Best Medical Spa Software for 2026: 10 Options Compared by Use Case
Compare the 10 best medical spa software options on price, charting, booking and HIPAA features, with every price checked today, November 8, 2026.
We compare pricing pages, documentation and public reviews. We never accept payment for rankings.

Key takeaways
- GlossGenius is the cheapest entry at $28/month, Vagaro follows at $30/month with a cost ceiling, and Aesthetic Record is the cheapest true medspa EMR at $15 per user a month.
- No tool here has a free plan — only free trials — so budget the subscription from month one, plus card processing on every sale.
- The single most important buying factor is whether you need clinical charting: booking tools start cheap, but HIPAA charting, photos and e-prescribing live on higher tiers or separate plans.
- Per-user and per-calendar pricing decide the real bill: a three-provider practice pays $45 a month on Aesthetic Record but $150 on Mangomint before add-ons.
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Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|---|---|---|
| GlossGenius | Solo providers and small teams that want the lowest entry price, with a dedicated medspa plan to grow into | $28/mo | No (14-day trial) |
| Vagaro | Small medspas that want an all-in-one platform with a hard cap on subscription cost | $30/mo | No (30-day trial) |
| Aesthetic Record | Injector-led medspas that need real clinical charting first and marketing second | $15/mo per user | No (14-day trial) |
| Fresha | Solo providers and new medspas that want marketplace discovery at the lowest subscription | $19.95/mo | No (7-day trial) |
| Booksy | Small teams that want a big consumer marketplace with one simple price | $29.99/mo | No (14-day trial) |
| Jane | Wellness-led clinics that want scheduling, charting and payments in one calm system | $59/mo | No (demo only) |
| Mangomint | Salon-spa teams that want the highest-rated support and no contracts | $130/mo | No (free trial) |
| Boulevard | Growing medspas that want a polished client experience and are ready to pay per location | $159/mo | No (demo only) |
| AestheticsPro | Established medspas that want a deep form library and e-prescribing in one EMR | $160/mo | No (demo only) |
| Zenoti | Enterprise medspa chains and franchises that need multi-location scale | Custom quote | No (demo only) |
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Request a listingThe best medical spa software
GlossGenius
Best for: Solo providers and small teams that want the lowest entry price, with a dedicated medspa plan to grow into
GlossGenius is the cheapest way into this list for a solo provider or a small team: Standard costs $28 a month, or $24 billed annually, and covers online booking, payments, client records with SOAP notes, automated reminders, gift cards, memberships and packages. Gold costs $56 a month and adds forms, waitlists and Google booking for up to nine staff, while Platinum costs $168 for teams of ten or more.
The catch is clinical depth. Standard has no HIPAA charting; that sits on separate Practice plans, reported at $168 a month for Essentials, so a medspa doing injectables should budget past Standard from the start. Payment processing is a flat 2.6% on card payments. Buy GlossGenius when the practice is small and booking-led; buy Aesthetic Record when charting leads.
What we like
- Lowest entry price here: Standard is $28/month, or $24/month billed annually
- Dedicated medspa Practice plan ($168/month) adds EMR tools and HIPAA compliance
- Free data transfer moves appointments and client records from the old system
- Free same-day payouts Monday to Thursday, with instant payouts available
Watch out for
- Standard lacks clinical charting depth — the medspa Practice plan costs $168/month
- AI teammates are only a limited trial on Standard, not a full included feature
- No free plan, and payroll and receptionist features are paid add-ons
Vagaro
Best for: Small medspas that want an all-in-one platform with a hard cap on subscription cost
Vagaro is the all-rounder in this list: one plan priced per bookable calendar, starting at $30 a month for one calendar, with a $23.99 rate for the first six months. Each extra calendar costs $10 a month, and the subscription stops growing after seven paid calendars, so a large team pays the same as a seven-person team. Booking, POS, memberships, packages, gift cards, SOAP notes and inventory all come in the base price.
The limits are the add-ons. Text marketing, intake forms and the branded app all cost extra, and card processing runs 2.2% to 3.5% on top of the subscription. Vagaro has an EMR module for treatment plans and injectables, though reviewers say it is lighter than a dedicated medspa EMR. Pick Vagaro when you want a predictable platform that stops getting more expensive as the team grows.
