Table of contents
How we vet every listicle
Every agency featured on Web Tonic passes our 84-point editorial review before a single listicle goes live. This is how we vet each pick:
Verified client outcomes: We require real case studies with measurable KPIs — revenue, ROAS, CPA, retention — tied to the exact category being ranked. No cherry-picked wins, no unverifiable numbers.
Independent reputation: We cross-check Clutch, Google, G2, and Trustpilot ratings, and screen for review-bombing or suspicious patterns. Only operators with a consistent, verifiable track record make the cut.
Beyond that, every listing goes through a quarterly re-audit. We check 84 criteria across 6 pillars to make sure it still holds up — here are some of the checks we run:
A medical spa Google Ads agency runs the paid search that fills a clinic's treatment calendar: keyword strategy per service from injectables to body contouring, Performance Max and search coverage, radius bidding around each location, call and form tracking through to the scheduler, offer and membership landing pages, and reporting tied to booked consults rather than to raw enquiries.

We compared 20 agencies on evidenced aesthetics paid search work, named clinics, published pricing and documented results. Nine of the 19 external agencies publish a rate, the most transparent set in this category, though only five name a clinic client.
Which med spa Google Ads agency should you shortlist?
Pick by mandate. Aesthetic Marketing, Avori Media and Practice Horizon work aesthetics only; Sagapixel, Southline Digital and Surfside PPC bring documented paid-search depth; Mosaic eMarketing, Wheelhouse Digital and Round Thirteen sit inside wider healthcare marketing programmes.
1. Sagapixel
About: Sagapixel is a healthcare-focused paid search agency and Google Premier Partner that runs Google Ads for medical spas, plastic surgeons and dermatologists alongside SEO and web work. Its published case studies name specific outcomes for the vertical, including a $50 cost per lead on a liposuction campaign and an $81 cost per lead for a semaglutide weight-loss account. Pricing is a straight percentage of ad spend rather than a flat retainer, which it discloses openly on its site.
Key Services: Google Ads management, Performance Max campaigns, Local Services Ads setup, Call and conversion tracking, Negative keyword and search-term audits, Landing page conversion optimization
Industries Served: Medical spas, Plastic surgery, Dermatology, Medical weight loss, Hair transplant clinics
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Cherry Hill, United States, Philadelphia, United States
Pricing: 10%–22% of monthly ad spend, scaled to budget
Great For: Single-location med spas, Plastic surgery practices, Dermatology groups
Website: Sagapixel
2. Web Tonic
About: Web Tonic runs med spa Google Ads against booked consultations and memberships, instrumenting calls, forms and the online scheduler before touching bids so treatment campaigns are judged on cost per consult rather than on cheap enquiries. The paid search management and the analytics implementation behind that reporting sit inside one engagement with one accountable team. Clinics that want a partner working only on aesthetics accounts every day will find several of the med spa specialists below more specialised than we are.
Key Services: Growth Marketing, Paid Social, PPC, Meta Ads, SEO, Google Ads, Snapchat Ads, Amazon Ads, Reddit Ads, TikTok Ads, TikTok Shop, GEO-AEO, Webflow Design, Shopify Design, WordPress Design, UGC, Social Media Management, Pay Per Click Management, Marketing Analytics, Analytics Implementation & CDPs, Performance Branding, Performance 360° Audit, Programmatic Ads, OOH Ads, HR Marketing
Industries Served: eCommerce, SaaS, B2B, Construction Professionals, Home Services, SMEs, Health Spa & Wellness, Retail, Legal & Judicial Services, Food & Beverages, Pets, Fitness, Family & Children, Finance & Insurance, Travel, Non-Profits & Organizations, Furniture & Decoration
Notable Clients: WorldRemit, Jack & Jones, Ardene, L'Oréal, Sendwave, Nestlé, Airbnb. Serve Fortune 500 companies and smaller fast-paced startups.
