedSpaStandard directory data for October 2026."},{"id":"co_dysport","label":"also offer Dysport","value":51.36,"display":"51%","kind":"share","n":19574,"denominator":38113,"scope":"national","statement":"51% of med spas offering Botox also offer Dysport, according to MedSpaStandard directory data for October 2026."},{"id":"dev_sciton-bbl","label":"name Sciton BBL","value":18.85,"display":"19%","kind":"share","n":6833,"denominator":36249,"scope":"national","statement":"19% of Botox providers with a website name the Sciton BBL device or platform, according to MedSpaStandard directory data for October 2026."},{"id":"dev_coolsculpting","label":"name CoolSculpting","value":16.26,"display":"16%","kind":"share","n":5894,"denominator":36249,"scope":"national","statement":"16% of Botox providers with a website name the CoolSculpting device or platform, according to MedSpaStandard directory data for October 2026."},{"id":"dev_morpheus8","label":"name Morpheus8","value":15.31,"display":"15%","kind":"share","n":5551,"denominator":36249,"scope":"national","statement":"15% of Botox providers with a website name the Morpheus8 device or platform, according to MedSpaStandard directory data for October 2026."},{"id":"financing","label":"name a financing plan","value":13.72,"display":"14%","kind":"share","n":4975,"denominator":36249,"scope":"national","statement":"At least 14% of Botox providers with a website name a patient-financing plan such as CareCredit or Cherry (we read up to six pages per site), according to MedSpaStandard directory data for October 2026."},{"id":"cred_physician","label":"name a physician (MD or DO)","value":56.1,"display":"56%","kind":"share","n":9062,"denominator":16154,"scope":"national","statement":"56% of the 16,154 Botox providers that name their clinical team online list a physician (MD or DO), according to MedSpaStandard directory data for October 2026."},{"id":"cred_np","label":"name a nurse practitioner","value":42.71,"display":"43%","kind":"share","n":6900,"denominator":16154,"scope":"national","statement":"43% of the 16,154 Botox providers that name their clinical team online list a nurse practitioner, according to MedSpaStandard directory data for October 2026."},{"id":"cred_pa","label":"name a physician assistant","value":19.03,"display":"19%","kind":"share","n":3074,"denominator":16154,"scope":"national","statement":"19% of the 16,154 Botox providers that name their clinical team online list a physician assistant, according to MedSpaStandard directory data for October 2026."},{"id":"cred_rn","label":"name a registered nurse","value":32.18,"display":"32%","kind":"share","n":5199,"denominator":16154,"scope":"national","statement":"32% of the 16,154 Botox providers that name their clinical team online list a registered nurse, according to MedSpaStandard directory data for October 2026."},{"id":"price_n","label":"med spas publishing a price","value":1561,"display":"1,561","kind":"count","n":1561,"denominator":null,"scope":"national","statement":"1,561 of the 36,249 med spas offering Botox that have a website (4.3%) publish a price for it; most only quote prices at a consultation, according to MedSpaStandard directory data for October 2026."},{"id":"price_share","label":"publish a price online","value":4.31,"display":"4.3%","kind":"share","n":1561,"denominator":36249,"scope":"national","statement":"4.3% of the 36,249 Botox providers with a website publish a Botox price online, according to MedSpaStandard directory data for October 2026."},{"id":"median","label":"median published price per unit","value":11,"display":"$11","kind":"median","n":1561,"denominator":null,"scope":"national","statement":"The median published price for Botox is $11 per unit, across 1,561 per-unit prices for Botox and the other neurotoxins (Dysport, Xeomin, Jeuveau, Daxxify), according to MedSpaStandard directory data for October 2026.","method":"Each spa's lowest posted price on its own website, one price per spa; package, series and 'was' prices are dropped."},{"id":"iqr","label":"middle half of published prices per unit","value":2,"display":"$10–$12","kind":"quantile","n":1561,"denominator":null,"scope":"national","statement":"The middle half of published Botox prices runs from $10 to $12 per unit, according to MedSpaStandard directory data for October 2026."},{"id":"p10","label":"10th percentile per unit","value":8.99,"display":"$8.99","kind":"quantile","n":1561,"denominator":null,"scope":"national","statement":"One in ten published Botox prices is $8.99 per unit or less, usually a new-client or member special, according to MedSpaStandard directory data for October 2026."},{"id":"p90","label":"90th percentile per unit","value":13.5,"display":"$13.50","kind":"quantile","n":1561,"denominator":null,"scope":"national","statement":"One in ten published Botox prices is $13.50 per unit or more, according to MedSpaStandard directory data for October 2026."},{"id":"chain_median","label":"chain median per unit","value":9,"display":"$9","kind":"median","n":37,"denominator":null,"scope":"national","statement":"National chains publish a median Botox price of $9 per unit, against $11 at independents, according to MedSpaStandard directory data for October 2026."},{"id":"region_northeast","label":"median in the Northeast","value":12,"display":"$12","kind":"median","n":236,"denominator":null,"scope":"region","statement":"In the Northeast, the median published Botox price is $12 per unit (236 prices), according to MedSpaStandard directory data for October 2026."},{"id":"region_west","label":"median in the West","value":11,"display":"$11","kind":"median","n":456,"denominator":null,"scope":"region","statement":"In the West, the median published Botox price is $11 per unit (456 prices), according to MedSpaStandard directory data for October 2026."