Key statistics
- 2 of the 387 US metropolitan areas have no med spa in the MedSpaStandard directory, as of October 2026.
- About 291,000 people live in US metro areas with no med spa in the MedSpaStandard directory, as of October 2026.
- Among metros of 250,000 people or more, Erie, PA has the fewest med spas per capita: 3.7 per 100,000 residents, according to MedSpaStandard directory data for October 2026.
- Outside metro areas there are 6.6 med spas per 100,000 residents, against 17.1 inside them, according to MedSpaStandard directory data for October 2026.
- Alabama has the fewest med spas per capita of any state: 6.3 per 100,000 residents, according to MedSpaStandard directory data for October 2026.
- 3 of the 195 US metros of 250,000+ people have fewer than 5 med spas per 100,000 residents, under a third of the national rate, according to MedSpaStandard directory data for October 2026.
Where are the med spa deserts?
2 of the 387 US metropolitan areas have no med spa in our directory.
About 291,000 people live in US metro areas with no med spa in our directory.
Among metros of 250,000 people or more, Erie, PA has the fewest med spas per capita: 3.7 per 100,000 residents.
Outside metro areas there are 6.6 med spas per 100,000 residents, against 17.1 inside them.
Alabama has the fewest med spas per capita of any state: 6.3 per 100,000 residents.
3 of the 195 US metros of 250,000+ people have fewer than 5 med spas per 100,000 residents, under a third of the national rate.
What these numbers can't tell you
- Per-capita rates use Census Bureau Vintage 2024 population estimates (July 1, 2024).
- Spas are placed in a metro through their city; cities we can't match to the Census take the metro of the nearest matched city within 25 miles.
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). Med Spa Access and Deserts Statistics 2026. https://medspastandard.com/statistics/med-spa-access/
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.