Key statistics
- 10,980 of the 53,215 US med spas in the MedSpaStandard directory (21%) offer Xeomin, going by their Google listings and websites, as of October 2026.
- Xeomin ranks 25th by provider count among the 81 treatments MedSpaStandard tracks, as of October 2026.
- California has the most Xeomin providers, with 1,609 med spas, according to MedSpaStandard directory data for October 2026.
- Nationally there are 3.2 med spas offering Xeomin per 100,000 residents, according to MedSpaStandard directory data for October 2026.
- Colorado has the most Xeomin providers per capita: 5.1 per 100,000 residents (304 med spas), according to MedSpaStandard directory data for October 2026.
- Google reviews of med spas offering Xeomin average 4.84 stars, across 1,727,632 reviews of 10,444 rated listings, according to MedSpaStandard directory data for October 2026.
- ASPS estimates 9,883,711 cosmetic neuromodulator injection procedures (Botox, Dysport, Xeomin, Jeuveau, Daxxify combined) were performed in the US in 2024, up 4% from 9,480,949 in 2023; this is the latest year ASPS published a count. [1]
- Women accounted for 9,289,857 (94%) of the 9,883,711 neuromodulator procedures ASPS counted in 2024. [1]
- ASPS's 2023 fee table lists an average surgeon/physician fee of $435 for a neuromodulator injection in 2023, down from $528 in 2022. It is a per-treatment physician fee from plastic surgeons, not a med spa price and not a per-unit price. [5]
- FAERS held 6,881 reports naming Dysport and 5,621 naming Xeomin as of July 2026, but both drugs are also used for medical conditions (e.g. cervical dystonia, spasticity), so these totals cannot be read as cosmetic side-effect counts. [6]
- Med spas offering Xeomin are listed in 51 of the 51 states (counting Washington, DC), according to MedSpaStandard directory data for October 2026.
- Among states with at least 30 providers, Alabama has the fewest per capita: 1.0 per 100,000 residents, according to MedSpaStandard directory data for October 2026.
How many med spas offer Xeomin?
10,980 of the 53,215 US med spas in our directory (21%) offer Xeomin, going by their Google listings and websites.
Xeomin ranks 25th by provider count among the 81 treatments we track.
Med spas offering Xeomin are listed in 51 of the 51 states (counting Washington, DC).
California has the most Xeomin providers, with 1,609 med spas.
Nationally there are 3.2 med spas offering Xeomin per 100,000 residents.
Colorado has the most Xeomin providers per capita: 5.1 per 100,000 residents (304 med spas).
Xeomin is offered in 3,135 US cities and towns in our directory.
Manhattan, NY has the most med spas offering Xeomin: 178.
4.9% of med spas offering Xeomin belong to one of the 42 national chains we match by name; the rest are independents or small local groups.
98% of Xeomin providers have claimed their Google listing.
What else do Xeomin providers offer?
99% of med spas offering Xeomin also offer Botox.
97% of med spas offering Xeomin also offer dermal fillers.
89% of med spas offering Xeomin also offer microneedling.
83% of med spas offering Xeomin also offer chemical peels.
73% of med spas offering Xeomin also offer Dysport.
71% of med spas offering Xeomin also offer lip filler.
23% of Xeomin providers with a website name the Sciton BBL device or platform.
20% of Xeomin providers with a website name the Morpheus8 device or platform.
20% of Xeomin providers with a website name the CoolSculpting device or platform.
At least 18% of Xeomin providers with a website name a patient-financing plan such as CareCredit or Cherry (we read up to six pages per site).
Find Xeomin providers near you
Compare Google ratings, reviews and posted prices at med spas in your city.
Who performs Xeomin?
53% of the 5,614 Xeomin providers that name their clinical team online list a physician (MD or DO).
48% of the 5,614 Xeomin providers that name their clinical team online list a nurse practitioner.
19% of the 5,614 Xeomin providers that name their clinical team online list a physician assistant.
36% of the 5,614 Xeomin providers that name their clinical team online list a registered nurse.
Who gets Xeomin?
Women accounted for 9,289,857 (94%) of the 9,883,711 neuromodulator procedures ASPS counted in 2024. [1]
Men accounted for 593,854 (6%) of US neuromodulator procedures in 2024 per ASPS, up 4.3% from 2023. [1]
Ages 40-54 accounted for 5,623,400 neuromodulator procedures in 2024 - 57% of the ASPS total, the largest age group by far. [1]
Ages 55-69 accounted for 2,268,223 neuromodulator procedures (23%) in 2024 per ASPS. [1]
Ages 30-39 accounted for 1,820,496 neuromodulator procedures (18%) in 2024 per ASPS. [1]
Ages 20-29 accounted for only 142,907 neuromodulator procedures (1%) in ASPS's 2024 data, and ages 19 and under for 28,685 (0%). ASPS reported no neuromodulator figure for ages 70+. [1]
ASPS's 2023 release said ages 40-54 accounted for over 56% of neuromodulator injections in 2023, while the 20-29 and 30-39 age groups each grew more than 8% and male neuromodulator patients grew 5%. [3]
How many Xeomin procedures are done?