Locations: HQ in San Francisco with notable offices in New York, Chicago, Miami, Toronto, Montreal, Dubai, Singapore, Sydney and more. Offices on five continents.
Pricing: Starting at USD $3,000 per month. Flexible and scalable plans at any time according to your enterprise needs. Book a call to learn more.
Great For: Mid-market to enterprise-level businesses requiring ongoing, on-tap growth and performance marketing services.
Website: Web Tonic
3. Media Spearhead
About: Media Spearhead is a Florida-based performance marketing agency that runs cost-per-lead-first Google Ads programs across 51-plus service industries, including a named med spa account. Its Timeless MedSpa case study documents a 378% increase in monthly bookings and a drop in cost per booking from $120 to $45 within six months, alongside a Quality Score of 92%. The agency publishes its process and numbers rather than keeping results anonymous.
Key Services: Google Ads management, CPL-first campaign structuring, Quality Score optimization, Landing page build and testing, Local SEO and Google Business Profile, Reporting and attribution
Industries Served: Medical spas, Aesthetic clinics, Home services, Legal, Healthcare
Notable Clients: Timeless MedSpa
Locations: Orange Park, United States
Pricing: No public rate card; quoted per scope
Great For: Luxury med spas, Multi-service aesthetic clinics, National service brands
Website: Media Spearhead
4. Southline Digital
About: Southline Digital is a small North Carolina marketing agency that took over a struggling med spa Google Ads account and restructured it around tightly segmented treatment campaigns. The published case study reports 2,577 total conversions at a $16.39 cost per lead, with performance still improving month over month at the time of writing. It is a generalist small-business shop, but this account is a concrete, named, metric-backed Google Ads result for the vertical.
Key Services: Google Ads account restructuring, Campaign segmentation by treatment, Call tracking setup, Cost-per-lead optimization, Website and landing page work, Monthly performance reporting
Industries Served: Medical spas, Home services, Legal, Local retail, Healthcare
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Kannapolis, United States
Pricing: No public rate card; quoted per scope
Great For: Small single-location med spas, Practices with an underperforming account, Regional clinics
Website: Southline Digital
5. Aesthetic Marketing
About: Aesthetic Marketing has run Google Ads exclusively for medspas, aesthetic studios and plastic surgery centers since 2015 and holds Premier Partner certification. It serves practices across 24 states with concentrations in Los Angeles, Miami, New York and Scottsdale, and charges a flat management fee starting at $1,500 a month with no markup on ad spend. Reporting is built around cost per consultation rather than clicks, matching how aesthetic practices actually value a lead.
Key Services: Google Ads pay-per-click management, Keyword strategy by treatment, Cost-per-consultation reporting, Compliance-aware ad copy, Meta Ads coordination, Website conversion tracking
Industries Served: Medical spas, Aesthetic clinics, Plastic surgery centers, Wellness clinics, Cosmetic dermatology
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Remote, United States
Pricing: From USD $1,500/month management fee, ad spend billed separately
Great For: Solo injectors scaling up, Multi-location medspa groups, Practices in competitive metro markets
Website: Aesthetic Marketing
6. Lasso Up
About: Lasso Up is a certified Google Ads agency that built and ran a Google Ads campaign for a self-described number-one-ranked luxury New York City med spa. The published case study shows cost per conversion dropping from $108 to $32, a 70% decrease, on a client charging roughly $800 per session. The agency positions itself around booked appointments rather than raw click volume.
Key Services: Google Ads campaign management, Bid strategy optimization, Appointment-focused conversion tracking, Local SEO listings, Website care plans, Med spa-specific keyword targeting
Industries Served: Medical spas, Beauty and wellness, Local service businesses, Salons, Aesthetic clinics
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: United States
Pricing: No public rate card; quoted per scope
Great For: Luxury med spas, High-ticket treatment providers, NYC-metro clinics
Website: Lasso Up
7. Mosaic eMarketing
About: Mosaic eMarketing is a certified Google Partner agency in Ohio that has run a multi-year Google Ads engagement for Apex Skin and Dermatology, lifting click-through rate by 82% and web appointments and phone calls by 183%. It also documents an O'Neill Healthcare account where Google Ads plus SEO combined drove a 675% increase in monthly website traffic. The agency is a generalist shop but its dermatology and healthcare results are named, dated and metric-specific.
