Best Med Spa Valuation Firms (2026): 8 Compared

For med spa and aesthetic practice owners. Updated October 2, 2026 · Prepared by Prospyr. Prospyr makes practice software, not valuations, and none of the firms below is a Prospyr product or partner. Each summary reflects what the firm publishes on its own website, checked October 2026. Fees, turnaround times and terms change, so confirm everything in a written engagement letter before you send financials.

What does a med spa valuation firm do?

A med spa valuation firm estimates what your practice is worth on a specific date and documents how it got there. The appraiser restates your earnings (adding back owner pay above market, personal and one-time costs), studies your treatment mix, provider depth, memberships and ownership structure, then applies market, income or asset methods to reach a number. Owners use the report to price a sale, test an offer from a buyer, set a partner buy-in or buyout, qualify for an SBA loan, plan an estate, or settle a divorce or dispute. The key difference between firms is whether they charge a fee for an independent report or offer a free estimate as the first step toward selling your practice.

The 8 med spa valuation firms at a glance

How we chose this list

We looked for firms that name med spas, medical aesthetics or plastic surgery on their own websites and that state how they value a practice, then checked four things a practice owner can verify before a first call:

• Independence. Does the firm charge a fee for the report, or is the valuation part of a sales pitch for its brokerage service? Both have a place, but you should know which one you're getting.
• Credentials. Does it name its appraisers and their designations (CVA, CBA, ASA, ABV), which lenders, courts and the IRS look for?
• Published terms. Does it publish fees, turnaround or how it gets paid?
• Aesthetic fluency. Does it discuss the issues that move a med spa's value: injector dependence, memberships and packages, medical director and MSO structure, and equipment?

The four independent appraisers come first because a fee-based report has no stake in whether you sell. The four sell-side advisors that follow offer free valuations and earn a fee when a sale closes. The order is our editorial view, not a measure of results. If you're already set on selling, start with our list of med spa business brokers instead.

1. HealthFMV

HealthFMV is a healthcare valuation and transaction advisory firm in Tucson, Arizona, led by Will Hamilton, a Certified Valuation Analyst (CVA) through NACVA who reports 15+ years of healthcare valuation and M&A experience. It lists med spas among the healthcare businesses it values, alongside physician groups, ambulatory surgery centers and MSOs, and publishes a detailed guide to valuing med spas and aesthetic medicine businesses.

What stands out:

• Independent valuations for many purposes. It advertises third-party valuations for regulatory compliance, M&A, buy-ins and buyouts, gift and estate tax, financial reporting, and disputes and litigation.
• Fair market value for services arrangements. It prepares fair market value and commercial reasonableness opinions for arrangements including management services. That matters for med spas that run through a management services organization (MSO) and a professional corporation, where the management fee has to hold up.
• Transaction help if you need it. It also works with owners and their health lawyers on deal structure and terms.

Right for: an owner who wants an independent number from a healthcare-only appraiser, or a practice with an MSO structure that needs its management fee supported. Ask: the fee and timeline for your purpose, whether the report follows a recognized valuation standard, and who else on the team works on it.

2. Medical Practice Appraisers

Medical Practice Appraisers (operated by Transition Consultants) states that it appraises only medical practices, surgery centers, optometry and allied healthcare businesses, nationwide. Its appraisers hold the CHBC, CVA and CBA credentials, which it says are recognized under the qualified appraiser guidelines of the IRS, SBA and US Department of Labor.

What stands out:

• Aesthetic engagements on record. Its list of recent engagements includes a cosmetic and plastic surgery group buy/sell transaction in Pennsylvania and a dermatology practice associate buy-in in Southern California.
• Purpose-built reports. It lists sale, partner buy-in or buyout, mergers, hospital integration, financing, and divorce, estate, tax or financial planning, with each report tailored to the engagement.
• Market-specific analysis. It describes looking at the local health services market, specialty, provider supply and demand, and the regulatory environment rather than relying on rules of thumb.

Right for: physician-owned aesthetic and surgical practices, especially when a second surgeon or provider is buying in or out. Ask: how it handles cash-pay aesthetic revenue (its site discusses payor mix, which matters less for a med spa), and the fee and turnaround.

