How we make this list: we compare pricing pages, product documentation and public user reviews. Rankite is independent; if a vendor ever pays for a featured spot, that listing is clearly labeled Partner.
Key takeaways
- A medspa is a medical practice wearing a beauty brand, so most owners need two things in one system: clinical charting and salon-grade booking.
- Zenoti is the enterprise standard for multi-location medspas, with custom-quoted pricing (third parties report $350 to $500 per location per month).
- Vagaro ($25/month) and OptiMantra ($99/month for the first practitioner) are the honest, published-price options at the small-practice end.
- AestheticsPro, Pabau, PatientNow, Aesthetic Record, Boulevard and Symplast do not publish pricing; expect a sales conversation and get the per-location total in writing.
- If you offer injectables, lasers or anything touching patient health data, HIPAA-compliant charting is not optional, and generic salon software will not cover it.
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
 Zenoti | Multi-location medspa chains | See website (custom quoted) | No |
 AestheticsPro | Aesthetic clinics wanting EMR depth | See website (quote-based) | No |
 Pabau | Growing clinic groups, strong in the UK and EU | See website (quote-based) | No |
 PatientNow | Full client-journey CRM and marketing | See website (custom) | No |
 Aesthetic Record | Treatment charting on a budget | See website (quote-based) | Free trial |
 Symplast | Mobile-first aesthetic EMR | See website (quote-based) | No |
 Vagaro | Affordable booking and point of sale | $25/month (1 bookable calendar) | Free trial (30 days) |
 OptiMantra | Integrated EMR for small practices | $99/month (first practitioner) | Free trial |
 Boulevard | Premium client experience | See website (quote-based) | No |
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We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
The best medspa software
Medspa software lives in an awkward middle. Pure salon tools handle booking and payments beautifully but cannot chart a Botox treatment. Medical EMRs chart beautifully but feel like hospital software to a front desk selling memberships. The tools below are the ones built specifically for the middle: aesthetic practices that need clinical documentation and a polished client experience in one system.
Full practice suites: EMR, booking and marketing in one
Starting priceSee website (custom quoted)
Free planNo
Zenoti is the platform the big medspa chains run on. It covers the full operation: online booking, HIPAA-compliant EMR with aesthetic charting and before-and-after photo management, injectable inventory tracking, membership billing, automated marketing and an AI receptionist that converts missed calls into bookings. Multi-location reporting and franchise support are best in class.
The commercial reality is enterprise-shaped. Zenoti publishes no prices; costs are custom-quoted by location count, providers and features, and independent reviews report roughly $350 to $500 per location per month, with larger organizations paying far more. Implementation is a project, not a signup. If you run three or more locations with dedicated staff, it is the benchmark. A single-location medspa has no reason to take on this complexity.
What we like- The deepest feature set for multi-location operations: HIPAA-compliant booking, AI charting, injectable tracking, memberships and marketing automation
- Strong franchise and enterprise reporting
- AI receptionist that answers missed calls
Watch out for- No published pricing and long annual contracts
- Third-party reports put it at $350 to $500 per location per month
- Implementation is complex and overkill for a single location
Starting priceSee website (quote-based)
Free planNo
AestheticsPro is the choice when the medical side of the medspa dominates. It is an EMR built for aesthetic practices: treatment charting, consent forms, before-and-after documentation and HIPAA compliance, alongside scheduling and point of sale. Clinics that think of themselves as medical practices first tend to land here.
Pricing is not published on the vendor site, so it shows "See website" here; third-party directories report figures around $160 a month, which you should confirm in a demo. The trade-off for clinical depth is a less polished marketing and client-experience layer than the all-in-one suites. Evaluate it against Pabau and PatientNow if deep charting matters more than marketing automation.
What we like- Built specifically for medical spas with HIPAA-compliant EMR and clinical documentation
- Covers scheduling, POS, charting and consent forms
- Strong fit for practices where medicine comes first
Watch out for- No published pricing (third-party directories report around $160 a month)
- The interface prioritizes clinical function over polish
- Marketing features are thinner than Zenoti or PatientNow
#3
Pabau
Best for: Growing clinic groups, strong in the UK and EU
Visit pabau.com
Starting priceSee website (quote-based)
Free planNo
Pabau is one of the highest-rated clinic platforms in independent 2026 comparisons, with plans scaling from solo practitioners up through Team, Medium, Group and Enterprise tiers. It covers the full client journey: online booking, treatment records, digital forms, marketing automation and reporting, with unlimited clients on most tiers.