Key Services: Google Ads (AdWords) management, Programmatic display, Search engine optimization, Advanced analytics and tracking, Call attribution, Landing page development
Industries Served: Cosmetic dermatology, Healthcare, Home services, Retail, Professional services
Notable Clients: Apex Skin & Dermatology, O'Neill Healthcare, Aqua Doc
Locations: Hudson, United States
Pricing: No public rate card; quoted per scope
Great For: Dermatology practices, Multi-service healthcare clinics, Practices wanting SEO plus paid search
Website: Mosaic eMarketing
8. Choice OMG
About: Choice OMG is a North American digital marketing agency whose published results page documents Google Ads and Google Business Profile work for a medical aesthetics clinic, built around procedure-specific keywords instead of broad competitive terms. Flat management fees are published starting around $1,200 a month with ad spend billed on top, and the agency also runs dedicated dental and other healthcare verticals. It serves clients across Canada and the United States from its Edmonton base.
Key Services: Google Ads management, Google Business Profile optimization, Procedure-specific keyword campaigns, Local SEO, Conversion tracking, Monthly performance reporting
Industries Served: Medical aesthetics, Dental, Home services, Legal, Local retail
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Edmonton, Canada, North America
Pricing: From CAD $1,200/month management fee
Great For: Medical aesthetics clinics in competitive metros, Multi-service practices, Clinics wanting GBP plus Google Ads
Website: Choice OMG
9. Practice Horizon Healthcare Marketing
About: Practice Horizon is a healthcare-only marketing agency that publishes a named client testimonial from a med spa reporting a three-week consultation waitlist and a 340% return on ad spend within 90 days. The agency states it has served over 200 healthcare practices and generated more than $12 million in patient revenue with a 5.2x average return on ad spend. Google Search Ads sit alongside Facebook and Instagram Ads inside a HIPAA-compliant, month-to-month service model built specifically for med spas, plastic surgeons and other specialty clinics.
Key Services: Google Search Ads, HIPAA-compliant conversion tracking, Facebook and Instagram Ads coordination, Local SEO and Google Maps, Patient acquisition reporting, Landing page design
Industries Served: Medical spas, Plastic surgery, Chiropractic, Dental, Optometry
Notable Clients: Radiance Med Spa
Locations: United States
Pricing: No public rate card; quoted per scope
Great For: Med spas wanting a healthcare-only partner, Practices needing HIPAA-safe tracking, Multi-specialty clinic groups
Website: Practice Horizon Healthcare Marketing
10. SeeResponse
About: SeeResponse is a Virginia-based B2B and healthcare marketing agency running a dedicated plastic surgery PPC practice, targeting the $50-plus clicks common on surgical procedure keywords with data-driven bid management. It states typical Google Ads budgets for physician clients between $2,000 and $8,000 a month and positions itself as HIPAA-compliant across tracking and creative. The plastic surgery offering sits alongside a broader paid-search practice spanning Google, Meta and LinkedIn.
Key Services: Plastic surgery Google Ads, HIPAA-compliant tracking, Bid strategy for high-CPC keywords, Paid search across Google, Meta and LinkedIn, Landing page conversion work, Monthly ROI reporting
Industries Served: Plastic surgery, Physicians and specialists, B2B software, Healthcare, Professional services
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: McLean, United States, Reston, United States
Pricing: No public rate card; quoted per scope
Great For: Plastic surgery practices, Physician groups, High-CPC surgical specialties
Website: SeeResponse
11. Avori Media
About: Avori Media is a Los Angeles-based paid search agency that publishes detailed, procedure-level Google Ads cost benchmarks for plastic surgeons, dermatologists and med spas, including a cost-per-acquired-member range of $400 to $1,200 for aesthetics accounts. It integrates directly with clinic EMR and practice-management systems such as PatientNow and Nextech to feed booked-surgery events back into Smart Bidding rather than optimizing on form fills alone. Monthly managed spend for its surgical accounts runs from $20,000 to $90,000 depending on market and procedure mix.
