Best AI SEO Agencies for Med Spas (2026): 9 Compared
Compare 9 AI SEO agencies for med spas and plastic surgeons doing GEO and AEO for ChatGPT and AI Overviews, incl. Rosemont Media, Sagapixel and Plastix.
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For med spa owners, plastic surgeons and practice marketing leads. Updated October 22, 2026 · Prepared by Prospyr. Prospyr makes practice software, not marketing services, and none of the agencies below is a Prospyr product or partner. This list compares nine AI SEO agencies that say, on their own websites, that they optimize medical aesthetic or healthcare practices for AI search: ChatGPT, Google AI Overviews, Gemini, Perplexity and similar tools. Each summary reflects what the agency publishes on its own site, checked October 2026. AI search is new and changing fast, and no agency can guarantee what an AI tool will say, so confirm scope, reporting and contract terms in writing before you sign.
What does an AI SEO agency do?
An AI SEO agency works to get your practice named and cited when patients ask AI tools questions like "who is the best Botox injector near me" or "how much does a tummy tuck cost," on top of ranking you in regular Google results. The work goes by several names: generative engine optimization (GEO), answer engine optimization (AEO), AI search optimization or LLM optimization. In practice it is mostly the same set of tasks: clear, answer-first treatment and procedure pages; FAQ and structured data (schema) markup; consistent practice facts across your website, Google Business Profile and directories; reviews, press and other third-party mentions that AI tools draw on; making sure AI crawlers can read your site; and testing real patient prompts to see whether your practice appears.
Most of that is good SEO done thoroughly, so the questions that separate agencies are narrower: does the firm know aesthetic medicine, what does it actually measure for AI visibility, and what does it cost.
The 9 AI SEO agencies at a glance
| # | Agency | Focus | Published pricing or terms | Worth a call if you want |
|---|---|---|---|---|
| 1 | Rosemont Media | Plastic surgeons and dentists; GEO service with a plastic surgery page | One practice per market; pricing not published | GEO from an agency that won't also work for your competitor |
| 2 | Sagapixel | Healthcare, including med spas, plastic surgery and dermatology | Budgets from about $1,500 to $20,000+ a month; no long-term contracts | AI SEO with time-tracked reporting and monthly terms |
| 3 | Plastix Marketing | Plastic surgeons and med spas | Pricing not published | Monthly AI visibility tests tied to booked consultations |
| 4 | Fuel Online | Plastic surgery, including a GEO program for facelift surgeons | Pricing not published | A long-running SEO firm with a procedure-level GEO program |
| 5 | Medical Marketing Firm | Cosmetic and aesthetic practices | No contracts; free AEO audit | Technical AEO such as schema, llms.txt and Bing submission |
| 6 | Brown Bear Digital | Plastic surgery practices and other businesses | Custom proposal | A founder-led search firm with monthly AI citation reports |
| 7 | Med Spa SEO Agency | Med spas, aesthetic and dermatology practices | Plans from $950 a month; month to month | Published monthly prices with AI search included |
| 8 | The Med Spa Agency | Med spas only | Pricing not published | A med spa specialist with GEO and AEO in its service menu |
| 9 | KKV Labs | Local businesses, including med spas | $1,000 a month; 3-month minimum; money-back guarantee | A narrow AI visibility service with written success terms |
How we chose this list
We searched for agencies with a dedicated AI search, GEO or AEO service and kept those that (1) describe that service on their own website, not only in a blog post, (2) name med spas, plastic surgery or aesthetic practices as a market, and (3) say something checkable about what the work includes, such as the platforms they test, the markup they add or how they report. Then we looked for published prices and contract terms.
We left out agencies whose main product is practice software, CRM, AI receptionists, booking or review tools, because those compete with Prospyr, and agencies that mention AI search only in passing. The order is our editorial view, not a measure of results. For broader SEO and marketing options, see our lists of med spa SEO companies and med spa marketing agencies.
1Rosemont Media#
Rosemont Media is a San Diego healthcare marketing agency whose named focus is plastic surgeons and dentists. It runs a generative engine optimization (GEO) service with dedicated pages for plastic surgeons and dentists, alongside SEO, web design, social media, reviews and paid ads.
What stands out:
- Named platforms. Its GEO page targets ChatGPT, Google AI Overviews, Gemini and Perplexity, and also mentions Bing Copilot.
- Schema work. It lists FAQPage, Physician and review and rating markup, and optimizing sites for "LLM discoverability."
- AI-specific metrics. It tracks AI citations and mentions, visibility for conversational queries and AI-influenced referral traffic, with custom reporting dashboards.
- One practice per market. Rosemont states it works with just one practice per market.
Right for: a plastic surgery practice, or a med spa attached to one, that wants GEO from a firm that won't also serve the practice across town. Ask: how "market" is defined, how often AI visibility is reported, and pricing, which is quoted per plan.
