Every major med spa platform, grouped by the kind of practice it fits, with published pricing, insurance billing and the one thing to check in each demo.
Published by Prospyr · Updated · Competitor details from each company’s own website, checked on the date in each listing
The best med spa software depends on how your practice runs. Most cash-pay med spas fit an aesthetics platform that keeps booking, charting, payments and follow-up on one patient record, such as Prospyr, Aesthetic Record, PatientNow or AestheticsPro. If booking and checkout lead and your charting is light, look at Boulevard, Mangomint or GlossGenius. If insurance billing is a large share of revenue, you need claims tools built in: Nextech, ModMed, Symplast or OptiMantra. Large multi-location groups often shortlist Zenoti.
Disclosure: Prospyr makes practice software and is one of the 24platforms here. It’s listed first because we publish this page; the rest are grouped by practice type, not ranked by score.
Find your situation, then read those listings first.
One system from first inquiry to follow-up, for cash-pay aesthetic practices.
Price it yourself before a sales call; add-ons are extra.
Strong front desk, lighter clinical depth.
Claims tools built in; Jane App offers it as an add-on.
Medical director matching and coaching come with the software.
| Platform | Type | Published pricing | Insurance billing |
|---|---|---|---|
| 1. Prospyr | Aesthetic operating platform | Quote-based after a demo. | Not available today |
| 2. Aesthetic Record | Aesthetic EMR and practice platforms | $15 to $19 per user a month plus a $399 onboarding fee; eRx, ChartSmart AI and LeadAR priced separately (July 2026). | Not documented |
| 3. PatientNow | Aesthetic EMR and practice platforms | Not published. Quoted after a call; the pricing page advertises no contract and free onboarding (August 2026). | Not documented |
| 4. AestheticsPro | Aesthetic EMR and practice platforms | $160 a month for 2 users (capped at 3), $285 Executive, $350 Enterprise; e-prescribing, texting and marketing carry extra fees (September 2026). | Not documented |
| 5. Calysta Pro EMR | Aesthetic EMR and practice platforms | $0 a month base plan funded by a flat 2.95% card rate; eRx $240 a year, SMS $99 a month, CRM with AI $399 a month (September 2026). | Not documented |
| 6. Symplast | Aesthetic EMR and practice platforms | Not published. One-year agreement with monthly payments, a setup fee and a migration fee quoted up front (September 2026). | Built in |
| 7. 4D EMR | Aesthetic EMR and practice platforms | $750 a month for the first provider and $325 for each additional, month to month (September 2026). | Built in |
| 8. Boulevard | Booking-first spa platforms with charting | Aesthetics bundles $328 to $374 a month per location billed annually ($364 to $416 monthly), listed as promotional (August 2026). | Not documented |
| 9. Mangomint | Booking-first spa platforms with charting | $120 a month per location plus $10 per user (a solo provider is $130), with charting and a BAA in the plan (September 2026). | Not documented |
| 10. Zenoti | Booking-first spa platforms with charting | Not published; every quote is custom to locations, users and add-on tiers (July 2026). | Not documented |
| 11. GlossGenius | Booking-first spa platforms with charting | Practice plans $168 or $298 a month ($148 or $248 billed annually), in limited rollout (October 2026). | Not documented |
| 12. Vagaro | Booking-first spa platforms with charting | $30 a month for one calendar plus about $10 per additional calendar, with paid add-ons for texting, forms and storage (July 2026). | Not documented |
| 13. Fresha | Booking-first spa platforms with charting | $19.95 a month for one team member or $14.95 per team member; 20% one-time commission on marketplace customers (October 2026). | Not documented |
| 14. Meevo | Booking-first spa platforms with charting | Not published; quote-only, with an annual contract as the default term (October 2026). | Not documented |
| 15. Mindbody | Booking-first spa platforms with charting | Starter from $79 a month per location; higher tiers not published (August 2026). | Not documented |
| 16. Moxie | Software bundled with business services | Not published; quoted after a free strategy session and priced by providers and modules (July 2026). | Not documented |
| 17. Portrait Care | Software bundled with business services | Not published; the pricing page is password-protected and its blog describes a free core with paid add-ons (October 2026). | Not documented |
| 18. BoomerangFX | Software bundled with business services | Not published for the software; LEARN+ training is $99 a month billed annually (September 2026). | Not documented |
| 19. Nextech | Medical EMRs with insurance billing | Not published. The med spa agreement sets a two-year term and a year-one exit fee of 50% of remaining fees plus $2,500 (re-read September 2026). | Built in |
| 20. ModMed | Medical EMRs with insurance billing | Not published; quote only (September 2026). | Built in |
| 21. OptiMantra | Medical EMRs with insurance billing | $99 a month for the first practitioner and $49 for each additional; claims $0.25 each (September 2026). | Built in |
| 22. Jane App | Medical EMRs with insurance billing | $79 a month for one practitioner plus $35 per additional; insurance billing add-on $20 a month (October 2026). | Add-on |
| 23. Pabau | Medical EMRs with insurance billing | Starter £50 a month for 1 user; higher tiers quote-based (July 2026). | Not documented |
| 24. Remedly | Medical EMRs with insurance billing | Not published; pricing goes through sales (September 2026). | Built in |
Our product
Start here if you're a cash-pay med spa and the chart matters as much as the calendar: injectables, photos, consents and treatment notes.