Key Services: Google Ads for plastic surgery, dermatology and med spas, EMR and practice-management integration, Cost-per-booked-surgery reporting, Smart Bidding on booked events, SEO coordination, Tier-based market benchmarking
Industries Served: Plastic surgery, Cosmetic dermatology, Medical spas and aesthetics, Regenerative medicine, Wellness clinics
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Los Angeles, United States
Pricing: No public rate card; quoted per scope
Great For: Plastic surgery centers with EMR systems, Multi-procedure med spas, Clinics wanting booked-surgery bid optimization
Website: Avori Media
12. Planet Marketing
About: Planet Marketing is a San Diego solo-operator agency run directly by founder Francisco Meza, who has managed Google Ads accounts for over 20 years across medical practices, plastic surgeons and med spas among other service businesses. Its published case data shows a cost-per-lead drop from $120 to $35 on a comparable local-service account, and the plastic surgery and med spa page recommends $3,000 to $5,000 a month in ad spend given competitive surgical CPCs of $15 to $60. Every campaign is built and managed by Meza personally rather than handed to an account manager.
Key Services: Google Ads management, Keyword strategy and negative keywords, Call tracking, YouTube Ads, Bing Ads migration, Google Maps and GBP optimization
Industries Served: Plastic surgery, Medical spas, Home services, Legal, Private schools
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: San Diego, United States
Pricing: From USD $1,500–$2,500/month ad spend for non-surgical med spas
Great For: Solo-practice plastic surgeons, Single-location med spas, Practices wanting direct founder access
Website: Planet Marketing
13. ScaleHaven
About: ScaleHaven is a med spa growth agency built and run by John, a former clinic operator, serving practices across the United States and Canada. It publishes real numbers rather than percentages alone, including a Greater Toronto Area med spa case where a $1,000 budget produced over 100 leads and 10 booked consultations at roughly $10 per lead. Its Google Ads service targets $20 to $60 cost per lead depending on treatment and typically pairs with a guarantee of 15 or more booked consultations in the first month.
Key Services: Google Ads management, Meta Ads management, Local Services Ads, Booking funnel and follow-up automation, SEO and local search, Cost-per-lead benchmarking by treatment
Industries Served: Medical spas, Botox and injectables, Dermatology, Plastic surgery, Local aesthetic clinics
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Toronto, Canada, United States
Pricing: From USD $2,500–$3,500/month ad spend
Great For: Med spas wanting an operator-led partner, Clinics wanting a booked-consultation guarantee, Botox and injectable-focused practices
Website: ScaleHaven
14. Surfside PPC
About: Surfside PPC is a South Carolina PPC agency that runs full marketing programs for medical practices, dental offices and med spas covering Google Ads, Meta Ads and YouTube from a single team. It publishes flat management pricing starting at $300 a month with no long-term contracts, and its healthcare page names HIPAA-compliant conversion tracking, landing page guidance and healthcare-specific compliance management as core deliverables. The agency is small and owner-operated, which keeps its healthcare pricing unusually transparent for the category.
Key Services: Google Ads management, Meta Ads management, YouTube Ads, HIPAA-compliant conversion tracking, Landing page guidance, Healthcare ad compliance management
Industries Served: Medical spas, Dental practices, Medical practices, Local service businesses, Healthcare
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Murrells Inlet, United States, Conway, United States
Pricing: From USD $300/month management fee
Great For: Small med spas on a tight budget, Practices wanting transparent flat pricing, Multi-channel Google plus Meta accounts
Website: Surfside PPC
15. GoodPup Digital
About: GoodPup Digital is a Cincinnati-based Google Ads management agency that names med spas directly among the healthcare and dental practices it builds campaigns for, handling the compliance complexity of Google's healthcare ad policies on the client's behalf. It states most clients spend between $1,500 and $50,000 a month in ad budget, with management fees starting at $750 a month and no long-term contracts. The owner-run shop emphasizes month-to-month accountability over locked-in retainers.