Everything is quote-based, so budget planning requires a sales conversation; Pabau positions itself as the lower-hidden-cost alternative to add-on-heavy enterprise platforms. US buyers should confirm support hours and payment processing coverage, since the company's center of gravity is the UK and Europe. It is a strong fit for growing groups that want one system without enterprise contracts.
What we like- Strong all-rounder with scheduling, EMR, marketing and reporting
- Tiered plans from solo practitioners to 15-plus-user enterprises
- Well regarded for client experience features
Watch out for- No published pricing, everything is quote-based
- UK/EU roots mean US practices should confirm support coverage
- Some advanced features need higher tiers
Starting priceSee website (custom)
Free planNo
PatientNow approaches the medspa as a marketing problem as much as a medical one. The platform tracks the full client journey: lead capture, consultation, treatment, follow-up and rebooking, with marketing automation and CRM depth that pure EMRs lack. Practices that live on patient acquisition and retention get the most from it.
Pricing is fully custom, so it shows "See website." The platform's strength is also its demand: the CRM and automation features only pay off if someone on staff actually runs campaigns and works the pipeline. Smaller practices that just need booking and charting will find it heavier than necessary.
What we like- End-to-end client journey tracking from lead to repeat visit
- Strong lead management and marketing automation
- Built specifically for aesthetic and cosmetic practices
Watch out for- Custom pricing with no published tiers
- The marketing depth adds complexity smaller practices may not use
- Implementation needs staff buy-in to pay off
Starting priceSee website (quote-based)
Free planFree trial
Aesthetic Record does one thing well: aesthetic treatment documentation. Charting, before-and-after photos, client management and HIPAA compliance, with mobile apps that let injectors chart chairside on an iPad. For practices that already have booking and payments handled elsewhere, it fills the clinical gap cheaply.
The vendor does not publish pricing, so it shows "See website"; third-party directories consistently report around $12 per user per month with a setup fee, which you should confirm directly. It is not a full practice suite: booking, marketing and POS are thinner than the all-in-ones. Pair it with Vagaro or a similar booking tool if you need both halves.
What we like- Specialized aesthetic EMR with treatment charting and before-and-after photo management
- Mobile apps for iOS and iPad for chairside charting
- HIPAA compliant
Watch out for- No published pricing on the vendor site (directories report around $12 per user per month plus a setup fee)
- Narrower feature set than full practice suites
- Marketing and POS depth are limited
Starting priceSee website (quote-based)
Free planNo
Symplast bets that clinical software should live on the device in the provider's hand. The mobile-first EMR covers charting, patient records, engagement and telehealth, and it is popular with plastic surgery clinics and cosmetic practices where providers move between rooms all day.
Pricing is quote-based; third-party directories report figures around $199 a month. The mobile focus is a genuine differentiator for chairside workflows but a limitation for front-desk staff who live on desktop. Consider it when your providers will do most of their charting on phones and tablets.
What we like- Mobile-first design built around how injectors and surgeons actually work
- Covers EMR, charting, patient engagement and telehealth
- Strong for plastic surgery and cosmetic clinics
Watch out for- No published pricing (directories report around $199 a month)
- Mobile-first means the desktop experience gets less love
- Smaller ecosystem than Zenoti or Pabau
Starting price$25/month (1 bookable calendar)
Free planFree trial (30 days)
Vagaro is the budget all-rounder for the beauty side of the business. At $25 a month for one bookable calendar (scaling $10 per additional calendar), you get online booking, POS, client management, automated reminders, email marketing and a marketplace listing that brings in new clients. The 30-day trial needs no credit card.
The hard limit is clinical. Vagaro is not a medical EMR and does not do treatment charting or HIPAA-compliant clinical documentation, so medspas offering injectables or lasers need a charting tool alongside it. Aesthetic Record pairs naturally here. For beauty-first services, facials, waxing, massage, Vagaro alone is plenty.
What we like- Published pricing from $25 a month per bookable calendar with a 30-day trial
- Booking, POS, marketing and payroll in one affordable package
- Marketplace listing drives new client discovery
Watch out for- Not a medical EMR: no clinical charting or HIPAA-grade treatment records
- Add-ons ($10 each for payroll, website builder, forms) push the real bill up
- Interface feels dated in places
Starting price$99/month (first practitioner)
Free planFree trial
OptiMantra is the rare aesthetic EMR with honest published pricing: $99 a month for the first practitioner, month-to-month with 30-day cancellation, plus a free trial. The platform integrates charting with customizable templates, online booking, patient portal and messaging, point of sale, insurance billing and telehealth, all HIPAA compliant.
It suits clinical aesthetic practices, integrative wellness clinics and small medspas that want one integrated system without enterprise sales. Add-on costs for extra practitioners, two-way texting and e-prescribing add up, so model the full configuration. But as a published-price EMR for small practices, it stands nearly alone in this category.