2Sagapixel#
Sagapixel is a healthcare digital marketing agency whose AI SEO service names plastic surgery, dermatology and med spas among its industries. Its med spa SEO page lists generative engine optimization alongside SEO, ads, web design and social media.
What stands out:
- A five-step process. An initial audit, content gap and citation analysis, an SEO foundation, AI-targeted content, and monitoring whether the practice appears in AI responses.
- Prompt testing. It states it tests queries in ChatGPT, Gemini, Perplexity and other platforms, and notes that generative engines lean on content that ranks well in Bing and Google.
- Time-tracked reporting. Every task is logged and time-tracked, with a dedicated account manager.
- Monthly terms. It states there are no long-term contracts and that it plans around budgets from $1,500 to $20,000+ a month.
Right for: a med spa that wants AI SEO built on a solid regular SEO program, with visibility into where the hours go. Ask: which AI visibility metrics appear in your monthly report and what budget it recommends for your market.
3Plastix Marketing#
Plastix Marketing is a marketing agency that works with aesthetic practices, and its AI search optimization page is written for plastic surgeons and med spas.
What stands out:
- Wide platform list. Google AI Overviews and AI Mode, ChatGPT, Perplexity, Gemini and Microsoft Copilot.
- Answer-first content. Procedure pages and FAQs that cover cost, recovery, candidacy and provider credentials, plus consistent practice facts across the website, Google Business Profile and directories.
- Crawler access. It checks that AI crawlers can reach pages and that content is not hidden behind scripts.
- Reporting tied to outcomes. Monthly AI visibility tests of patient questions and AI Overview citation tracking, reported alongside rankings, traffic and booked consultations.
Plastix also appears on our pricing consultants list for its consulting work.
Right for: a practice that wants AI visibility judged against consultations, not just mentions. Ask: pricing and contract term (neither is published), and which of your patient questions it would test each month.
Choosing vendors for your practice?
Prospyr runs the practice they plug into: booking, charting, packages and payments on one patient record. We move your data over for you.
4Fuel Online#
Fuel Online states it has grown practices through search since 1998, with a 100% US-based team. It runs a plastic surgery marketing practice, including a GEO program written for facelift surgeons, and also serves other industries.
What stands out:
- Four GEO workstreams. Entity authority through structured signals and schema, citation building from medical directories, associations and press, physician-reviewed content, and brand-mention monitoring that shows which competitors AI tools name.
- Named engines. ChatGPT, Gemini, Claude and Perplexity, connected to its Google and AI Overviews work.
- Honest limits. It states it does not promise specific rankings, citations or consultation volume.
Right for: an established surgeon who wants procedure-level GEO from a large, long-running SEO firm. Ask: how many aesthetic practices it serves today, pricing, and the contract term, none of which is published on the page.
5Medical Marketing Firm#
Medical Marketing Firm, in Madison, Connecticut, serves cosmetic and aesthetic practices including plastic surgeons, dermatologists, med spas and weight-loss providers. Its AEO page for plastic surgery is one of the most technical we found.
What stands out:
- Specific deliverables. FAQPage, MedicalOrganization and Speakable schema, consistent listings and directory citations, AI crawler access through robots.txt and llms.txt, and question-and-answer content.
- Search engine submissions. It lists submission to Perplexity's publisher program and Bing Webmaster Tools sitemap submission.
- Terms. The page states "No contracts" and offers a free AEO audit.
Right for: a practice that wants the technical side of AI search handled precisely. Ask: prices (its pricing page was not reviewed for this list), who writes the content, and how AI visibility is reported.
6Brown Bear Digital#
Brown Bear Digital is a San Francisco Bay Area search agency founded by Bryan Passanisi, who it says has 15 years of SEO, paid search and AI search experience. It has a dedicated page for plastic surgeons and publishes an AI search guide for plastic surgery practices.
What stands out:
- Baseline first. It states it establishes a baseline at the start of an engagement.
- Monthly AI reporting. Citation volume, sentiment accuracy and topic coverage, tracked across ChatGPT, Perplexity, Google AI Overviews and other platforms with manual prompt testing, third-party monitoring tools and Search Console data.
- Off-site work included. Technical audits, schema, link building, PR outreach and citation building.
Right for: a practice that wants senior search expertise directly, without a large agency structure. Ask: how many aesthetic practices it works with, pricing and contract term, which come in a custom proposal.
7Med Spa SEO Agency#
Med Spa SEO Agency serves med spas, dermatology practices, aesthetic clinics, wellness centers and cosmetic dentistry, including franchises and multi-location practices, in the US, UK, Canada and Australia. It lists AI search and LLM optimization covering Google AI Overviews, ChatGPT and Perplexity alongside local and treatment-page SEO.
What stands out:
- Published prices. Gold at $950 a month and Platinum at $1,499 a month, each with a set number of backlinks, blog posts, Google Business Profile posts and a press release per month, as of October 2026. Enterprise pricing for multi-location practices is quoted.