},{"id":"region_midwest","label":"median in the Midwest","value":11,"display":"$11","kind":"median","n":240,"denominator":null,"scope":"region","statement":"In the Midwest, the median published Botox price is $11 per unit (240 prices), according to MedSpaStandard directory data for October 2026."},{"id":"region_south","label":"median in the South","value":10.3,"display":"$10.30","kind":"median","n":629,"denominator":null,"scope":"region","statement":"In the South, the median published Botox price is $10.30 per unit (629 prices), according to MedSpaStandard directory data for October 2026."},{"id":"state_hi","label":"highest state median (Massachusetts)","value":12.5,"display":"$12.50","kind":"median","n":32,"denominator":null,"scope":"state","statement":"Among states with at least 25 published Botox prices, Massachusetts has the highest median at $12.50 per unit and Georgia the lowest at $10, according to MedSpaStandard directory data for October 2026."},{"id":"avg_rating","label":"average Google rating (review-weighted)","value":4.8371,"display":"4.84","kind":"avg","n":5062229,"denominator":35370,"scope":"national","statement":"Google reviews of med spas offering Botox average 4.84 stars, across 5,062,229 reviews of 35,370 rated listings, according to MedSpaStandard directory data for October 2026."},{"id":"five_star","label":"5-star reviews","value":94.19,"display":"94%","kind":"share","n":4768225,"denominator":5062229,"scope":"national","statement":"94% of the Google reviews left for Botox providers are 5-star, according to MedSpaStandard directory data for October 2026."},{"id":"rated48","label":"rated 4.8+","value":79.57,"display":"80%","kind":"share","n":25670,"denominator":32259,"scope":"national","statement":"80% of Botox providers with at least 5 reviews hold a 4.8-star rating or better, according to MedSpaStandard directory data for October 2026."},{"id":"low_star","label":"1- or 2-star reviews","value":3.6,"display":"3.6%","kind":"share","n":182017,"denominator":5062229,"scope":"national","statement":"3.6% of the Google reviews left for Botox providers give 1 or 2 stars, according to MedSpaStandard directory data for October 2026."},{"id":"under4","label":"rated under 4.0","value":1.88,"display":"1.9%","kind":"share","n":607,"denominator":32259,"scope":"national","statement":"1.9% of Botox providers with at least 5 reviews average under 4.0 stars, according to MedSpaStandard directory data for October 2026."},{"id":"results_theme","label":"review themes mention results","value":15.08,"display":"15%","kind":"share","n":4398,"denominator":29159,"scope":"national","statement":"Google lists results as a review theme for 15% of Botox providers with review themes, according to MedSpaStandard directory data for October 2026."},{"id":"natural_theme","label":"review themes mention natural results","value":8.55,"display":"8.5%","kind":"share","n":2492,"denominator":29159,"scope":"national","statement":"Google lists natural-looking results as a review theme for 8.5% of Botox providers with review themes, according to MedSpaStandard directory data for October 2026."}],"table":{"title":"Botox providers by state","head":["State","Med spas offering it","Share of the state's med spas","Per 100,000 residents"],"rows":[["California","4,894","76%","12.4"],["Texas","4,516","74%","14.4"],["Florida","4,347","66%","18.6"],["New York","2,488","62%","12.5"],["Arizona","1,401","69%","18.5"],["Illinois","1,235","74%","9.7"],["Georgia","1,163","66%","10.4"],["Colorado","1,129","71%","19.0"],["New Jersey","1,025","74%","10.8"],["Massachusetts","1,006","74%","14.1"],["Pennsylvania","928","72%","7.1"],["North Carolina","916","71%","8.3"],["Michigan","896","72%","8.8"],["Tennessee","829","78%","11.5"],["Virginia","827","68%","9.4"],["Ohio","814","76%","6.8"],["Washington","781","73%","9.8"],["Missouri","604","74%","9.7"],["Maryland","560","72%","8.9"],["Utah","523","75%","14.9"],["South Carolina","478","76%","8.7"],["Minnesota","471","70%","8.1"],["Oregon","453","71%","10.6"],["Nevada","451","65%","13.8"],["Indiana","450","74%","6.5"],["Connecticut","420","76%","11.4"],["Kentucky","396","78%","8.6"],["Wisconsin","384","74%","6.4"],["Oklahoma","383","76%","9.4"],["Louisiana","361","73%","7.9"],["Idaho","269","73%","13.4"],["Iowa","245","78%","7.6"],["Kansas","240","75%","8.1"],["Arkansas","237","72%","7.7"],["Alabama","225","69%","4.4"],["New Mexico","213","78%","10.0"],["Mississippi","179","81%","6.1"],["New Hampshire","166","79%","11.8"],["Nebraska","154","78%","7.7"],["Hawaii","149","72%","10.3"],["Montana","135","76%","11.9"],["Maine","122","72%","8.7"],["Rhode Island","99","74%","8.9"],["West Virginia","86","75%","4.9"],["Delaware","82","73%","7.8"],["Wyoming","81","79%","13.8"],["District of Columbia","75","–","10.7"],["South Dakota","69","–","7.5"],["North Dakota","67","–","8.4"],["Alaska","58","–","7.8"],["Vermont","33","–","5.1"]]},"caveats":["Counts are Google Maps listings we classify as med spas, so they include dermatology and plastic surgery practices that offer med spa treatments and exclude spas without a Google listing.","A treatment counts when the spa's Google listing or website names it, so a spa with an outdated menu can be over- or under-counted.","Credentials count only clinicians a spa names with a credential (MD, DO, NP, PA, RN) on its own website, so spas that leave their team off their website are left out of those shares.","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.","We hold no patient records: every figure describes providers, their listings and their Google reviews, not who gets treated.","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."]}