Best med spa booking software

Booking, staff schedules and payments for a med spa, compared on real price, per-location model and what's billed as an add-on.

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Vagaro wins on price for a med spa with one location. Its posted rate is the lowest of the four, and it's the only one with AI marketing tools in the base plan. Boulevard wins for a spa that wants a built-in AI receptionist and the HIPAA, SOC 2 and PCI Level 1 claims named on its own pricing page.

The short answer

  • Boulevard's posted tiers are Essentials $140/month, Premier $234/month and Prestige $328/month. Its own site marks these as limited-time promo rates against normal prices of $176-410. Essentials caps at 5 professionals per location, per joinblvd.com/pricing.
  • Zenoti posts no prices at all; cost is 'customized based on your footprint.' Its AI Plus package (an AI receptionist, marketer and scheduler) is a separate paid add-on, per zenoti.com/pricing.
  • Aesthetic Record's Essentials tier is $15/user/month and Accelerator is $19/user/month. Both carry a separate $399 one-time setup fee, and AI charting and e-prescribing are add-ons from about $30 to $75/month, per aestheticrecord.com/pricing.

Med spa booking tools compared

ToolStarting priceModelAI features included?Best forNot for
Boulevard$140/mo (Essentials, promotional)Per location, 5 professionals on the entry tierAI receptionist included at every tierA spa that wants Boulevard's HIPAA, SOC 2 and PCI claims named upfrontA spa that needs more than 5 staff without moving past Essentials
ZenotiPricing on requestPriced by your number of locationsNo; AI Plus is a separate paid packageA group with many locations that wants one platform in place of several toolsA buyer who wants a posted price or AI features in the base plan
Vagaro$23.99/mo (Single Location, promotional)Per bookable calendar; admin staff don't count as seatsYes; AI tools come in the base planA spa with one location that wants the lowest real posted priceA large group with many locations that needs Zenoti- or Boulevard-level features
Aesthetic Record$15/user/mo (Essentials) + $399 one-time onboardingPer user or providerNo; AI charting and e-prescribing are paid add-onsA spa that wants a full EMR with photo and procedure charting on every tierA buyer who expects 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 HIPAA, SOC 2 and PCI Level 1 right on its pricing page. It has a built-in AI receptionist that answers calls and books 24/7, plus a center for payment disputes and chargebacks. QuickBooks is a separate $45/month add-on. Not for: a spa with more than 5 professionals at one location that wants to stay on the entry tier.

Zenoti

Built to run the whole spa: booking, payroll, stock and point of sale. It's sold as a way to replace 8 to 12 separate plans with one. Its AI tools stand out on paper, but they sit in a separate paid 'AI Plus package', and voice and SMS bill by usage on top of the plan. Not for: a spa that wants AI features and a posted price without a custom quote.

Vagaro

The clearest pricing of the four, and the only one where you can buy at a posted price without a sales quote. Its headline rate is a 6-month promo that goes to $30/month after. It's built as a general booking tool for beauty and wellness, not an EMR made for med spas. Not for: a med spa that wants charting as deep as Aesthetic Record's.

Aesthetic Record

A full EMR with high-res photo storage and procedure charting on every tier. That makes it as much clinical-record software as booking software, unlike the other three. The headline price per user is real but not the whole cost: a required $399 setup fee, and AI charting and e-prescribing are add-ons. Not for: a spa that expects the $15-19 figure to be the full monthly cost.

How to choose

Choose Vagaro if you run one location and want the lowest posted price, $23.99 a month. Choose Boulevard if you want a built-in AI receptionist. Choose Zenoti if you run many locations and want one platform for booking, payroll and stock. Choose Aesthetic Record if you want full clinical charting on every tier.

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 a new-client enquiry before it becomes a booked appointment, with the source recorded and a follow-up cadence. Reminders go out by SMS and email 24 hours and 2 hours before the appointment, and a no-show gets a reschedule link (see speed-to-lead).

Questions

What's the cheapest way to start booking software for a med spa?
Of the tools we checked, Vagaro's Single Location plan has the lowest posted price at $23.99/month. Its own site calls that a promo rate for the first 6 months, then $30/month after. Boulevard's Essentials tier is $140/month, also marked as a limited-time promo rate.
Do any of these include AI features in the base price?
It varies. Vagaro says its AI business and marketing tools come in the base plan. Zenoti puts its AI tools (an AI receptionist, AI marketer and AI scheduler) in a separate paid 'AI Plus package', not the base plan.
Is Aesthetic Record's low per-user price the real cost?
Not quite. Its posted $15-19/month per user comes with a separate $399 one-time setup fee. Features that feel core to a med spa, like AI charting and e-prescribing, are add-ons from about $30-75/month, not part of the base rate.
Which one is built for a multi-location med spa group?
Boulevard and Zenoti both pitch to groups with many locations. Zenoti's price is 'customized based on your footprint', not a flat fee per location. Boulevard caps its entry Essentials tier at 5 professionals per location, so you need Premier or above for unlimited staff.