{"title":"Hormone Replacement Therapy Statistics 2026","url":"https://medspastandard.com/statistics/hormone-replacement-therapy/","snapshot":"2026-10-30","source":"MedSpaStandard directory snapshot 2026-10-30 (https://medspastandard.com/statistics/hormone-replacement-therapy/)","numbers":[{"id":"providers","label":"med spas offering hormone replacement therapy","value":8796,"display":"8,796","kind":"count","n":8796,"denominator":null,"scope":"national","statement":"8,796 of the 53,215 US med spas in the MedSpaStandard directory (17%) offer hormone replacement therapy, 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":16.53,"display":"17%","kind":"share","n":8796,"denominator":53215,"scope":"national","statement":"17% of the 53,215 US med spas in the MedSpaStandard directory offer hormone replacement therapy, as of October 2026."},{"id":"rank","label":"of 81 treatments by provider count","value":32,"display":"32nd","kind":"rank","n":null,"denominator":null,"scope":"national","statement":"Hormone replacement therapy ranks 32nd 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 hormone replacement therapy 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 Florida","value":1322,"display":"1,322","kind":"count","n":null,"denominator":null,"scope":"national","statement":"Florida has the most hormone replacement therapy providers, with 1,322 med spas, according to MedSpaStandard directory data for October 2026."},{"id":"per100k","label":"providers per 100,000 residents","value":2.5862,"display":"2.6","kind":"rate","n":null,"denominator":null,"scope":"national","statement":"Nationally there are 2.6 med spas offering hormone replacement therapy 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 Florida","value":5.6563,"display":"5.7","kind":"rate","n":null,"denominator":null,"scope":"state","statement":"Florida has the most hormone replacement therapy providers per capita: 5.7 per 100,000 residents (1,322 med spas), according to MedSpaStandard directory data for October 2026."},{"id":"low_state_pc","label":"per 100,000 in Pennsylvania","value":1.124,"display":"1.1","kind":"rate","n":null,"denominator":null,"scope":"state","statement":"Among states with at least 30 providers, Pennsylvania has the fewest per capita: 1.1 per 100,000 residents, according to MedSpaStandard directory data for October 2026."},{"id":"cities","label":"cities with providers","value":2864,"display":"2,864","kind":"count","n":null,"denominator":null,"scope":"national","statement":"Hormone replacement therapy is offered in 2,864 US cities and towns in the MedSpaStandard directory, as of October 2026."},{"id":"top_city","label":"providers in Miami, FL","value":102,"display":"102","kind":"count","n":null,"denominator":null,"scope":"national","statement":"Miami, FL has the most med spas offering hormone replacement therapy: 102, according to MedSpaStandard directory data for October 2026."},{"id":"chain_share","label":"belong to a national chain","value":2.05,"display":"2.0%","kind":"share","n":180,"denominator":8796,"scope":"national","statement":"2.0% of med spas offering hormone replacement therapy 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":97.65,"display":"98%","kind":"share","n":8589,"denominator":8796,"scope":"national","statement":"98% of hormone replacement therapy providers have claimed their Google listing, according to MedSpaStandard directory data for October 2026."},{"id":"co_botox","label":"also offer Botox","value":92.08,"display":"92%","kind":"share","n":8099,"denominator":8796,"scope":"national","statement":"92% of med spas offering hormone replacement therapy also offer Botox, according to MedSpaStandard directory data for October 2026."},{"id":"co_dermal-fillers","label":"also offer dermal fillers","value":87.66,"display":"88%","kind":"share","n":7711,"denominator":8796,"scope":"national","statement":"88% of med spas offering hormone replacement therapy also offer dermal fillers, according to MedSpaStandard directory data for October 2026."},{"id":"co_microneedling","label":"also offer microneedling","value":81.86,"display":"82%","kind":"share","n":7200,"denominator":8796,"scope":"national","statement":"82% of med spas offering hormone replacement therapy also offer microneedling, according to MedSpaStandard directory data for October 2026."},{"id":"co_chemical-peel","label":"also offer chemical peels","value":72.4,"display":"72%","kind":"share","n":6368,"denominator":8796,"scope":"national","statement":"72% of med spas offering hormone replacement therapy also offer chemical peels, according to MedSpaStandard directory data for October 2026."},{"id":"co_iv-therapy","label":"also offer IV therapy","value":63.02,"display":"63%","kind":"share","n":5543,"denominator":8796,"scope":"national","statement":"63% of med spas offering hormone replacement therapy also offer IV therapy, according to MedSpaStandard directory data for October 2026."},{"id":"co_lip-filler","label":"also offer lip filler","value":59.96,"display":"60%","kind":"share","n":5274,"denominator":8796,"scope":"national","statement":"60% of med spas offering hormone replacement therapy also offer lip filler, according to MedSpaStandard directory data for October 2026."},{"id":"dev_morpheus8","label":"name Morpheus8","value":22.47,"display":"22%","kind":"share","n":1951,"denominator":8681,"scope":"national","statement":"22% of hormone replacement therapy providers with a website name the Morpheus8 device or platform, according to MedSpaStandard directory data for October 2026."