What we like
- Subscription stops growing after seven paid calendars, capping the monthly cost
- SOAP notes and a free marketplace listing are included on the base plan
- AI-powered business tools and marketing are included with every plan
- No contracts, and the $23.99/month rate covers the first six months for new customers
Watch out for
- Each extra bookable calendar costs $10/month, so the bill grows with headcount
- Text marketing, intake forms and the branded app are paid add-ons
- Each location is a separate full-price account, with no multi-location discount
Aesthetic Record
Best for: Injector-led medspas that need real clinical charting first and marketing second
Aesthetic Record is the only tool here built as a medspa EMR first and a booking system second. Essentials costs $15 per user a month and covers charting and SOAP notes, before-and-after photos, scheduling, POS and inventory, with 2 GB of storage, 250 SMS and 300 emails per user a month. Accelerator costs $19 per user and adds integrations and more storage; Enterprise is quoted per practice.
Every new account also pays a one-time $399 startup and onboarding fee, which buys a 90-day guided onboarding with a specialist. ChartSmart AI and e-prescribing are paid extras, not part of the base price, and reviewers report a fee to export patient data, so ask about portability in writing before signing. Choose Aesthetic Record when charting, photos and medical director oversight are the job.
What we like
- Cheapest genuine medspa EMR here, at $15 per user a month on Essentials
- ChartSmart AI drafts SOAP, procedure, follow-up and surgical notes from dictation
- HIPAA patient records with medical director oversight built into the platform
- No monthly contract, with booking, POS, inventory and photo tools in one price
Watch out for
- A $399 startup and onboarding fee applies to every new account
- ChartSmart AI and e-prescribing cost extra on top of the subscription
- Reviewers report a data-export fee, so ask about portability before signing
Fresha
Best for: Solo providers and new medspas that want marketplace discovery at the lowest subscription
Fresha is the discovery pick: the subscription is the cheapest here, at $19.95 a month for a solo provider on Independent, and the marketplace puts the practice in front of millions of beauty clients. Team costs $14.95 a month per bookable team member. Independent includes one calendar, unlimited bookings, online booking, payments, 100 free messages and 50 free marketing emails, with no long-term contract.
The marketplace is also the catch. A brand-new client who finds the practice through Fresha costs a one-time 20% commission, with a $6 minimum, and card payments run 2.29% in person and 2.79% online. Fresha has no real clinical charting, so it suits beauty-led services rather than injectables. Pick Fresha when new-client discovery matters more than charting depth.
What we like
- Cheapest subscription here, at $19.95/month for a solo provider
- Marketplace reach puts the business in front of millions of beauty clients
- No commission on bookings from your own website, Instagram or Facebook
- No long-term contract, with unlimited bookings on paid plans
Watch out for
- A 20% one-time commission applies to each new client from the marketplace
- No free plan anymore — the free-forever era ended, and only a 7-day trial remains
- Premium phone support costs an extra $14.95/month on the Independent plan
Booksy
Best for: Small teams that want a big consumer marketplace with one simple price
Booksy keeps pricing simple: one plan, every feature included, at $29.99 a month plus tax for the first user and $20 a month for each additional user, with a 14-day free trial and no annual billing discount. Online booking, calendar, client management, custom forms and waivers, no-show protection, gift cards, memberships and 2,000 marketing texts a month all come in that single price.
The marketplace is the reason to buy it and the cost to watch. Boost, the optional visibility feature, takes 30% of a new client's first visit, capped at $100, and payment holds and payout delays are the most common complaint in reviews. Like Fresha, Booksy has no clinical charting, so it fits beauty-led medspas rather than injector-led ones. Choose Booksy when discovery and one simple price beat charting depth.
What we like
- Every feature in one plan — no tiers, no monthly feature add-on fees
- Consumer marketplace with tens of millions of clients is included in the price
- No-show protection with deposits, card-on-file and waitlists built in
- 2,000 marketing texts a month included in the single subscription
Watch out for
- Per-user pricing grows with the team, at $20/month per additional user
- Boost takes 30% of a new client's first visit, capped at $100
- Payment holds and payout delays are the most common complaint in reviews
Jane
Best for: Wellness-led clinics that want scheduling, charting and payments in one calm system
Jane is the calm clinic system in this list: Balance costs $59 a month for one practitioner and up to 20 appointments a month, Practice costs $79 and removes the appointment cap, and Thrive costs $99 and adds packages, memberships and rooms. Every plan includes online booking, charting, invoicing, payments and unlimited admin staff and locations, with free onboarding and data import.
