Med Spa Average Revenue: $1.4M, Profit Margins and Owner Pay

The average US med spa brought in $1,398,833 in annual revenue, according to the American Med Spa Association’s 2024 Medical Spa State of the Industry report, up from $1,307,587 in the prior survey period. That is the latest average AmSpa has published. The same report puts the typical med spa at 245 patient visits a month and $527 spent per visit, and 81% of med spas operate a single location.

Profit and owner pay are harder. AmSpa’s last public profit margin figure is 29%, for 2018. No industry body publishes a current average owner salary, so the owner income numbers you see online are estimates. Below you get every public figure with its source and year, the reason AmSpa’s own averages changed so much between reports, and a worksheet to calculate what your own med spa should make.

Med spa revenue benchmarks: every public AmSpa figure, by report year

AmSpa runs its survey roughly every two years. The full report costs $995 for non-members, but each edition comes with a free executive summary, and that summary is where the figures below come from. Where AmSpa published the same metric in more than one edition, both are shown so you can see the trend.

Two labeling notes. AmSpa’s 2024 recap does not attach a calendar year to the $1,307,587 and $1,398,833 figures, while a later AmSpa news post calls them 2023 and 2024. The survey itself ran from September 2023 to March 2024, according to AmSpa’s release announcing the report, so the latest figure mostly reflects 2023 trading. Also, these are averages (means). AmSpa does not publish a median revenue in its free summaries, and a handful of large practices can pull a mean up.

Why AmSpa’s average fell from $1.98 million to $1.4 million

If you read older articles, you will see $1,982,896 quoted as the average. That number is real, but it is a 2022 projection. AmSpa explained in its 2022 write-up that researchers combined survey answers with census, personal care spending and growth-rate data to model 2022 revenue and forecast later years. The 2024 report then measured the prior period at $1,307,587, about $675,000 lower. AmSpa’s 2024 release says revenues “settled down a bit since the artificial highs of the immediate post-pandemic period.” The practical rule: quote $1,398,833 as the current figure and treat $1.98 million as a superseded projection.

How much do med spas make a year? Check the math yourself

You can sanity-check the average with AmSpa’s own volume figures. 245 visits a month times $527 per visit is $129,115 a month, or $1,549,380 a year. That is about 11% above the reported $1,398,833. The gap is normal: an average of visits times an average of spend does not equal the average of revenue, because the busiest med spas are not always the ones with the highest ticket. Working backwards, $1,398,833 at $527 per visit takes about 2,654 visits a year, or 221 a month.

Med spa revenue figures outside AmSpa (and how much to trust them)

Software vendors and data firms also publish revenue numbers. Some come from real transaction data; some are unsourced. This table separates them.

The honest read: AmSpa’s $1.4 million is the only nationwide survey average with a published method. Vendor numbers describe their own customers, who skew toward practices that buy premium software. The CorralData cohort grew 19.2% while Qsight’s broader sample saw under 1% same-store growth, which tells you sample choice matters more than any single headline.

Are med spas a growing industry?

Yes, by location count. AmSpa counted 5,431 med spas in 2018 and 10,488 in 2023, and 18% of med spas in the 2024 survey had opened in 2023. AmSpa’s CEO said in the 2024 release that med spas employ more than 100,000 people, and AmSpa’s research page describes an industry that has passed $17 billion in revenue and grows by more than $1 billion a year.

Demand is concentrated in injectables. The American Society of Plastic Surgeons counted 9,883,711 neuromodulator injections and 5,331,426 hyaluronic acid filler procedures in 2024, the top two of more than 28.5 million minimally invasive procedures, according to its 2024 statistics release. In its 2025 report, released September 1, 2026, neuromodulators and HA fillers made up 80% of all minimally invasive procedures.

The catch is that more locations split the demand. Qsight found same-store revenue growth under 1% in 2024 even as total spending rose 5%, which means new practices captured most of the growth. A new med spa is entering a busier market than one that opened in 2018.

