Best med spa booking software
Appointment booking, staff scheduling and payments for a med spa, compared on real price, per-location model and what's billed as an add-on.
Vagaro wins on price for a single-location med spa: its published rate is the lowest of the four, and it is the only one that bundles AI marketing tools into the base plan rather than a separate paid package. Boulevard wins instead for a spa that wants a purpose-built AI receptionist and strict compliance posture (HIPAA, SOC 2, PCI Level 1) named directly on its own pricing page.
The short answer
- Boulevard's published tiers are Essentials $140/month, Premier $234/month and Prestige $328/month, flagged on its own site as limited-time promotional rates against normal pricing of $176-410; Essentials caps at 5 professionals per location, per joinblvd.com/pricing.
- Zenoti publishes no pricing figures at all; cost is 'customized based on your footprint,' and its AI Plus package, covering an AI receptionist, marketer and scheduler, is a separate paid add-on rather than included in the base subscription, per zenoti.com/pricing.
- Aesthetic Record's Essentials tier is $15/user/month and Accelerator is $19/user/month, but both carry a separate $399 one-time onboarding fee, and AI charting plus e-prescribing are unbundled add-ons priced from about $30 to $75/month, per aestheticrecord.com/pricing.
Med spa booking tools compared
| Tool | Starting price | Model | AI features included? | Best for | Not for |
|---|---|---|---|---|---|
| Boulevard | $140/mo (Essentials, promotional) | Per-location, 5 professionals included on entry tier | AI receptionist included at every tier | A single- or few-location spa wanting HIPAA/SOC 2/PCI compliance named upfront | A spa needing more than 5 staff without upgrading past Essentials |
| Zenoti | Pricing on request | Customized by location footprint | No — AI Plus is a separate paid package | A multi-location group replacing several point solutions with one platform | A buyer wanting a published number or AI features included standard |
| Vagaro | $23.99/mo (Single Location, promotional) | Per bookable calendar, admin staff don't count toward seats | Yes — AI tools bundled into the base plan | A single-location spa wanting the lowest real published price | A large multi-location group needing Zenoti- or Boulevard-grade enterprise features |
| Aesthetic Record | $15/user/mo (Essentials) + $399 one-time onboarding | Per-user/provider | No — AI charting and e-prescribing are paid add-ons | A spa that wants a full EMR with photo and procedure charting on every tier | A buyer expecting the $15-19 headline to be the full monthly cost |
Figures checked on joinblvd.com/pricing, zenoti.com/pricing, vagaro.com/pro/pricing and aestheticrecord.com/pricing, September 2026.
How the four differ in practice
Boulevard
Names its compliance posture directly on the pricing page, HIPAA, SOC 2 and PCI Level 1, alongside a built-in AI receptionist for 24/7 call answering and booking, plus a dispute-resolution center for payment chargebacks. QuickBooks integration is a separate $45/month add-on rather than bundled. Not for: a spa with more than 5 professionals at a single location wanting to stay on the entry tier.
Zenoti
Built as a full operating system, booking, payroll, inventory and point of sale, marketed as replacing 8 to 12 separate subscriptions with one platform. Its AI capabilities are real differentiators on paper but sit behind a separate paid 'AI Plus package' rather than the base subscription, and voice/SMS messaging bills by usage on top of the subscription. Not for: a spa wanting AI features and a published price without a custom sales quote.
Vagaro
The most transparently priced of the four and the only one with genuinely self-serve, published pricing rather than a sales-gated quote. Its advertised rate is explicitly a 6-month promotional rate reverting to $30/month afterward, and it is built more as a general appointment-booking platform across beauty and wellness than a med-spa-specific EMR. Not for: a med spa wanting clinical charting depth comparable to Aesthetic Record.
Aesthetic Record
A full EMR with high-resolution photo management and procedure charting included on every tier, which distinguishes it from the other three as much clinical-record software as booking software. The headline per-user price is real but incomplete: a mandatory $399 onboarding fee and several clinically relevant features, AI-assisted charting and e-prescribing, are unbundled add-ons. Not for: a spa expecting the advertised $15-19 figure to be the complete monthly cost.
When none of these is the answer
A single injector running a handful of appointments a week out of a shared suite does not need a dedicated med spa platform; a general appointment-booking tool or even a shared calendar covers that volume without the EMR and compliance overhead these tools are built around.
SalesCrew is not included in the ranking above because it does not handle clinical charting, appointment booking or HIPAA-scoped treatment records; those stay in a dedicated system, not a general CRM. Where SalesCrew is relevant is a new-patient enquiry before it becomes a booked appointment, and reminder-driven no-show recovery for that intake flow is on the roadmap, not shipped.
Questions
- What's the cheapest way to start booking software for a med spa?
- On the tools checked here, Vagaro's Single Location plan is the lowest published price at $23.99/month, though its own site labels that a promotional rate for the first 6 months, reverting to $30/month after. Boulevard's Essentials tier is $140/month, also flagged as a limited-time promotional rate.
- Do any of these include AI features in the base price?
- It varies. Vagaro states its AI business and marketing tools are bundled into the base plan. Zenoti gates its AI capabilities, an AI receptionist, AI marketer and AI scheduler, behind a separate paid 'AI Plus package' rather than including them standard.
- Is Aesthetic Record's low per-user price the real cost?
- Not entirely. Its published $15-19/month per-user figure carries a separate $399 one-time onboarding fee, and features that feel core to a med spa, AI-assisted charting and e-prescribing, are priced as add-ons starting around $30-75/month, not included in the base rate.
- Which one is built for a multi-location med spa group?
- Boulevard and Zenoti both lead with multi-location and enterprise framing; Zenoti's pricing is explicitly customized 'based on your footprint' rather than a flat per-location fee. Boulevard caps its entry Essentials tier at 5 professionals per location, requiring Premier or above for unlimited staff.