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Start here if booking, checkout and the front desk lead, and your clinical documentation is lighter: fewer prescriptions, labs or medical programs.
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Start here if you're opening a practice and want help beyond the software: medical director matching, coaching or done-for-you marketing.
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Start here if insurance billing is a large share of your revenue, or you run aesthetics inside a specialty or multi-specialty practice.
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Seven questions sort most of this list before you book a single demo.
If payers are a large share of revenue, you need claims tools inside the system. That narrows the list to the medical EMRs in the last group. If you're cash-pay, insurance tools add cost and clicks you won't use.
Compare aesthetic EMR chartingGLP-1, hormone and wellness programs need e-prescribing and lab results in the chart. Several booking-first platforms document neither, which means a second system.
Which platforms have e-prescribingUnit-level tracking ties every unit to the appointment where it was used, so shrinkage shows up early. General retail inventory doesn't do that.
Compare injectable inventory trackingCheck that memberships renew, credits track on the patient record and packages count down by session. Some platforms gate these behind higher tiers.
Compare memberships, packages and loyaltyIf leads arrive by phone, text, Instagram and web forms, look for one inbox and a pipeline that tracks each lead to a booking, not just a contact list.
Compare lead and CRM toolsMulti-location support ranges from a shared calendar to per-site rooms, devices, teams and reporting. Some vendors only include it on upper tiers.
Compare multi-location toolsAsk every vendor who moves your photos, charts and history, what it costs, and what won't come over cleanly from your current system, before you sign.
How switching to Prospyr worksSide-by-side tables for the capabilities buyers ask about most.
The best med spa software depends on how your practice runs. Most cash-pay med spas fit an aesthetics platform that keeps booking, charting, payments and follow-up on one patient record, such as Prospyr, Aesthetic Record, PatientNow or AestheticsPro. If booking and checkout lead and your charting is light, look at Boulevard, Mangomint or GlossGenius. If insurance billing is a large share of revenue, you need claims tools built in: Nextech, ModMed, Symplast or OptiMantra. Large multi-location groups often shortlist Zenoti.
Published prices range widely. Calysta Pro EMR lists a $0 base plan funded by a 2.95% card rate, Aesthetic Record lists $15 to $19 per user a month plus onboarding, Mangomint lists $120 a month per location plus $10 per user, AestheticsPro lists $160 to $350 a month, and Boulevard's Aesthetics bundles list $328 to $374 a month per location billed annually. Many vendors, including Zenoti, PatientNow, Nextech and ModMed, don't publish pricing. Prospyr is quoted after a demo. Compare the total at your provider count, with add-ons and card processing, not the headline price. All figures are as checked on the dates shown in each listing.
An EMR is the medical record: charts, treatment notes, photos, consents and prescriptions. Med spa software is the wider system that runs the practice around it: booking, checkout, memberships, inventory, marketing and follow-up. Some platforms on this list lead with the EMR, some lead with booking and add charting, and some keep both on one patient record.
Most cash-pay med spas don't. Insurance tools matter when payers are a large share of revenue, which is more common in plastic surgery, dermatology and multi-specialty practices. Nextech, ModMed, Symplast, OptiMantra, 4D EMR and Remedly document claims tools in the same system, and Jane App offers them as an add-on. Prospyr doesn't do insurance billing today, so practices that bill payers keep a separate claims tool.
It varies more than most buyers expect. Prospyr documents integrated e-prescribing to US pharmacies and lab results in the chart. Several booking-first platforms document neither, including Mangomint, and Jane App says US e-prescribing isn't available yet. If you run GLP-1, hormone or wellness programs, check both before you shortlist.
Software can support HIPAA, but your practice is responsible for compliance. Ask each vendor to sign a business associate agreement before you add patient information, and check which plans and connected services the agreement covers. On some platforms the BAA comes only with a medical plan or add-on.
It depends on who does the work. We move your data ourselves — photos, charts, and history — and we do not leave until it is right. Some things don't come over cleanly from every system. We tell you exactly what before you commit, not after you find out. Whichever vendor you choose, ask who moves your photos, charts and history, what it costs, and what won't come over before you sign.
Yes. Prospyr makes practice software and is one of the platforms compared here, so this isn't an independent ranking. Prospyr is listed first because we publish the page; the others are grouped by practice type, not scored. Every competitor summary comes from what that company publishes on its own website, checked on the date shown in each listing, and each one links to a fuller comparison with sources.
We move your data ourselves — photos, charts, and history — and we do not leave until it is right.
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