{"source":"Whelth Research","title":"The State of America's Med Spas — 2026","url":"https://whelth.com/research/state-of-med-spas-2026","computed":"2026-09-11","collected":{"from":"2026-07-18","to":"2026-09-07","note":"98% of practices on July 24–25"},"population":"14748 U.S. med spas reviewed by Whelth Research (practice_type med spa, at least one service evidenced on the practice's own website)","definitions":{"medical_intervention":"medical weight loss (GLP-1 programs), HRT, TRT, thyroid optimization, peptide therapy, IV therapy, NAD+ therapy, sexual-health treatments, hyperbaric oxygen, ozone therapy, stem-cell therapy, ketamine therapy","hormones":"HRT, TRT, thyroid optimization","diagnostic_any":"blood testing / lab panels, biomarker panels, genetic testing, DEXA, body composition analysis, VO2 max, CGM, coronary calcium score, multi-cancer early detection, full-body MRI, clinical sleep study","blood_testing":"blood testing / lab panels, biomarker panels","share":"every percentage is a share of the reviewed med spas (or of the sellers named in the row), never an estimate of all U.S. med spas","counts":"state and metro counts are the number of reviewed med spas, not the number that exist: the discovery sweep returned at most 20 results per city, so dense metros are under-counted; no per-capita figure is published","note":"All figures describe services listed on practices' own websites at review time, not clinical conduct. A practice that orders labs without listing testing on its site counts as listing none."},"tables":{"headline":{"columns":["metric","count","percent","base"],"rows":[["lists at least one medical intervention",8444,57.3,"all 14748 reviewed med spas"],["lists a medical weight-loss program",5913,40.1,"all 14748 reviewed med spas"],["lists IV or NAD+ therapy",5648,38.3,"all 14748 reviewed med spas"],["lists hormone therapy (HRT, TRT or thyroid)",3100,21,"all 14748 reviewed med spas"],["lists peptide therapy",1686,11.4,"all 14748 reviewed med spas"],["lists any diagnostic service",1271,8.6,"all 14748 reviewed med spas"],["lists blood testing / lab panels",623,4.2,"all 14748 reviewed med spas"],["intervention sellers listing no diagnostic service",7259,86,"8444 med spas listing an intervention"],["intervention sellers listing no blood testing",7860,93.1,"8444 med spas listing an intervention"],["weight-loss sellers listing no blood testing",5450,92.2,"5913 med spas listing weight loss"],["hormone sellers listing no blood testing",2685,86.6,"3100 med spas listing hormones"]]},"aesthetic-services":{"columns":["service","med_spas_listing","pct_of_reviewed"],"rows":[["Botox & neuromodulators",10754,72.9],["Microneedling",10607,71.9],["Chemical peels",9395,63.7],["Dermal fillers",9090,61.6],["Laser hair removal",7789,52.8],["Sculptra",5180,35.1],["Lip fillers",4452,30.2],["Laser skin resurfacing",3179,21.6],["Kybella",3164,21.5],["Thread lift",2277,15.4],["PRF treatment",1479,10],["CoolSculpting",1418,9.6]]},"medical-services":{"columns":["service","med_spas_listing","pct_of_reviewed"],"rows":[["Medical weight loss (GLP-1 programs)",5913,40.1],["IV therapy",5240,35.5],["PRP therapy",3861,26.2],["Hormone replacement therapy (HRT)",2790,18.9],["NAD+ therapy",1917,13],["Sexual-health treatments",1688,11.4],["Peptide therapy",1686,11.4],["Testosterone therapy (TRT)",888,6],["Functional medicine",825,5.6],["Body composition analysis",654,4.4],["Blood testing / lab panels",603,4.1],["Hyperbaric oxygen",245,1.7]]},"by-state":{"columns":["state","reviewed_med_spas","pct_any_medical_intervention","pct_medical_weight_loss","pct_hormone_therapy"],"rows":[["California",2013,56.4,35.8,14.1],["Florida",1278,65.9,48.5,26.7],["Texas",1124,60.1,45.8,23.5],["New York",753,49.4,31.1,12.9],["Illinois",507,57.2,42.2,19.7],["Massachusetts",498,51.4,34.9,13.5],["New Jersey",410,53.2,36.6,15.4],["Washington",407,50.6,35.9,16.2],["Georgia",403,57.6,43.2,23.1],["Ohio",394,56.9,43.4,23.4],["North Carolina",377,59.9,43.5,24.9],["Virginia",374,49.2,38.8,23],["Arizona",366,65.6,48.1,31.1],["Colorado",350,57.4,41.1,24.3],["Michigan",344,52.9,32.3,11.3],["Tennessee",296,60.8,40.5,29.1],["Maryland",278,59,46.4,20.1],["Minnesota",252,46.8,33.3,14.7],["Utah",245,62.4,48.6,35.9],["Pennsylvania",240,54.2,33.3,17.1],["Indiana",235,53.2,36.6,22.6],["Wisconsin",224,49.1,37.9,16.1],["Oregon",215,52.1,38.1,14],["Connecticut",196,54.6,37.2,17.3],["Missouri",192,64.6,46.4,29.2],["South Carolina",172,54.7,34.3,23.3],["Louisiana",170,62.4,47.1,28.8],["Kentucky",170,68.2,45.3,34.1],["Oklahoma",141,66,46.8,34],["Idaho",133,60.9,39.1,19.5],["Iowa",133,52.6,34.6,19.5],["Alabama",132,41.7,29.5,23.5],["Arkansas",128,70.3,48.4,32],["Nevada",120,65,45,21.7],["Kansas",109,57.8,47.7,33],["New Mexico",104,65.4,45.2,32.7],["Mississippi",100,49,25,25]]},"by-metro":{"columns":["metro","reviewed_med_spas_within_25_miles","pct_any_medical_intervention","pct_medical_weight_loss"],"rows":[["New York, NY",634,49.1,30.9],["Los Angeles, CA",480,57.5,31.5],["Orange County, CA",380,63.9,40.3],["Boston, MA",326,53.7,37.4],["Miami, FL",267,70.4,51.3],["Washington, DC",263,48.3,37.3],["Dallas, TX",263,57,43],["Chicago, IL",249,57,43.4],["Denver, CO",205,59,40],["Detroit, MI",202,55,35.1],["Phoenix, AZ",201,70.1,53.2],["Tampa, FL",193,68.9,50.3],["Minneapolis, MN",189,43.9,29.6],["San Francisco, CA",179,52,30.7],["Seattle, WA",177,52,35],["Atlanta, GA",175,59.4,45.1],["Houston, TX",170,64.7,43.5],["Baltimore, MD",163,61.3,49.1],["Orlando, FL",155,62.6,43.9],["Salt Lake City, UT",141,69.5,53.9],["San Jose, CA",141,49.6,35.5],["Portland, OR",131,52.7,38.2],["Charlotte, NC",107,68.2,50.5],["San Diego, CA",104,60.6,42.3],["Philadelphia, PA",104,59.6,41.3],["Sacramento, CA",97,53.6,39.2],["St. Louis, MO",94,66,45.7],["Columbus, OH",82,59.8,46.3],["Raleigh, NC",77,63.6,53.2],["Las Vegas, NV",72,69.4,47.2],["Kansas City, MO",69,68.1,56.5],["Nashville, TN",69,59.4,36.2],["Austin, TX",59,54.2,49.2],["Pittsburgh, PA",44,47.7,22.7]]},"comparison":{"columns":["practice_type","n","pct_medical_weight_loss","pct_hormone_therapy","pct_iv_or_nad","pct_any_medical_intervention"],"rows":[["med spa",14748,40.1,21,38.3,57.3],["aesthetic medical practice (plastic surgery / dermatology)",4699,20.6,9.4,9.9,29.7]]}},"license":"CC BY 4.0 — covers this published report data only, not WHELTH's underlying database; cite Whelth Research with a link"}