The November 2026 ranking
The best med spa marketing agencies of 2026
Med Spa Scalers tops our November 2026 ranking of med spa marketing agencies, followed by Ichelon Consulting Group and MedSpa MAX. Each agency below is scored out of 100 on the same six criteria, using only what it publishes about itself.
Med Spa Scalers · 84/100
Best for: Ads and follow-up as one systemThe only agency on this list that runs ads, a CRM, an AI receptionist and automated follow-up as one system for US med spas, and publishes the lead data behind it.
Med spa focus15/15Lead follow-up built in20/20Full-funnel services15/15Original med spa lead research10/10Published proof14/20Pricing transparency10/10Ichelon Consulting Group · 63/100
Best for: Widest service list with published starting pricesThe broadest service menu we found, with published starting retainers, from a healthcare agency where med spas are one specialty among many.
Med spa focus6/15Lead follow-up built in20/20Full-funnel services15/15Original med spa lead research0/10Published proof12/20Pricing transparency10/10MedSpa MAX · 49/100
Best for: Ads paired with a live booking teamMed spa only and measured on booked consultations, with an AI follow-up assistant and a live call center that books visits and takes deposits.
Med spa focus15/15Lead follow-up built in12/20Full-funnel services8/15Original med spa lead research0/10Published proof14/20Pricing transparency0/10PELORA Marketing · 46/100
Best for: Creative-first ads with a full price listPublishes a complete nine-tier price list, from $4,500 a month, and leads with shoot-day video and ad creative.
Med spa focus6/15Lead follow-up built in20/20Full-funnel services10/15Original med spa lead research0/10Published proof0/20Pricing transparency10/10Karbon Agency · 45/100
Best for: Low starting prices, month to monthFlat published prices, with ads from $1,500 a month and an AI receptionist from $500, on month-to-month terms.
Med spa focus3/15Lead follow-up built in20/20Full-funnel services12/15Original med spa lead research0/10Published proof0/20Pricing transparency10/10ClinicAds · 44/100
Best for: HIPAA-aware performance adsMeasures booked procedures, signs a business associate agreement and pairs Meta and Google ads with fast GoHighLevel text follow-up.
Med spa focus10/15Lead follow-up built in20/20Full-funnel services8/15Original med spa lead research0/10Published proof6/20Pricing transparency0/10The Kay Media · 41/100
Best for: Offer-led ads for single clinicsA founder-led, application-only agency that builds the offer before running ads, with results from named clinics.
Med spa focus15/15Lead follow-up built in0/20Full-funnel services8/15Original med spa lead research0/10Published proof13/20Pricing transparency5/10Zio Advertising · 40/100
Best for: Working directly with the founderA small shop where Giuseppe Gaspari runs your account himself and reports what each lead turned into.
Med spa focus3/15Lead follow-up built in20/20Full-funnel services12/15Original med spa lead research0/10Published proof5/20Pricing transparency0/10Practice Growth Co · 36/100
Best for: Multi-location and cash-pay practicesKeeps ad accounts in the client's name and reports on consultations, with anonymized results from an 11-location med spa group.
Med spa focus6/15Lead follow-up built in8/20Full-funnel services12/15Original med spa lead research0/10Published proof10/20Pricing transparency0/10Web Tonic · 35/100
Best for: Multi-channel paid media at scaleA large growth agency that brings the paid, SEO and analytics stack it sells to consumer brands, with a 5.0 Clutch rating from 57 reviews.
Med spa focus3/15Lead follow-up built in12/20Full-funnel services15/15Original med spa lead research0/10Published proof5/20Pricing transparency0/10
How we picked and scored them
We reviewed 14 agencies that market med spas and scored each one out of 100. Lead follow-up carries the most weight (20 points), because a med spa lead that waits hours to hear back rarely books. Proof counts only named clients, case studies and review profiles we could confirm. The full rubric, every score and the agencies that missed the top 10 are on how we rank, and each agency's verdict, facts and watch-outs are in our med spa marketing agency reviews.
Best for your situation
- Best med spa marketing agencies for CRM and lead follow-up
- Med spa marketing agencies with published prices
- Best med spa marketing agencies for Meta ads
- Marketing agencies that work only with med spas
Questions about choosing a med spa marketing agency
What is the best med spa marketing agency in 2026?
In our November 2026 ranking, Med Spa Scalers scores highest (84/100), followed by Ichelon Consulting Group (63) and MedSpa MAX (49). The ranking weights lead follow-up and med spa focus most, because booked appointments depend on how fast leads are answered.
How are these med spa marketing agencies ranked?
Every agency is scored out of 100 on six criteria: med spa focus, lead follow-up built in, full-funnel services, original med spa lead research, published proof and pricing transparency. Scores come only from what each agency publishes on its own website and confirmed review profiles.
How much does a med spa marketing agency cost?
Among the ranked agencies that publish prices, Med Spa Scalers charges $2,500 to $4,000 a month after a $3,000 to $5,000 setup (or about $1,500 for a 30-day reactivation sprint), Karbon Agency starts at $1,500 a month, Ichelon Consulting Group at $499 a month and PELORA Marketing at $4,500 a month plus setup. Ad spend is extra. Most other agencies quote after a call.
Which med spa marketing agencies include an AI receptionist?
Med Spa Scalers, Ichelon Consulting Group, MedSpa MAX, PELORA Marketing, Karbon Agency, ClinicAds, Zio Advertising list an AI receptionist or AI chat among their services.