ASPS estimates 9,883,711 cosmetic neuromodulator injection procedures (Botox, Dysport, Xeomin, Jeuveau, Daxxify combined) were performed in the US in 2024, up 4% from 9,480,949 in 2023; this is the latest year ASPS published a count. [1]
ASPS's 2023 report counted 9,480,949 neuromodulator procedures in 2023, up 9% from 8,736,591 in 2022 - so the three-year ASPS series is 8.74 million (2022), 9.48 million (2023) and 9.88 million (2024). [2]
ASPS reported that neuromodulator injections among male patients rose 65% and dermal fillers among male patients rose 70% between 2019 and 2022. [4]
How safe is Xeomin?
FAERS held 6,881 reports naming Dysport and 5,621 naming Xeomin as of July 2026, but both drugs are also used for medical conditions (e.g. cervical dystonia, spasticity), so these totals cannot be read as cosmetic side-effect counts. [6]
In that 2026 multi-database analysis, onabotulinumtoxinA (Botox) accounted for 86.8% of FAERS aesthetic-toxin reports with brand attribution, abobotulinumtoxinA (Dysport) 9.7% and incobotulinumtoxinA (Xeomin) 2.4% - largely reflecting market share, not relative risk. [7]
How do patients rate Xeomin providers on Google?
Google reviews of med spas offering Xeomin average 4.84 stars, across 1,727,632 reviews of 10,444 rated listings.
94% of the Google reviews left for Xeomin providers are 5-star.
Star ratings in Google reviews of Xeomin providers
Share of 1,727,632 reviews
Source: Google reviews, MedSpaStandard, October 2026
83% of Xeomin providers with at least 5 reviews hold a 4.8-star rating or better.
3.5% of the Google reviews left for Xeomin providers give 1 or 2 stars.
1.1% of Xeomin providers with at least 5 reviews average under 4.0 stars.
Google lists results as a review theme for 15% of Xeomin providers with review themes.
Google lists natural-looking results as a review theme for 9.8% of Xeomin providers with review themes.
What published research says
These numbers come from outside sources, not our directory; each one links to its source below.
- ASPS's 2023 fee table lists an average surgeon/physician fee of $435 for a neuromodulator injection in 2023, down from $528 in 2022. It is a per-treatment physician fee from plastic surgeons, not a med spa price and not a per-unit price. [5]
What these numbers can't tell you
- 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.
Frequently asked questions
How many med spas offer Xeomin?
10,980 of the 53,215 US med spas in the MedSpaStandard directory (21%) offer Xeomin, going by their Google listings and websites, as of October 2026. Nationally there are 3.2 med spas offering Xeomin per 100,000 residents.
Which state has the most Xeomin providers per capita?
Colorado has the most Xeomin providers per capita: 5.1 per 100,000 residents (304 med spas), according to MedSpaStandard directory data for October 2026. California has the most Xeomin providers, with 1,609 med spas.
What other treatments do Xeomin providers offer?
99% of med spas offering Xeomin also offer Botox, according to MedSpaStandard directory data for October 2026. 97% of med spas offering Xeomin also offer dermal fillers.
Who performs Xeomin at med spas?
53% of the 5,614 Xeomin providers that name their clinical team online list a physician (MD or DO), according to MedSpaStandard directory data for October 2026. 48% of the 5,614 Xeomin providers that name their clinical team online list a nurse practitioner.
How do patients rate Xeomin providers on Google?
Google reviews of med spas offering Xeomin average 4.84 stars, across 1,727,632 reviews of 10,444 rated listings, according to MedSpaStandard directory data for October 2026. 94% of the Google reviews left for Xeomin providers are 5-star.
Sources and methodology
Our data. October 2026 snapshot of 53,215 US med spa Google listings and their websites. How we build these numbers
- web.archive.org · web.archive.org
- web.archive.org · web.archive.org
- plasticsurgery.org · American Society of Plastic Surgeons
- plasticsurgery.org · American Society of Plastic Surgeons
- web.archive.org · web.archive.org
- api.fda.gov · U.S. Food and Drug Administration
- pubmed.ncbi.nlm.nih.gov · National Library of Medicine
MedSpaStandard. (2026, October 30). Xeomin Statistics 2026. https://medspastandard.com/statistics/xeomin/
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.