Med spa profit margin: what the sources actually say

Most articles quote “20% to 25%.” We could not find a primary survey behind that range. Here is what is actually published.

So the defensible statement is this: the last measured average was 29% (2018), the buyer benchmark today is 20% adjusted EBITDA, and the 20% to 25% range is a reasonable rule of thumb from vendors rather than a measured average. One more reason to be careful: “profit” in a survey depends on whether the owner’s own salary was counted as an expense. An injector-owner who pays herself $130,000 and reports 15% profit may take home more than an absentee owner reporting 25%.

Are med spas profitable? The four numbers that decide it

Most med spas that stay open are profitable, but margin depends on a few controllable inputs. The sources above point to the same four.

1. Repeat rate. AmSpa found 73% of patients are repeat patients. Skytale says buyers want retention near 50% for new patients and up to 80% for returning patients. Qsight measured regional retention between 44% and 49% from 2023 to 2024, so most practices sit well below the buyer target.
2. Membership share. In the CorralData cohort reported by AmSpa, members spent 2.5 times more than non-members and retained 35 percentage points better. Zenoti reported a 24% rise in med spa membership sales in 2024.
3. Service mix. Skytale describes an attractive mature business as about 60% injectables, with the rest in energy devices, skincare, weight loss and other services, and warns that a heavy medical weight loss mix makes investors nervous.
4. Lead response speed. In the CorralData data, every practice that answered new leads within 15 minutes and booked more than 30% of appointments online landed in the top half for growth.

Profit also depends on what you spend to win each patient. If you have not calculated it, start with our guide to customer acquisition cost, then compare it to patient lifetime value using the LTV to CAC ratio. A med spa with 73% repeat patients can afford a far higher first-visit acquisition cost than one where most patients come once.

How much do med spa owners make?

No association publishes a current average med spa owner salary. AmSpa’s free summaries report employee salaries, not owner income, and the owner figures in vendor blogs are estimates. The honest way to answer is to model it. Owner income has two parts: the profit the business produces, and any wage you earn if you also treat patients.

This is pre-tax profit, before debt principal repayments and before reinvestment in equipment. Then add clinical pay if the owner works as a provider. For scale, the BLS May 2025 wage estimates put the national mean for nurse practitioners at $137,300 and for physician assistants at $141,280, across all industries. AmSpa reports that 67% of single-owner practices are owned by non-MDs or surgeons, a group that includes NPs, RNs, PAs, entrepreneurs and aestheticians, so many owners earn both a clinical wage and a profit share.

New owners earn less. 18% of med spas in AmSpa’s 2024 survey had opened in 2023, and AmSpa does not publish first-year revenue in its free summaries. Plan your personal budget on the assumption that year one will not look like the averages above.

Do med spa owners make good money compared with working in one?

Compare the owner scenarios with what the same people earn as employees. AmSpa’s 2022 summary lists full-time med spa salaries, and BLS gives the all-industry picture for the same roles.

Sources: AmSpa 2022 summary, AmSpa 2019 summary, BLS OEWS May 2025 national estimates. AmSpa salaries are older and do not include commission or bonuses, so they are not a like-for-like comparison with the 2025 BLS figures. Is working at a med spa a good job? On base salary alone, the AmSpa figures sit below the national means for the same licenses; injector pay with commission is not published in the free summaries.

Med spa unit economics worksheet

Use this to estimate what your own med spa should bring in, then compare each line with the AmSpa benchmark. Fill in the “Your number” column from your booking software for the last 12 months.

Worked example. A single-location med spa sees 1,000 active patients who visit an average of 2.6 times a year. That is 2,600 visits, or about 217 a month. At $527 per visit, revenue is $1,370,200. At a 20% adjusted EBITDA margin, the business throws off $274,040. If the owner is an NP who also injects, her total income is that profit plus whatever clinical pay the P&L already includes for her. The patient count and visit frequency here are illustrative inputs, not AmSpa data; only the $527 ticket comes from the report.