The Balance cap is the thing to check first: most working practices pass 20 appointments a month quickly, so the real starting price is usually Practice at $79, plus $35 a month for each extra full-time practitioner. There is no free trial, only a guided demo, and AI Scribe notes cost $15 a month per practitioner. Pick Jane when the practice is consult-led and charting matters more than marketing.
What we like
- Unlimited admin staff and locations on every plan, with no per-admin fee
- Free onboarding and data import, with phone, chat and email support on every plan
- One-to-one telehealth included, which suits consult-led medspa services
- No annual billing maze — the monthly price is the price on every plan
Watch out for
- Balance caps at 20 appointments a month — most practices need Practice at $79
- No free trial; getting started means a guided demo and a shared demo account
- Extra practitioners cost $35/month full-time on Practice, and insurance billing is a $20/month add-on
Mangomint
Best for: Salon-spa teams that want the highest-rated support and no contracts
Mangomint sells one plan with one formula: $120 a month per location plus $10 a month per user, so a solo provider pays $130 a month and a four-person team pays $160. Everything is included except three add-ons — phone, marketing and payroll — and onboarding and data transfer are free. Unlimited text and email appointment notifications come at no extra cost, and there are no contracts.
Mangomint's support is the best-rated in this list, at 4.9 out of 5 on G2 across 108 reviews, and the platform now includes HIPAA-compliant forms, charting and photos on every subscription. The trade-off is the price: it starts higher than every booking-led tool here, and phone, marketing and payroll are all paid extras. Choose Mangomint when support quality and a calm, complete system matter most.
What we like
- Unlimited text and email appointment notifications included at no extra cost
- Free onboarding and data transfer, with US-based support reviewers rate highest
- No contracts — cancel any time and take the data with you
- Businesses may use their own card processor instead of Mangomint's
Watch out for
- The per-user fee grows with the team, at $10/month per user on top of the base
- Phone ($70/month) and marketing (from $30/month) are paid add-ons
- Payroll costs $50/month plus $8 per worker, on top of the subscription
Boulevard
Best for: Growing medspas that want a polished client experience and are ready to pay per location
Boulevard is the polished pick for a growing medspa: Essentials costs $159 a month, or $143 billed annually, for one location and up to five providers, with online booking, POS, 250 texts, 1,000 email blasts and 50 GB of storage. Premier costs $293 a month and Prestige $410, with a fall promotion cutting both for new customers. The scheduling is built for multi-service, multi-provider books, and payouts land next day.
The catch for medspas is that Essentials is a salon tier: clinical charting, photo markup and medical director sign-off sit on separate Aesthetics plans, priced apart from the $159 starting price. Forms cost $65 a month extra on Essentials and Premier, and there is no free trial. Buy Boulevard when the client experience is the priority and charting will be bought as its own plan.
What we like
- Precision scheduling built for multi-service, multi-provider appointment books
- Strong client experience and support reputation, with next-day payouts
- HIPAA, PCI and SOC compliance stated on the vendor's own pages
- Forms add-on and 2,500 texts a month arrive on Prestige at $410/month
Watch out for
- Medspa charting needs a separate Aesthetics plan, not the $159 salon Essentials tier
- No free trial is published — getting started means booking a demo
- Per-location billing doubles the cost for a second site, with no volume break
AestheticsPro
Best for: Established medspas that want a deep form library and e-prescribing in one EMR
AestheticsPro is the forms pick: Pro-Plus costs $160 a month for two users, with a third user at $85 a month, and covers more than 500 customizable EMR forms, e-prescribing, a client portal, telemedicine, AP texting and photo tools. Executive costs $285 a month and removes the user cap, while Enterprise costs $350. The platform has served the aesthetics industry for nearly two decades.
