Best CRM for med spas
Med spa software runs from light booking-plus-CRM tools to full aesthetic EMRs. We compared price, what's in the base versus billed as an add-on, and API access.
Want to see it first? Book a demo
Vagaro wins for a med spa that wants the lowest listed starting price and an open API for every customer, not only the top tier. Aesthetic Record wins for a practice that needs a real aesthetic EMR with procedure charting and medical director review, not only booking and client texts.
The short answer
- Vagaro starts at $30/month for one bookable calendar, plus $10/month for each extra calendar up to a 7+ cap. Text marketing and forms are add-ons, per vagaro.com/pro/pricing.
- Boulevard's promo rate is $140/month per location for new customers, and $176/month after. Its open API and developer portal come only on the Enterprise tier, 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 setup fee. You get a full EMR with procedure charting and before-and-after photos and video, 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 staff | Yes, Forms & Charts included | No, hosted multi-tenant SaaS | Yes, email and text campaigns, loyalty, memberships; open API on Enterprise only | A med spa that wants booking, charting and marketing together at a mid-range price | A practice with more than 5 staff that wants to stay on Essentials |
| Vagaro | $30/mo (1 calendar) | Per bookable calendar, +$10/mo each, up to 7+ | Yes, SOAP notes, 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 add-ons | A med spa that wants the lowest listed entry price and an open API for any customer | A practice that wants marketing in the base price, not billed on top |
| Aesthetic Record | $15/user/mo (Essentials) + $399 onboarding | Per user | Yes, full EMR: procedure charts, before/after photos and video, chart sign-off | No, hosted multi-tenant SaaS | Two-way texting and CRM links (HubSpot, Zoho) on the Accelerator tier only | A practice that wants a true aesthetic EMR with medical review tools | A practice that wants CRM and texting on the lowest 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
Boulevard sells itself as med spa software built for HIPAA compliance. It bundles booking, forms and charts, client profiles, marketing, loyalty, memberships and an AI receptionist. Review management runs through a third-party tool. Not for: a spa that wants API access without paying for the Enterprise tier.
Vagaro
Vagaro has the lowest headline price of the three, with a public API and webhooks open to every customer. Its med spa product adds HIPAA charting, before-and-after photos and consent forms. Campaigns, forms and other extras cost more on top of the base calendar price. Not for: a practice that wants one all-in price with marketing built in.
Aesthetic Record
Aesthetic Record is the most complete clinical option. It has full procedure charting, chart sign-off and audits, medical director review and telehealth. It's aimed at medical aesthetic practices, not general salons or spas. CRM tools like two-way texting and third-party links need the Accelerator tier. Not for: a non-medical spa that doesn't need clinical charts or medical review tools.
How to choose
Choose Vagaro if you want the lowest entry price, from $30/month, and an open API. Choose Boulevard if you want booking, charts and marketing in one plan at $140/month per location to start. Choose Aesthetic Record if you need a full aesthetic EMR with medical director review, from $15 per user per month.
Disclosure: SalesCrew is our product. SalesCrew makes no HIPAA claim; it holds enquiry and scheduling data, and clinical records stay in your practice system. It works the new-client enquiry and the consult booking before a first visit, with the source logged on every lead. EMR and procedure charting stay in the spa software above.
Questions
- What's the real starting price for Boulevard?
- Boulevard's promo rate for new customers is $140/month per location, rising to a standard $176/month, per joinblvd.com/pricing. The entry Essentials tier caps at 5 staff. Higher tiers (Premier, Prestige) cost more and lift that cap.
- Is Vagaro's marketing included, or an add-on?
- It's an add-on. Vagaro starts at $30/month for one bookable calendar. Text marketing costs $20/month more, online forms $10/month, and extras like a branded app or payroll cost more on top. When you set Vagaro's headline price next to Boulevard's, count what's in the base and what's billed on top.
- Does Aesthetic Record include a full EMR, or just scheduling?
- A full EMR. It has procedure charting, high-res before-and-after photos and video, chart sign-off and audits, and medical director review, plus booking and payments. Its two lowest tiers are $15 and $19 per user per month, plus a $399 setup fee. Two-way texting and CRM links to tools like HubSpot come only on the Accelerator tier.
- Which of these has an open API for building custom integrations?
- Vagaro has a public API and webhooks open to any customer, per docs.vagaro.com. Boulevard has open APIs and a developer portal, but only on its Enterprise tier. Aesthetic Record has an app marketplace and a Leads API, not a general open API.