What we like- Published pricing at $99 a month for the first practitioner with no long-term commitment
- Integrated EMR, scheduling, POS, insurance billing and telehealth
- HIPAA and PHIPA compliant
Watch out for- Additional practitioners cost extra per month
- The feature breadth can overwhelm solo providers
- Design is functional rather than beautiful
Starting priceSee website (quote-based)
Free planNo
Boulevard is the luxury pick. Its booking experience is the smoothest in the category, which matters when your average ticket is high and the clientele expects polish. Scheduling automation, client profiles and reporting are strong, and it handles the operational side of premium spas and medspas well.
Pricing is quote-based; third-party comparisons report entry around $158 to $175 a month. It is not an EMR-first tool, so practices with heavy clinical documentation needs should pair it with charting software or choose an EMR-first platform. Buy Boulevard when the client experience is the differentiator your business sells on.
What we like- The most polished client-facing booking experience in the category
- Strong scheduling automation and enterprise-grade reporting
- Built for high-end spas and medspas
Watch out for- No published pricing (comparisons report around $158 to $175 a month)
- Premium positioning means premium cost
- Clinical charting is thinner than EMR-first tools
Booking and operations: the affordable end
Starting priceSee website (custom quoted)
Free planNo
Zenoti is the platform the big medspa chains run on. It covers the full operation: online booking, HIPAA-compliant EMR with aesthetic charting and before-and-after photo management, injectable inventory tracking, membership billing, automated marketing and an AI receptionist that converts missed calls into bookings. Multi-location reporting and franchise support are best in class.
The commercial reality is enterprise-shaped. Zenoti publishes no prices; costs are custom-quoted by location count, providers and features, and independent reviews report roughly $350 to $500 per location per month, with larger organizations paying far more. Implementation is a project, not a signup. If you run three or more locations with dedicated staff, it is the benchmark. A single-location medspa has no reason to take on this complexity.
What we like- The deepest feature set for multi-location operations: HIPAA-compliant booking, AI charting, injectable tracking, memberships and marketing automation
- Strong franchise and enterprise reporting
- AI receptionist that answers missed calls
Watch out for- No published pricing and long annual contracts
- Third-party reports put it at $350 to $500 per location per month
- Implementation is complex and overkill for a single location
Starting priceSee website (quote-based)
Free planNo
AestheticsPro is the choice when the medical side of the medspa dominates. It is an EMR built for aesthetic practices: treatment charting, consent forms, before-and-after documentation and HIPAA compliance, alongside scheduling and point of sale. Clinics that think of themselves as medical practices first tend to land here.
Pricing is not published on the vendor site, so it shows "See website" here; third-party directories report figures around $160 a month, which you should confirm in a demo. The trade-off for clinical depth is a less polished marketing and client-experience layer than the all-in-one suites. Evaluate it against Pabau and PatientNow if deep charting matters more than marketing automation.
What we like- Built specifically for medical spas with HIPAA-compliant EMR and clinical documentation
- Covers scheduling, POS, charting and consent forms
- Strong fit for practices where medicine comes first
Watch out for- No published pricing (third-party directories report around $160 a month)
- The interface prioritizes clinical function over polish
- Marketing features are thinner than Zenoti or PatientNow
#3
Pabau
Best for: Growing clinic groups, strong in the UK and EU
Visit pabau.com
Starting priceSee website (quote-based)
Free planNo
Pabau is one of the highest-rated clinic platforms in independent 2026 comparisons, with plans scaling from solo practitioners up through Team, Medium, Group and Enterprise tiers. It covers the full client journey: online booking, treatment records, digital forms, marketing automation and reporting, with unlimited clients on most tiers.
Everything is quote-based, so budget planning requires a sales conversation; Pabau positions itself as the lower-hidden-cost alternative to add-on-heavy enterprise platforms. US buyers should confirm support hours and payment processing coverage, since the company's center of gravity is the UK and Europe. It is a strong fit for growing groups that want one system without enterprise contracts.
What we like- Strong all-rounder with scheduling, EMR, marketing and reporting
- Tiered plans from solo practitioners to 15-plus-user enterprises
- Well regarded for client experience features
Watch out for- No published pricing, everything is quote-based
- UK/EU roots mean US practices should confirm support coverage
- Some advanced features need higher tiers
Starting priceSee website (custom)
Free planNo
PatientNow approaches the medspa as a marketing problem as much as a medical one. The platform tracks the full client journey: lead capture, consultation, treatment, follow-up and rebooking, with marketing automation and CRM depth that pure EMRs lack. Practices that live on patient acquisition and retention get the most from it.