The user cap is the thing that decides the bill. A fourth provider forces Executive at $285 a month, nearly double the entry price, and some features carry extra fees beyond the published plan prices. There is no free plan and no published trial, so evaluation starts with a demo. Pick AestheticsPro when deep forms and e-prescribing matter more than a low entry price.
What we like
- More than 500 customizable EMR forms, the deepest library in this list
- E-prescribing included, with a client portal and telemedicine on Pro-Plus
- AP Photo helps staff take matching before-and-after photos
- Executive at $285/month removes the user cap for larger practices
Watch out for
- Pro-Plus caps at 3 users, so a fourth provider forces Executive at $285/month
- Some features carry extra fees beyond the published plan prices
- No free plan and no published trial — evaluation starts with a demo
Zenoti
Best for: Enterprise medspa chains and franchises that need multi-location scale
Zenoti is the enterprise pick and the only tool here with no published price: Zenoti OS, AI Plus and AI Workforce plans are all quoted per business, so budget on a sales conversation rather than a price list. What the quote buys is the deepest multi-location and franchise tooling in this list — booking, POS, inventory, memberships, packages, marketing, payroll and custom reporting across every site.
More than 400 integrations run through Zapier, and the platform is rated 4.5 out of 5 on G2 across 306 reviews, with support praised most and setup scored lowest. AI chatbots and messaging are paid add-ons, not part of the base price. Choose Zenoti when the business runs five or more locations and needs one system for all of them.
What we like
- Strongest multi-location and franchise tooling in this list
- More than 400 integrations through Zapier, plus custom reporting
- Rated 4.5 out of 5 on G2 across 306 reviews, with support praised most
- Memberships, packages and loyalty programs built for repeat-visit businesses
Watch out for
- No published prices — third-party estimates run $225 to $500+ per location a month
- Setup is the lowest-scored area on G2, so expect a guided onboarding
- Key tools like AI chatbots and messaging are paid add-ons, not in the base price
The best medical spa software does two jobs at once: it books appointments and takes payments like salon software, and it keeps clinical records — SOAP notes, before-and-after photos, consent forms and medical director oversight — like a small EMR. We ranked the ten tools below by fit for the most common buyer, a small US medspa with one location and one to five providers, and every price was checked on the vendor's own pricing page on November 8, 2026.
How to choose the best medical spa software
- Decide whether charting leads or booking leads. Injectables, lasers and IV therapy need a real EMR; facials, waxing and massage can run on booking-led tools with SOAP notes.
- Count the billing unit, not the headline price. Aesthetic Record charges per user, Vagaro per calendar, Mangomint per location plus per user, and Boulevard per location — the same team costs very different amounts on each.
- Check HIPAA on the exact tier you will buy. Compliance is often tied to a higher plan or an add-on, not to the starting price.
- Price the add-ons before you compare. Text marketing, intake forms, e-prescribing, AI charting and phone lines are all paid extras on at least one tool here.
- Test the trial with real appointments. Book, chart, photograph, invoice and rebook one full client journey before paying — a demo video will not show the friction.
Software is only half the business: new clients still have to find the practice. Our guide to local SEO for med spas covers maps, reviews and AI answers, and the free local business schema generator builds the structured data that helps Google show the practice correctly. Before you buy, also check how the tool handles the second location — per-location billing doubles the bill on Boulevard and Vagaro, while Jane includes unlimited locations on every plan.
Whatever you shortlist, try it with real data before you pay. The trials in this list run 7 to 30 days, which is long enough to run one genuine week of appointments — your clients, your services, your prices — and that week tells you more than any review can. Check two things in the trial: that charting and photos work the way your injectors actually work, and that the booking page looks good on a phone, since most clients book from one.
Medical spa software pricing: what you will actually pay
Take one location with three providers for twelve months, on list prices. Fresha Team costs $538 a year (3 members at $14.95 a month), Aesthetic Record Essentials costs $939 (3 users at $15 a month plus the $399 onboarding fee), Vagaro costs $600 (3 calendars at $10 extra each), GlossGenius Gold costs $672 ($56 a month for up to nine staff), and Booksy costs $840 ($29.99 plus $20 for each of two extra users).