Key Services: Google Ads management, Healthcare ad policy compliance, Conversion tracking setup, Meta Ads management, Google Business Profile management, Monthly reporting
Industries Served: Medical spas, Dental practices, Healthcare practices, Local service businesses, Small to medium businesses
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Cincinnati, United States
Pricing: From USD $750/month management fee
Great For: Med spas wanting compliance handled for them, Practices with larger managed ad budgets, Owner-run clinics wanting month-to-month terms
Website: GoodPup Digital
16. Extra Large Marketing
About: Extra Large Marketing Digital is run by a Google Ads specialist with over 12 years and more than $50 million in managed spend across Search, Shopping, Display and YouTube, and it operates a dedicated Google Ads page for cosmetic surgeons. Pricing is published transparently as 8% of monthly ad spend with a $750 minimum and no markup on the media budget itself. The team is distributed, with the founder based remotely, serving clients across the United States, United Kingdom and European Union.
Key Services: Google Ads management, Shopping and Display campaigns, YouTube Ads, Cosmetic surgeon-specific landing pages, Looker Studio dashboards, Analytics reporting
Industries Served: Cosmetic surgery, Home builders, Dental implants, Cleaning services, Local service businesses
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Remote, Brazil, United States
Pricing: 8% of monthly ad spend, USD $750/month minimum
Great For: Cosmetic surgery practices wanting transparent percentage pricing, Practices needing dashboard reporting, US and international clinics
Website: Extra Large Marketing
17. DoctorsInternet
About: DoctorsInternet is a New York-based agency founded by dentists that has earned Google Premier Partner status, placing it in the top 3% of agencies in Google's partner program, and it runs Google Ads specifically for dermatologists, plastic surgeons and other medical professionals in addition to dentists. Named team physicians including doctors quoted on its own resource pages help write and vet ad and content strategy, giving it visible named expertise behind the campaigns. Each client gets a dedicated marketing manager rather than a rotating account team.
Key Services: Google Ads pay-per-click management, Facebook Ads and retargeting, Online reputation management, Website design for medical practices, Dedicated marketing manager, Local visibility campaigns
Industries Served: Dermatology, Plastic surgery, Dental practices, Chiropractic, General medical practices
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Rye Brook, United States
Pricing: No public rate card; quoted per scope
Great For: Plastic surgeons and dermatologists, Practices wanting a dedicated account manager, Doctor-founded agency preference
Website: DoctorsInternet
18. Wheelhouse Digital Marketing Group
About: Wheelhouse Digital Marketing Group is a Seattle-based full-service agency that has repeatedly earned Google Premier Partner status, placing it in the top 3% of Google Partners nationally. Its published healthcare paid search case study for a client identified as JMH documents a 1,600% increase in appointment-booking calls, and a separate case study covers a HIPAA-compliant data solution that doubled appointment bookings. It is a general healthcare and multi-industry shop, but its paid-search team and Premier Partner status are independently verifiable.
Key Services: Google Ads management, Performance Max campaigns, HIPAA-compliant data and tracking solutions, Paid search strategy, Appointment-booking conversion optimization, Analytics and reporting
Industries Served: Healthcare, Medical practices, Multi-location clinics, Retail, Professional services
Notable Clients: JMH
Locations: Seattle, United States
Pricing: No public rate card; quoted per scope
Great For: Multi-location healthcare groups, Practices wanting a Premier Partner agency, Appointment-booking-focused campaigns
Website: Wheelhouse Digital Marketing Group
19. Round Thirteen
About: Round Thirteen is a Glasgow-based lead-generation agency that has run an eight-figure paid media budget across Google, Meta and TikTok for Therapie Clinic, described as Europe's largest aesthetic clinic group with more than 70 locations across the UK, Ireland and the United States. The five-year engagement is credited with driving over 50,000 bookings for the client. Its published Google Ads service covers Search, Performance Max and YouTube specifically for clinic and aesthetic brands operating across multiple markets including the US.