},{"id":"dev_sciton-bbl","label":"name Sciton BBL","value":22.35,"display":"22%","kind":"share","n":1940,"denominator":8681,"scope":"national","statement":"22% of hormone replacement therapy 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":16.09,"display":"16%","kind":"share","n":1397,"denominator":8681,"scope":"national","statement":"16% of hormone replacement therapy providers with a website name the CoolSculpting device or platform, according to MedSpaStandard directory data for October 2026."},{"id":"financing","label":"name a financing plan","value":17.52,"display":"18%","kind":"share","n":1521,"denominator":8681,"scope":"national","statement":"At least 18% of hormone replacement therapy 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":48.1,"display":"48%","kind":"share","n":2310,"denominator":4802,"scope":"national","statement":"48% of the 4,802 hormone replacement therapy 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":56.35,"display":"56%","kind":"share","n":2706,"denominator":4802,"scope":"national","statement":"56% of the 4,802 hormone replacement therapy 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":16.43,"display":"16%","kind":"share","n":789,"denominator":4802,"scope":"national","statement":"16% of the 4,802 hormone replacement therapy 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":32.15,"display":"32%","kind":"share","n":1544,"denominator":4802,"scope":"national","statement":"32% of the 4,802 hormone replacement therapy providers that name their clinical team online list a registered nurse, according to MedSpaStandard directory data for October 2026."},{"id":"avg_rating","label":"average Google rating (review-weighted)","value":4.8775,"display":"4.88","kind":"avg","n":1157445,"denominator":8339,"scope":"national","statement":"Google reviews of med spas offering hormone replacement therapy average 4.88 stars, across 1,157,445 reviews of 8,339 rated listings, according to MedSpaStandard directory data for October 2026."},{"id":"five_star","label":"5-star reviews","value":95.77,"display":"96%","kind":"share","n":1108533,"denominator":1157445,"scope":"national","statement":"96% of the Google reviews left for hormone replacement therapy providers are 5-star, according to MedSpaStandard directory data for October 2026."},{"id":"rated48","label":"rated 4.8+","value":84.11,"display":"84%","kind":"share","n":6569,"denominator":7810,"scope":"national","statement":"84% of hormone replacement therapy 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":2.79,"display":"2.8%","kind":"share","n":32246,"denominator":1157445,"scope":"national","statement":"2.8% of the Google reviews left for hormone replacement therapy providers give 1 or 2 stars, according to MedSpaStandard directory data for October 2026."},{"id":"under4","label":"rated under 4.0","value":1.25,"display":"1.3%","kind":"share","n":98,"denominator":7810,"scope":"national","statement":"1.3% of hormone replacement therapy 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":11.08,"display":"11%","kind":"share","n":785,"denominator":7085,"scope":"national","statement":"Google lists results as a review theme for 11% of hormone replacement therapy providers with review themes, according to MedSpaStandard directory data for October 2026."},{"id":"natural_theme","label":"review themes mention natural results","value":5.7,"display":"5.7%","kind":"share","n":404,"denominator":7085,"scope":"national","statement":"Google lists natural-looking results as a review theme for 5.7% of hormone replacement therapy providers with review themes, according to MedSpaStandard directory data for October 2026."}],"table":{"title":"Hormone replacement therapy providers by state","head":["State","Med spas offering it","Share of the state's med spas","Per 100,000 residents"],"rows":[["Florida","1,322","20%","5.7"],["Texas","1,003","17%","3.2"],["California","813","13%","2.1"],["Arizona","372","18%","4.9"],["Georgia","340","19%","3.0"],["Colorado","281","18%","4.7"],["New York","273","6.8%","1.4"],["Illinois","257","15%","2.0"],["North Carolina","241","19%","2.2"],["Ohio","234","22%","2.0"],["Tennessee","229","21%","3.2"],["Virginia","201","17%","2.3"],["Utah","192","27%","5.5"],["Missouri","180","22%","2.9"],["New Jersey","173","12%","1.8"],["Massachusetts","173","13%","2.4"],["Washington","149","14%","1.9"],["Pennsylvania","147","11%","1.1"],["South Carolina","146","23%","2.7"],["Oklahoma","142","28%","3.5"],["Michigan","128","10%","1.3"],["Indiana","127","21%","1.8"],["Maryland","125","16%","2.0"],["Louisiana","114","23%","2.5"],["Kentucky","108","21%","2.4"],["Kansas","101","31%","3.4"],["Minnesota","96","14%","1.7"],["Nevada","94","14%","2.9"],["Connecticut","91","16%","2.5"],["Arkansas","91","28%","2.9"],["Alabama","86","26%","1.7"],["New Mexico","75","27%","3.5"],["Wisconsin","74","14%","1.2"],["Iowa","68","22%","2.1"],["Idaho","67","18%","3.3"],["Oregon","64","10.0%","1.5"],["Mississippi","61","28%","2.1"],["Nebraska","52","26%","2.6"],["New Hampshire","51","24%","3.6"],["Montana","44","25%","3.9"],["West Virginia","27","23%","1.5"],["South Dakota","27","–","2.9"],["Hawaii","26","12%","1.8"],["Maine","24","14%","1.7"],["Delaware","21","19%","2.0"],["North Dakota","20","–","2.5"],["Wyoming","19","19%","3.2"],["Rhode Island","19","14%","1.7"],["Alaska","17","–","2.3"],["Vermont","6","–","0.9"],["District of Columbia","5","–","0.7"]]},"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.","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."]}