Best CRM for med spas
Med spa software spans lightweight booking-plus-CRM tools and full aesthetic EMRs. Compared on price, what's included versus billed as an add-on, and API access.
Vagaro wins for a med spa that wants the lowest published starting price and an open API available to every customer, not only the top tier. Aesthetic Record wins instead for a practice that needs a real aesthetic EMR with procedure charting and medical director oversight, not only booking and client communication.
The short answer
- Vagaro starts at $30/month for one bookable calendar, plus $10/month for each additional calendar up to a 7+ cap, with text marketing and forms priced as separate add-ons, per vagaro.com/pro/pricing.
- Boulevard's promotional rate is $140/month per location for new customers, standard $176/month; its open API and developer portal are available on the Enterprise tier only, per joinblvd.com/pricing and joinblvd.com/features/api.
- Aesthetic Record's Essentials tier is $15/user/month and Accelerator is $19/user/month, both plus a $399 onboarding fee, with a full EMR including procedure charting and before-and-after photo and video documentation, per aestheticrecord.com/pricing.
Med spa booking, EMR and CRM tools compared
| Tool | Starting price | Seats model | Full EMR/charting? | Own database? | CRM/marketing? | Best for | Not for |
|---|---|---|---|---|---|---|---|
| Boulevard | $140/mo per location (promo), $176/mo standard | Per location; Essentials caps at 5 professionals | Yes, Forms & Charts included | No, hosted multi-tenant SaaS | Yes, email/text campaigns, loyalty, memberships; open API on Enterprise tier only | A med spa wanting scheduling, charting and marketing together at a mid-range price | A practice needing more than 5 professionals without upgrading past Essentials |
| Vagaro | $30/mo (1 calendar) | Per bookable calendar, +$10/mo each, capped at 7+ | Yes, SOAP notes plus HIPAA charting and consent forms on the med spa product | No, hosted multi-tenant SaaS | Yes, but text marketing ($20/mo) and forms ($10/mo) are separate add-ons | A med spa wanting the lowest published entry price and an open API for any customer | A practice wanting marketing included in the base price rather than billed separately |
| Aesthetic Record | $15/user/mo (Essentials) + $399 onboarding | Per user | Yes, full EMR: procedure charting, before/after photo and video, chart sign-off | No, hosted multi-tenant SaaS | Two-way texting and third-party CRM integrations (HubSpot, Zoho) are Accelerator-tier only | A practice wanting a genuine aesthetic EMR with medical oversight features | A practice wanting CRM/texting features on the cheapest tier |
Figures checked on joinblvd.com/pricing, vagaro.com/pro/pricing and aestheticrecord.com/pricing, September 2026.
How each one fits a med spa
Boulevard
Positioned specifically as HIPAA-compliant med spa software, bundling scheduling, forms and charts, client profiles, marketing, loyalty, memberships and an AI receptionist. Reputation management is not native and relies on a third-party tool. Not for: a spa wanting API access without paying for the Enterprise tier.
Vagaro
The lowest headline price of the three, with a public API and webhooks open to every customer, and a med-spa-specific product adding HIPAA charting, before-and-after photos and consent forms. The tradeoff is that campaigns, forms and other features cost extra on top of the base calendar price. Not for: a practice wanting one all-inclusive price with marketing built in.
Aesthetic Record
The most clinically complete option, with full procedure charting, chart sign-off and auditing, medical director oversight and telehealth, aimed squarely at medical aesthetic practices rather than general salons or spas. CRM features like two-way texting and third-party integrations require the Accelerator tier. Not for: a non-medical spa that doesn't need clinical charting or medical oversight tools.
When none of these is the answer
A single-provider med spa or injector working from a home studio with a handful of clients a month doesn't need dedicated aesthetic software yet. A booking link and a simple spreadsheet for client history covers that stage, and the per-user or per-location cost of these tools pays off once client volume or a growing team makes manual tracking slow.
Disclosure: SalesCrew is our product. It has no EMR, no procedure charting and makes no HIPAA compliance or BAA claim, so it isn't a fit for anything involving treatment records. Where it could fit, narrowly, is enquiry and booking before a client's first visit, with treatment details staying in the practice's own system. It isn't ranked above because that's a much narrower scope than any tool in this list covers.
Questions
- What's the real starting price for Boulevard?
- Boulevard's promotional rate for new customers is $140/month per location, rising to a standard $176/month, per joinblvd.com/pricing. Higher tiers (Premier, Prestige) cost more and raise the professional cap past unlimited; the entry Essentials tier caps at 5.
- Is Vagaro's marketing included, or an add-on?
- It's an add-on. Vagaro's base price starts at $30/month for one bookable calendar, but text marketing costs an additional $20/month, online forms $10/month, and other features like a branded app or payroll cost more on top. A med spa comparing Vagaro's headline price to Boulevard's should account for what's included versus billed separately.
- Does Aesthetic Record include a full EMR, or just scheduling?
- A full EMR: procedure charting, high-resolution before-and-after photos and video, chart sign-off and auditing, and medical director oversight, alongside booking and payments. Its two lowest tiers are $15 and $19 per user per month plus a $399 onboarding fee, though two-way texting and CRM integrations with tools like HubSpot are Accelerator-tier only, not on the cheapest plan.
- Which of these has an open API for building custom integrations?
- Vagaro publishes a public API and webhooks available to any customer, per docs.vagaro.com. Boulevard has open APIs and a developer portal, but explicitly limits that access to its Enterprise tier. Aesthetic Record has an integration marketplace and a Leads API rather than a general open developer API.