Pricing is fully custom, so it shows "See website." The platform's strength is also its demand: the CRM and automation features only pay off if someone on staff actually runs campaigns and works the pipeline. Smaller practices that just need booking and charting will find it heavier than necessary.
What we like- End-to-end client journey tracking from lead to repeat visit
- Strong lead management and marketing automation
- Built specifically for aesthetic and cosmetic practices
Watch out for- Custom pricing with no published tiers
- The marketing depth adds complexity smaller practices may not use
- Implementation needs staff buy-in to pay off
Starting priceSee website (quote-based)
Free planFree trial
Aesthetic Record does one thing well: aesthetic treatment documentation. Charting, before-and-after photos, client management and HIPAA compliance, with mobile apps that let injectors chart chairside on an iPad. For practices that already have booking and payments handled elsewhere, it fills the clinical gap cheaply.
The vendor does not publish pricing, so it shows "See website"; third-party directories consistently report around $12 per user per month with a setup fee, which you should confirm directly. It is not a full practice suite: booking, marketing and POS are thinner than the all-in-ones. Pair it with Vagaro or a similar booking tool if you need both halves.
What we like- Specialized aesthetic EMR with treatment charting and before-and-after photo management
- Mobile apps for iOS and iPad for chairside charting
- HIPAA compliant
Watch out for- No published pricing on the vendor site (directories report around $12 per user per month plus a setup fee)
- Narrower feature set than full practice suites
- Marketing and POS depth are limited
Starting priceSee website (quote-based)
Free planNo
Symplast bets that clinical software should live on the device in the provider's hand. The mobile-first EMR covers charting, patient records, engagement and telehealth, and it is popular with plastic surgery clinics and cosmetic practices where providers move between rooms all day.
Pricing is quote-based; third-party directories report figures around $199 a month. The mobile focus is a genuine differentiator for chairside workflows but a limitation for front-desk staff who live on desktop. Consider it when your providers will do most of their charting on phones and tablets.
What we like- Mobile-first design built around how injectors and surgeons actually work
- Covers EMR, charting, patient engagement and telehealth
- Strong for plastic surgery and cosmetic clinics
Watch out for- No published pricing (directories report around $199 a month)
- Mobile-first means the desktop experience gets less love
- Smaller ecosystem than Zenoti or Pabau
Starting price$25/month (1 bookable calendar)
Free planFree trial (30 days)
Vagaro is the budget all-rounder for the beauty side of the business. At $25 a month for one bookable calendar (scaling $10 per additional calendar), you get online booking, POS, client management, automated reminders, email marketing and a marketplace listing that brings in new clients. The 30-day trial needs no credit card.
The hard limit is clinical. Vagaro is not a medical EMR and does not do treatment charting or HIPAA-compliant clinical documentation, so medspas offering injectables or lasers need a charting tool alongside it. Aesthetic Record pairs naturally here. For beauty-first services, facials, waxing, massage, Vagaro alone is plenty.
What we like- Published pricing from $25 a month per bookable calendar with a 30-day trial
- Booking, POS, marketing and payroll in one affordable package
- Marketplace listing drives new client discovery
Watch out for- Not a medical EMR: no clinical charting or HIPAA-grade treatment records
- Add-ons ($10 each for payroll, website builder, forms) push the real bill up
- Interface feels dated in places
Starting price$99/month (first practitioner)
Free planFree trial
OptiMantra is the rare aesthetic EMR with honest published pricing: $99 a month for the first practitioner, month-to-month with 30-day cancellation, plus a free trial. The platform integrates charting with customizable templates, online booking, patient portal and messaging, point of sale, insurance billing and telehealth, all HIPAA compliant.
It suits clinical aesthetic practices, integrative wellness clinics and small medspas that want one integrated system without enterprise sales. Add-on costs for extra practitioners, two-way texting and e-prescribing add up, so model the full configuration. But as a published-price EMR for small practices, it stands nearly alone in this category.
What we like- Published pricing at $99 a month for the first practitioner with no long-term commitment
- Integrated EMR, scheduling, POS, insurance billing and telehealth
- HIPAA and PHIPA compliant
Watch out for- Additional practitioners cost extra per month
- The feature breadth can overwhelm solo providers
- Design is functional rather than beautiful
Starting priceSee website (quote-based)
Free planNo
Boulevard is the luxury pick. Its booking experience is the smoothest in the category, which matters when your average ticket is high and the clientele expects polish. Scheduling automation, client profiles and reporting are strong, and it handles the operational side of premium spas and medspas well.