The clinical tools cost more at the same size. Jane Practice costs $1,788 a year ($79 plus $35 for each of two extra full-time practitioners), Mangomint costs $1,800 ($120 per location plus $10 per user), Boulevard Essentials costs $1,908 at monthly billing or $1,716 billed annually, and AestheticsPro Pro-Plus costs $2,940 ($160 plus $85 for the third user). Zenoti is quoted per business, so there is no list figure to compare.
Three costs sit outside every number above. First, card processing: 2.2% to 3.5% on Vagaro, a flat 2.6% on GlossGenius, 2.29% in person on Fresha. Second, marketplace commissions: 20% of a new client's first visit on Fresha, 30% capped at $100 on Booksy Boost. Third, the add-ons: e-prescribing and AI charting on Aesthetic Record, text marketing and forms on Vagaro and Boulevard, phone lines on Mangomint. If the practice is beauty-led rather than clinical, the cheaper booking tools cover it — see our guide to the best beauty salon management software.
Annual billing cuts the bill on the tools that offer it: GlossGenius Standard drops from $336 to $288 a year, and Boulevard Essentials from $1,908 to $1,716. Vagaro, Booksy, Fresha, Jane, Mangomint and AestheticsPro publish no annual discount, so the monthly figure is the whole story. One more cost to check before you commit: a second location is a second full subscription on Boulevard, Vagaro and Mangomint, while Jane includes unlimited locations on every plan.
Know the difference: booking software vs a medspa EMR
The confusion in this category is between a booking tool and a clinical record system. Booking software schedules appointments, takes payments and sends reminders; a medspa EMR adds HIPAA patient records, SOAP notes, before-and-after photos, consent forms, medical director oversight and e-prescribing. GlossGenius, Fresha, Booksy and Vagaro are booking-led tools with some clinical features; Aesthetic Record and AestheticsPro are EMRs with booking built in.
There is a second, quieter confusion: a free marketplace listing is not a free plan. Fresha and Booksy both put the practice in front of millions of clients, but both charge a subscription and a commission on new marketplace clients. The listing is free; the software and the new-client fee are not.
A third distinction worth knowing is HIPAA compliance versus a HIPAA add-on. Aesthetic Record, AestheticsPro, Boulevard and Mangomint state HIPAA compliance on their own pages, while GlossGenius needs its Practice plan for HIPAA charting. If the practice stores treatment notes or photos, the tier that holds them is the price that matters, not the starting price.
Quick comparison: tool type by need
| Buyer | Best pick | Why |
|---|---|---|
| Solo provider on a budget | GlossGenius | Standard is $28/month, with booking, payments and SOAP notes included |
| Small medspa that wants value | Vagaro | All-in-one from $30/month, with a subscription cap after seven calendars |
| Injector-led practice | Aesthetic Record | Real medspa EMR with charting and photos from $15 per user a month |
| New practice that needs clients | Fresha | Marketplace discovery plus booking from $19.95/month |
| Team that wants one simple price | Booksy | Every feature in one $29.99/month plan, plus a huge marketplace |
| Multi-location chain | Zenoti | Deepest franchise tooling here, priced by quote |
Mistakes to avoid
- Budgeting on the starting price when you need charting. GlossGenius Standard at $28 and Boulevard Essentials at $159 are booking tiers; HIPAA charting sits on higher or separate plans.
- Forgetting the per-user math. Aesthetic Record at $15 looks cheapest until the team grows, and Booksy at $29.99 plus $20 per extra user passes Vagaro once the team passes three people.
- Ignoring marketplace commissions. A 20% fee on Fresha or 30% on Booksy Boost can cost more in a month than the subscription itself when new clients are the goal.
- Buying on the promo price. Vagaro's $23.99 rate lasts six months and Boulevard's fall promotion is for new customers only; the list price is what you pay after that.
- Skipping the export question. Ask in writing what it costs to export patient records and photos before signing — reviewers report an export fee on Aesthetic Record.
How we chose
We checked each vendor's own pricing page on November 8, 2026 and recorded the starting price exactly as shown, including the annual-billing figure where the page lists one, and we ranked the tools by fit for the most common buyer — a small US medspa with one location and one to five providers — not by brand size. Ratings come from fresh crawls of the exact G2 pages, checked November 8, 2026; four tools carry no rating because their G2 listings are too small or do not exist, and we would rather show no rating than a stale or estimated one. GlossGenius Practice plan pricing ($168/month) is reported by Grove Wellness on October 31, 2026, not shown on GlossGenius's own pricing page. No vendor paid for a place in this list, and none of the links here are affiliate links.
