39,150 providers · 5,081 cities · 50 states + DC

No paid rankings.
Just the research.

39,150 medical spas. 14 data points each. The same formula, every spa, every time — no ads, no sponsored tiers, no “featured” you can buy.

Current as of August 2026Updated continuouslyThe No BS Promise →
39,150
Med spas
5,081
US cities
2.1M+
Patient reviews
4.78
Avg rating

Ranked by priority score

Top-rated nationally

The highest-scoring spas across all 39,150 listings — ranked by rating × ln(reviews + 1), never by who paid.

All ranked guides

National pricing

Popular treatments

What each procedure typically costs — and who offers it near you.

Coast to coast

Browse by state

Verified providers across 50 states and Washington, D.C.

Most-reviewed, highest-rated

Patients keep coming back

Spas with the strongest combination of rating and review volume.

Editorial integrity

One formula. Every spa.
Zero exceptions.

priority = rating × ln(reviews + 1)

No spa pays to rank. Procedure data is reviewed against AAD, ASPS, and FDA sources, and the whole directory is re-checked quarterly.

Frequently asked

Med spa questions, answered

How many medical spas are in the United States?
According to the American Med Spa Association 2025 report, there are approximately 10,488 medical spas in the United States. No BS Med Spa Reviews tracks 39,150 provider locations across 50 states plus Washington, D.C., and 5,081 cities.
What is the most popular medical spa treatment?
Botulinum toxin (Botox) is the most popular medical spa treatment in the US, with approximately 9.48 million procedures performed in 2024 according to ASPS data, making it the #1 minimally invasive cosmetic procedure for the 24th consecutive year.
How much does Botox cost in the US?
Botox typically costs $10-$25 per unit nationally. A full forehead treatment uses 20-50 units, putting total cost at $200-$1,250 per session. Metro areas like NYC and LA run 30-40% above the national median.
Is medical spa pricing regulated?
Medical spa pricing is not federally regulated — providers set their own rates. Individual treatments and devices (Botox, CoolSculpting, semaglutide) are FDA-regulated for safety and labeled use, but pricing varies by metro area, provider credentials, and protocol.

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