Pricing is quote-based; third-party comparisons report entry around $158 to $175 a month. It is not an EMR-first tool, so practices with heavy clinical documentation needs should pair it with charting software or choose an EMR-first platform. Buy Boulevard when the client experience is the differentiator your business sells on.
What we like- The most polished client-facing booking experience in the category
- Strong scheduling automation and enterprise-grade reporting
- Built for high-end spas and medspas
Watch out for- No published pricing (comparisons report around $158 to $175 a month)
- Premium positioning means premium cost
- Clinical charting is thinner than EMR-first tools
EMR vs booking software: the split that defines this market
Every medspa needs to answer one question before shopping: do we perform medical treatments? If yes, injectables, lasers, IV therapy, chemical peels at clinical depth, you need HIPAA-compliant charting, and that rules out pure salon software. Your shortlist is Zenoti, AestheticsPro, Pabau, PatientNow, Symplast, OptiMantra, or Aesthetic Record paired with a booking tool.
If your services are beauty-first, facials, waxing, lashes, massage, a booking and POS platform like Vagaro or Boulevard covers the operation at a fraction of the cost. Many medspas straddle the line and run two systems: a booking platform for the front of house and a charting tool for the treatment room. That is a legitimate architecture, not a failure. Price it as a pair before comparing against the all-in-ones.
How we chose
Most medspa vendors do not publish pricing, so six of the nine tools here show "See website" rather than third-party estimates presented as facts. Where directories consistently report a figure we say so in the text and mark it as reported. We compared on what decides medspa software purchases: HIPAA-compliant charting depth, before-and-after photo management, booking and scheduling quality, membership and package billing, marketing automation, multi-location support and the per-location true cost. We read buyer reviews on G2, Capterra and SoftwareWorld, the October 2026 itechguides medspa ranking, and practitioner discussions on Reddit for recurring complaints about contracts, add-on fees and support.
The HIPAA question, answered plainly
HIPAA applies when you create, store or transmit protected health information: treatment records, photos tied to patients, consent forms with medical history. A medspa doing injectables or laser treatments handles PHI and needs HIPAA-compliant software for charting, forms and photo storage. A day spa doing facials and massage generally does not. When a vendor claims HIPAA compliance, confirm it covers your actual data: charting, photos, forms and messaging, not just the booking calendar. And remember that compliance is shared: the software can be compliant while your staff's iPhone photo roll is not.
Frequently asked questions
What is the best medspa software for a single location?
OptiMantra ($99/month, published pricing) is the strongest single-location pick with integrated EMR. Vagaro ($25/month) covers booking and POS for beauty-first services. Aesthetic Record pairs well with either for affordable treatment charting.
How much does medspa software cost?
Published prices run from $25 a month (Vagaro) to $99 a month (OptiMantra). Most vendors are quote-based: third parties report roughly $160 a month for AestheticsPro, $199 for Symplast, and $350 to $500 per location per month for Zenoti. Always get the per-location total including add-ons in writing.
Do medspas need HIPAA-compliant software?
If you perform medical treatments (injectables, lasers, IV therapy) and store treatment records or patient photos, yes. HIPAA compliance must cover charting, forms, photos and messaging. Beauty-only services like facials and waxing generally do not trigger HIPAA.
What is the difference between medspa software and salon software?
Medspa software adds clinical capabilities: HIPAA-compliant charting, treatment plans, consent forms, before-and-after photo management and injectable tracking. Salon software focuses on booking, POS and marketing. A medspa doing medical treatments needs the clinical layer; salon software alone is not enough.
Can I use Vagaro for a medspa?
For the beauty side, yes: booking, POS, marketing and client management from $25 a month. For the medical side, no: Vagaro does not do clinical charting or HIPAA-grade treatment records. Many medspas pair Vagaro with a charting tool like Aesthetic Record.
Sources we checked (13)
- https://www.zenoti.com
- https://www.aestheticspro.com
- https://www.pabau.com
- https://www.patientnow.com
- https://www.aestheticrecord.com
- https://www.vagaro.com
- https://www.optimantra.com
- https://www.joinboulevard.com
- https://www.symplast.com
- https://www.softwareworld.co/medical-spa-software/
- https://www.itechguides.com/best/med-spa-software/
- https://pabau.com/blog/zenoti-pricing/
- https://site.optimantra.com/aesthetic-and-wellness-emr-software
Is your product missing or out of date?
We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
Shihab Mia · Founder, Rankite
Shihab has spent more than a decade helping SaaS and e-commerce brands grow through search. He writes Rankite's software buying guides from pricing pages, documentation and public user reviews. More about Shihab.