Two levers move the result fastest. Raising visits per patient from 2.6 to 3.0 on the same 1,000 patients adds 400 visits, or $210,800 a year at $527. Raising the ticket by $50 on 2,600 visits adds $130,000. That is why the CorralData cohort grew 19.2% with only 1.2% more new patients: the growth came from existing patients.

Is owning a med spa worth it? A pass/fail scorecard

Use this before you buy, open or expand. Each threshold comes from a named source. Three or more fails means the business is not yet earning what the market will pay for.

If the scorecard shows a demand problem rather than an operations problem, the fix is usually marketing. Our med spa marketing playbook covers the channels, and the plastic surgeon marketing budget benchmarks show how adjacent aesthetic practices size spend against revenue. In my view, most med spas under the AmSpa average have a retention and rebooking problem before they have a lead problem, so check line F before you raise ad spend.

How much money do I need to start a med spa?

AmSpa covers start-up costs in the paid full report, but the number is not in the free executive summary, so we cannot quote it. The public figures are vendor estimates: Zenoti says start-up costs “can range from $200,000 to $1 million or more” depending on location, size, equipment and inventory, without citing a survey. Treat that as a wide planning range, not a benchmark. Your biggest variables are whether you buy or lease lasers and energy devices, build-out cost per square foot in your market, and how many months of payroll you fund before patient volume reaches the 221 visits a month that the AmSpa average implies.

If you are building a growth plan around these numbers and want a second opinion on the marketing side, you can book a consultation.

Where these numbers fall short

• AmSpa data is self-reported by survey respondents, and the free summaries give means, not medians.
• The latest AmSpa survey closed in March 2024. The 2024 report is the newest edition with a public summary we could find in November 2026.
• AmSpa reports national data only; its research page notes the report does not break figures out by state or city.
• Vendor benchmarks (Zenoti, CorralData, Boulevard) describe their own customers and are not nationally representative.
• Skytale’s thresholds describe what buyers want, not what the average med spa achieves.

Frequently asked questions

What is the average revenue of a med spa?

The American Med Spa Association's 2024 Medical Spa State of the Industry report puts average annual revenue at $1,398,833 per med spa, up from $1,307,587 in the prior period. The survey ran from September 2023 to March 2024. Older articles quote $1,982,896, but that was a 2022 projection from AmSpa's 2022 report and has been superseded by the 2024 survey.

Are med spas profitable?

Most established med spas are. AmSpa's last published average profit margin was 29%, for 2018. In a December 2025 report, investment bank Skytale said private equity buyers look for adjusted EBITDA above 20% and gross profit above 65% before direct labor. The often quoted 20% to 25% range comes from software vendor blogs, not a published survey.

How much do med spa owners make?

No association publishes a current average owner salary. Modeling AmSpa's $1,398,833 average revenue at margins of 15%, 20% and 29% gives about $209,825, $279,767 and $405,662 in annual pre-tax profit. Owners who also treat patients add clinical pay; BLS puts the May 2025 national mean for nurse practitioners at $137,300.

What is the average med spa profit margin?

AmSpa's 2019 executive summary reported a 29% average profit margin for 2018, the latest margin AmSpa has made public. Current buyer benchmarks from Skytale and Guidepoint Qsight are adjusted EBITDA above 20% and EBITDA above $1 million for competitive valuations. Vendor blogs such as Boulevard and Zenoti cite 20% to 25% without naming a survey.

How many patients does a med spa see per month?

AmSpa's 2024 report found an average of 245 patient visits per month, with patients spending $527 per visit and 73% of patients being repeat patients. The 2022 report showed 283 non-surgical visits per month at $536 per visit. At the 2024 ticket, the average revenue of $1,398,833 implies about 221 visits a month.

Are med spas a growing industry?

Yes. AmSpa counted 5,431 US med spas in 2018 and 10,488 in 2023, and says the industry has passed $17 billion in revenue. Growth per practice is slower: Skytale and Guidepoint Qsight found under 1% same-store revenue growth in 2024, even though total US non-surgical spending rose 5% to $20.5 billion.