Key Services: Google Ads management, Performance Max campaigns, YouTube Ads, Meta and TikTok paid media coordination, Multi-market budget pacing, Lead-generation funnel optimization
Industries Served: Aesthetic clinics, Laser hair removal, Eye clinics, Multi-location healthcare brands, Global consumer brands
Notable Clients: Therapie Clinic, Cathedral Eye Clinic
Locations: Glasgow, United Kingdom
Pricing: No public rate card; quoted per scope
Great For: Multi-location aesthetic clinic chains, Brands operating across UK, Ireland and US markets, High-volume booking-driven clinics
Website: Round Thirteen
20. WEB ALTERNATIVE
About: WEB ALTERNATIVE is a Florida-based digital agency that has run Google Ads for a Florida network of medical wellness clinics covering anti-aging programs, weight-loss therapy, regenerative medicine and aesthetic treatments serving patients across the United States. It publishes a Google Ads cost-per-lead forecasting tool on its own site and starts Google Ads packages at $850 a month. The team is small, founded in 2007, with a distributed workforce supporting US clients.
Key Services: Google Ads setup and management, Cost-per-lead forecasting, Website development, Brand identity work, Conversion tracking, Niche-specific keyword targeting
Industries Served: Medical wellness clinics, Aesthetic treatments, Anti-aging and regenerative medicine, Weight-loss therapy, Local service businesses
Notable Clients: Not publicly named — case studies are anonymised by category
Locations: Clearwater, United States
Pricing: From USD $850/month
Great For: Multi-service medical wellness clinics, Anti-aging and regenerative medicine practices, Practices wanting a CPL forecasting tool
Website: WEB ALTERNATIVE

Quick Comparison Table
| Agency | Key Specialty | Starting Price | Best For |
|---|---|---|---|
| 1. Sagapixel | Healthcare PPC, Google Premier Partner | 10% of ad spend | Med spas wanting percentage-of-spend pricing |
| 2. Web Tonic | Full-Service Performance Marketing | USD $3,000/mo | Mid-market to Enterprise |
| 3. Media Spearhead | CPL-first Google Ads for med spas | Quote-based | Med spas chasing booking-cost reduction |
| 4. Southline Digital | Med spa Google Ads account turnarounds | Quote-based | Med spas needing an account rebuild |
| 5. Aesthetic Marketing | Medspa-exclusive Google Ads since 2015 | USD $1,500/mo | Medspas wanting a flat no-markup fee |
| 6. Lasso Up | Cost-per-conversion reduction for med spas | Quote-based | Luxury med spas cutting cost per conversion |
| 7. Mosaic eMarketing | Certified Google Partner for dermatology accounts | Quote-based | Cosmetic dermatology practices |
| 8. Choice OMG | Procedure-specific Google Ads campaigns | CAD $1,200/mo | Aesthetics clinics wanting GBP integration |
| 9. Practice Horizon Healthcare Marketing | HIPAA-compliant healthcare Google Ads | Quote-based | Med spas wanting compliance-first paid search |
| 10. SeeResponse | PPC for plastic surgery and physicians | Quote-based | Plastic surgeons with high CPC keywords |
| 11. Avori Media | EMR-integrated Google Ads for surgical aesthetics | Quote-based | Surgical practices wanting EMR-linked bidding |
| 12. Planet Marketing | Founder-run Google Ads for surgical practices | USD $1,500–$2,500/mo ad spend | Practices wanting no account-manager handoffs |
| 13. ScaleHaven | Operator-run med spa Google Ads with lead guarantee | USD $2,500–$3,500/mo ad spend | Med spas wanting a performance guarantee |
| 14. Surfside PPC | Flat-fee healthcare PPC management | USD $300/mo | Budget-conscious med spas |
| 15. GoodPup Digital | Compliance-focused Google Ads for healthcare | USD $750/mo | Med spas wanting compliance handled end-to-end |
| 16. Extra Large Marketing | Percentage-of-spend Google Ads for cosmetic surgeons | 8% of ad spend, USD $750/mo min | Cosmetic surgeons wanting transparent flat-percentage fees |