3. Peak Business Valuation

Peak Business Valuation is a Utah-headquartered business appraiser, founded in 2018, that reports valuing more than 7,000 businesses and working with owners, SBA lenders, attorneys and accountants in all 50 states. It has a dedicated medical spa valuation page covering market and income approaches, value drivers and multiples.

What stands out:

• Published fees. It states fees generally range from $2,500 to $8,000+, depending on scope, risk and complexity (as of October 2026).
• Published turnaround. It says most valuations are delivered in 5 to 14 business days.
• Equipment appraisals. It offers machinery and equipment appraisals and names lasers, microdermabrasion and ultrasound devices as examples, which helps when a buyer or lender asks what your devices are worth.
• SBA work. It reports working with more than 90 SBA lenders and offers SBA business valuations for med spa purchases.

Right for: an owner buying or selling a single-location med spa, or a buyer who needs a lender-ready report. Ask: which credentialed appraiser signs your report and how many med spas the team has valued.

4. BizWorth

BizWorth sells business valuation reports online, prepared by in-house NACVA-certified appraisers, and has a medical spa valuation page. Its named team includes several Certified Valuation Analysts, and it serves businesses in North America.

What stands out:

• Report tiers by purpose. An Essentials report for businesses under $750,000 in revenue, a Standard report for buying or selling, an SBA-compliant report, and a Certified report for litigation, IRS submissions and partner disputes.
• Fast turnaround. It advertises 2 to 5 days for its standard buy/sell report and about four weeks for estate, divorce and dispute work.
• Cost guidance. Its FAQ puts typical small-business costs at $1,000 to $3,000 for buying and selling and $7,000 to $10,000 for estate planning, divorce and legal disputes (as of October 2026). It also offers payment over time with no late fees.
• Equipment appraisals. Desktop and on-site machinery and equipment appraisals are available.

Right for: a smaller med spa that needs a credible, documented number quickly and at a lower cost. Ask: how much of the report is model-driven versus appraiser judgment, and how it adjusts for injector dependence and memberships.

5. Aesthetic Brokers

Aesthetic Brokers is a sell-side M&A advisor in La Jolla, California, led by CEO Bill Walker, for medical spas, cosmetic dermatology, plastic surgery, infusion, regenerative and wellness centers, and dental practices. It states that it represents sellers only. Its valuation and financial analysis service covers a financial review, market and competitive analysis, forecasting and a valuation conclusion.

Right for: an owner who wants a quick, confidential ballpark before deciding whether to sell. It offers a free instant estimator that it says takes under two minutes with no email required; a full custom report comes after. Ask: what the full report costs if you don't list the practice, and the success fee and any retainer, which it says are set in an engagement agreement before work begins.

6. TUSK Practice Sales

TUSK Practice Sales is a Charlotte, North Carolina healthcare M&A advisor serving dental, dermatology, plastic surgery, med spa and aesthetics, and behavioral health practices. It reports advising on $1.5 billion in healthcare transactions and says it has valued hundreds of aesthetic practices. It offers a free, no-obligation valuation and states that a med spa sale through its process takes six to nine months.

Right for: an owner who already has an unsolicited offer from an MSO or private equity group and wants to know whether it's fair. TUSK reports that its valuations average 40% above original offers, net of fees; treat that as the firm's own claim. Ask: what share of its recent deals were med spas, its fee structure, and whether the valuation is shared with you in writing even if you don't engage it.

7. Vallexa Advisors

Vallexa Advisors is a healthcare M&A firm with a medical aesthetics practice. It offers a free valuation calculator and confidential valuations with no upfront fee, on a success-based model. Its med spa page publishes ranges as of June 2026: most single-location med spas between 4.0x and 7.0x EBITDA, multi-location operators between 7.0x and 9.0x, and branded platforms up to 12.0x, with very small owner-run practices often valued on seller's discretionary earnings instead.