What to do next
Start with the free trial or demo of your top pick and run one real week of appointments through it. Check that charting, photos and the booking page all work the way your team actually works before you commit to a year. If the software is sorted but new clients are not finding the practice, our local SEO service handles the visibility side — or compare booking tools in our guide to spa booking software. Once your tools are in place, find out what's holding your rankings back.
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Get a free audit→Sources we checked (16)
- GlossGenius pricing — glossgenius.com/pricing (checked November 8, 2026)
- Vagaro pricing — vagaro.com/pro/pricing (checked November 8, 2026)
- Aesthetic Record pricing — aestheticrecord.com/pricing (checked November 8, 2026)
- Fresha pricing — fresha.com/pricing (checked November 8, 2026)
- Booksy pricing — biz.booksy.com/en-us/pricing (checked November 8, 2026)
- Jane pricing — jane.app/pricing (checked November 8, 2026)
- Mangomint pricing — mangomint.com/pricing (checked November 8, 2026)
- Boulevard pricing — joinblvd.com/pricing (checked November 8, 2026)
- AestheticsPro pricing — aestheticspro.com/pricing (checked November 8, 2026)
- Zenoti pricing — zenoti.com/pricing (checked November 8, 2026)
- GlossGenius reviews — g2.com/products/glossgenius/reviews (checked November 8, 2026)
- Vagaro reviews — g2.com/products/vagaro/reviews (checked November 8, 2026)
- Jane reviews — g2.com/products/jane-software-jane/reviews (checked November 8, 2026)
- Mangomint reviews — g2.com/compare/mangomint-vs-vagaro (checked November 8, 2026)
- Boulevard reviews — g2.com/products/boulevard-labs-inc-boulevard/reviews (checked November 8, 2026)
- Zenoti reviews — g2.com/products/zenoti/reviews (checked November 8, 2026)
Frequently asked questions
What is the best medical spa software?
GlossGenius is the best fit for most small medspas at $28/month, with Vagaro close behind at $30/month. Aesthetic Record is the better pick when clinical charting leads, at $15 per user a month plus a $399 onboarding fee. Zenoti suits chains with five or more locations.
How much does medical spa software cost?
Entry prices run from $15 per user a month on Aesthetic Record to $160 a month on AestheticsPro, with Zenoti quoted per business. A three-provider practice pays $538 to $2,940 a year on the subscription alone, before card processing, marketplace commissions and add-ons.
Is there free medical spa software?
No. None of the ten tools here has a free plan; every one offers either a free trial or a demo. Fresha has the shortest trial at 7 days, Vagaro the longest at 30 days. Budget the subscription from month one, and treat the trial as the time to test charting and booking with real appointments.
What is the difference between medspa software and salon software?
Salon software books appointments and takes payments. Medspa software adds clinical work: HIPAA patient records, SOAP notes, before-and-after photos, consent forms, medical director oversight and e-prescribing. Aesthetic Record and AestheticsPro are built for that work; GlossGenius, Fresha and Booksy are booking-led.
Do I need HIPAA-compliant software for a med spa?
Yes, if the practice stores patient health information such as treatment notes, photos or consent forms. Aesthetic Record, AestheticsPro, Boulevard and Mangomint all state HIPAA compliance on their own pages. Booking-only tools need a HIPAA add-on or a separate charting plan, so check the exact tier before buying.
Can I switch medical spa software later?
Yes, but plan the move carefully. Export patient records, photos, consent forms, memberships and packages before cancelling, and confirm in writing whether the old vendor charges an export fee — reviewers report one on Aesthetic Record. Run both systems for two weeks so no appointment is lost in the move.
Does medical spa software include marketing tools?
Mostly, yes, but the depth varies. Vagaro includes AI marketing on every plan, and Booksy includes 2,000 marketing texts a month. GlossGenius, Mangomint and Boulevard charge extra for some marketing features, so check whether email, text and review tools are in the base price or an add-on.
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