- Month to month. Its FAQ states all plans are month to month with no long-term contracts.
Right for: a single-location med spa that wants a known monthly cost. Ask: what AI search work is included in each plan versus regular SEO, how it reports AI visibility, and where the team is based.
8The Med Spa Agency#
The Med Spa Agency, led by founder and managing partner Chris Fink, states that it works exclusively with med spas. Its services include SEO, websites, ads, email, reputation, AEO and GEO.
What stands out:
- Prompt-tested reporting. It tracks GEO through prompt testing, named mentions in AI tools and referral traffic from AI chat engines.
- Multimodal work. Its GEO page covers text, video and images, plus visibility across directories, media and industry sites that AI tools draw from.
- Named platforms. ChatGPT, Bing Copilot, Gemini and Perplexity.
Right for: a med spa that wants an agency with no surgical or dental clients. Ask: pricing and contract term (not published), where the team is based, and how many med spas it serves.
9KKV Labs#
KKV Labs, in Newark, Delaware, sells AI visibility for local businesses, including med spas. Its med spa page states it was founded in 2026 and is founder-led. It runs 10 buyer questions for your city through ChatGPT, Perplexity and Google AI Mode, then fixes the pages, listings and answers that affect who gets named.
What stands out:
- Published price. $1,000 a month with a 3-month minimum, then month to month, as of October 2026.
- Written guarantee. "Named by AI in 90 days or every dollar back," measured on questions agreed in writing at kickoff.
- One per city. It takes one business per industry per city.
Right for: a med spa that wants a narrow, measurable AI visibility project rather than a full marketing retainer. Ask: how many med spas it has served, how "named" is measured, and what work continues after the guarantee period. It is a young company, so ask for references.
Questions to ask any AI SEO agency
- Which patient questions will you test, on which AI tools, and how often? Agree on a written prompt list for your city and treatments before you start.
- What is your baseline? Ask for a before snapshot of where your practice appears today, so later reports mean something.
- What is AI-specific and what is regular SEO? Most of the work overlaps. Ask which deliverables are new and what they cost.
- How will this tie to booked patients? Mentions are not consultations. Ask how AI referral traffic and calls will be tracked to bookings.
- Who approves treatment claims? Your provider or medical director should approve anything about results and safety. Our advertising compliance reviewers list covers outside review.
- What do you guarantee, exactly? No one controls what an AI tool says. Read any guarantee for how success is measured.
- Who owns the content, schema and accounts if we part ways? Get it in writing.
Where Prospyr fits
AI search can send a patient to your website, but the booking still happens in your practice software, and that is where you find out whether AI visibility is paying off. Prospyr's lead capture and lead management record where each inquiry came from, online scheduling books the visit on one patient record, and analytics show which sources turn into treatments. Prospyr's AI agent can also answer patient questions around the clock, trained on your own services and policies. Ask any agency to tag AI referral traffic so it shows up in your reports, and book a practice demo to see how.
Frequently asked questions
What is AI SEO?
AI SEO is the work of getting a business named and cited in answers from AI tools such as ChatGPT, Google AI Overviews, Gemini and Perplexity, as well as in regular search results. For a med spa, it usually means clear treatment pages and FAQs, structured data, consistent listings, reviews and outside mentions, and testing real patient questions to see whether the practice appears.
What is the difference between GEO, AEO and SEO?
SEO aims to rank pages in search results. AEO (answer engine optimization) shapes content so search features and AI tools can lift a direct answer from it. GEO (generative engine optimization) aims to make a practice a source that AI tools trust enough to name when they write an answer. Agencies use the terms differently, and most AEO and GEO work builds on regular SEO.
How much does an AI SEO agency cost for a med spa?
Few agencies publish prices. Of those that do, Med Spa SEO Agency lists plans at $950 and $1,499 a month, KKV Labs lists $1,000 a month with a 3-month minimum, and Sagapixel states it plans around budgets from $1,500 to $20,000+ a month, all as of October 2026. Most others quote after a call.
Can an agency guarantee that ChatGPT will recommend my med spa?
No agency controls what an AI tool says, and answers change from one question and one day to the next. Some agencies offer guarantees tied to a written list of test questions; read exactly how success is measured. Fuel Online, for example, states it does not promise specific rankings or citations.
Do I need a separate AI SEO agency if I already have an SEO company?
Often not. Ask your current SEO company what it does for AI search, which prompts it tests and how it reports. Several firms on our med spa SEO companies list now include GEO in their SEO work. A separate specialist makes sense if your current firm has no answer.
Want your company considered?
We review this list quarterly. Agencies that offer AI search, GEO or AEO services to med spas and aesthetic practices can send their website and what they offer practices to info@prospyrmed.com. Inclusion is editorial and not paid.
Editorial scope
This list is based on each agency's public website, checked October 2026 with AI-assisted research. Agencies did not review this article before publication. It is not a guarantee of results or a substitute for checking references, reports and contract terms. Read our methodology or report a correction.