Right for: an owner who wants to see the numbers and the value drivers (recurring revenue, provider depth, clean MSO or PC structure) before a conversation. Ask: how many med spa transactions it has closed, and which buyers it would approach for a practice your size.

8. Auxo Capital Advisors

Auxo Capital Advisors is a lower middle market M&A and capital advisor with a healthcare practice and a valuation service that combines market approaches (public comparables and precedent transactions) with income approaches (discounted cash flow). It publishes a 2026 guide to plastic surgery practice M&A covering surgeon transition, facility economics, MSO structure, rollover equity and diligence. It states that securities transactions run through Weild & Co., a FINRA member.

Right for: a larger plastic surgery group or multi-location aesthetic business preparing for a private equity or platform transaction. Ask: its fee for a stand-alone Market Value Study, and its recent aesthetic and surgical deal experience.

Questions to ask any med spa valuation firm

1. Who signs the report, and with what credential? Look for a named appraiser with a CVA, CBA, ASA or ABV. SBA lenders, courts and the IRS often require one.
2. What standard of value and purpose does the report use? A fair market value report for an SBA loan, a buyout under your operating agreement, and a pitch number for buyers can differ. Make sure the report matches your purpose.
3. Are you paid for the report or for the sale? A fee-based appraiser has no stake in whether you sell. A free valuation from a broker is useful, but it is also the start of a sales process.
4. How do you treat owner-injector dependence? If you perform most treatments, ask how your replacement cost and the risk of patients leaving with you affect the number.
5. How do you handle memberships, packages and prepaid balances? Ask whether unredeemed packages are treated as revenue, liability or both.
6. What data will you need, and who sees it? Expect three to five years of financials, tax returns, provider production and equipment lists. Ask how files are stored, and keep patient-identifiable records out of the data room unless a BAA is in place.
7. What does it cost, and how long will it take? Get the fee, turnaround and number of revision rounds in writing.

Where Prospyr fits

A valuation is only as good as the numbers behind it. Appraisers and buyers will ask for provider production, revenue by treatment, membership counts and retention, and that data comes from your practice system. Prospyr's analytics and memberships reporting can help you produce those figures without spreadsheet rebuilding, or book a practice demo.

Frequently asked questions

How much does a med spa valuation cost?

A fee-based med spa valuation typically costs from about $1,000 to $8,000 or more, depending on the report type and purpose. Peak Business Valuation publishes a $2,500 to $8,000+ range and BizWorth's FAQ cites $1,000 to $3,000 for typical buy/sell reports (as of October 2026). Reports for estate planning, divorce or litigation usually cost more. Free valuations from brokers cost nothing upfront but are part of a sales process.

What multiple do med spas sell for?

Most single-location med spas trade at roughly 4x to 7x adjusted EBITDA, according to ranges published by advisors such as Vallexa Advisors as of June 2026. Multi-location groups with management in place can reach higher multiples, while very small owner-run practices are often priced on seller's discretionary earnings. Your number depends on provider depth, recurring revenue and how much of the business depends on you.

Is a free broker valuation good enough?

A free broker valuation is good enough to decide whether selling is worth exploring, but not for an SBA loan, a partner buyout, an estate filing or a dispute. Those usually need a signed report from a credentialed appraiser. Many owners use both: a free estimate to start, then an independent report before signing a letter of intent.

How long does a med spa valuation take?

Published turnaround for an independent med spa valuation runs from a few days to about three weeks once you've sent your financials. BizWorth advertises 2 to 5 days for a standard buy/sell report and Peak Business Valuation says most reports are delivered in 5 to 14 business days. BizWorth says estate, divorce and dispute work takes about four weeks.

Want your company considered?

We review this list quarterly. Valuation firms that serve med spa and aesthetic practice owners 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 firm's public website, checked October 2, 2026 with AI-assisted research. Firms did not review this article before publication. It is not a guarantee of any valuation outcome or a substitute for checking credentials and references, and it is not financial, tax or legal advice. If you're thinking about funding growth instead of selling, see our list of revenue-based financing options for clinics, and for buyers on the other side of the table, our guide to med spa private equity platforms. Read our methodology or report a correction.