| 17. DoctorsInternet | Google Premier Partner for medical practices | Quote-based | Practices wanting a physician-founded partner |
| 18. Wheelhouse Digital Marketing Group | Premier Partner healthcare paid search | Quote-based | Larger healthcare groups wanting a Premier Partner |
| 19. Round Thirteen | Eight-figure budget management for aesthetic chains | Quote-based | Large multi-location aesthetic clinic groups |
| 20. WEB ALTERNATIVE | Google Ads for medical wellness networks | USD $850/mo | Medical wellness and anti-aging clinics |


Frequently Asked Questions
What should a med spa pay per lead?
Between thirty-five and ninety dollars on a well-run account, with the wider cosmetic and aesthetics specialty benchmarking between fifteen and fifty dollars or more across medical paid-search accounts. One published case study on a restructured med spa account reports sixteen dollars thirty-nine per lead across two thousand five hundred and seventy-seven conversions. Treat the low outliers carefully: a cheap enquiry that never books a consultation costs more than an expensive one that does.
What does a booked consultation actually cost?
Between one hundred and three hundred dollars once lead quality is factored in, which is the number worth managing. The gap between a thirty-five dollar enquiry and a two hundred dollar consult is entirely follow-up and qualification, so ask each agency how it measures the step from form fill to a patient in the chair. Membership models report a higher figure again, between four hundred and one thousand two hundred dollars per acquired member.
How much does an injectables click cost?
Roughly six to twelve dollars for searches in the style of botox near me, cheaper than many medical categories because intent is local and volume is high. That affordability is why so many clinics start here, and also why the auction fills with poorly built accounts. Since treatment margins vary sharply between injectables, lasers and body contouring, a single blended target cost per action across all of them will quietly starve the profitable services.
What is the minimum budget worth spending?
Around two thousand one hundred dollars a month combining ad spend and management fee before med spa Google Ads data becomes statistically usable, and several agencies here publish minimums close to that line. Below it, conversion volume is too thin for Smart Bidding to leave its learning phase, and you end up paying an agency to guess. If your budget sits under that floor, concentrate on one service and one location first.
What does med spa Google Ads management cost?
Nine of the nineteen external agencies publish figures, which is unusually open. Surfside PPC starts at three hundred dollars a month, GoodPup Digital at seven hundred and fifty, WEB ALTERNATIVE at eight hundred and fifty, Choice OMG at twelve hundred Canadian dollars and Aesthetic Marketing at fifteen hundred, while Sagapixel and Extra Large Marketing charge percentages of spend. Web Tonic starts at three thousand dollars a month.
Choosing a Med Spa Google Ads Agency
Manage cost per consult, not cost per lead. Med spa leads run thirty-five to ninety dollars while a booked consult costs one hundred to three hundred, and the gap between those two numbers is where most aesthetics accounts quietly leak money through slow follow-up rather than through media buying.
Split targets by treatment. Injectables clicks cost about six to twelve dollars while lasers, body contouring and memberships carry very different margins, so one blended target will starve the profitable services. Segment campaigns and targets by treatment from the start.
Respect the data floor. Around two thousand one hundred dollars a month in combined spend and fees is the point where results become statistically readable, so thin budgets should concentrate on one service and one location until the account produces readable numbers.
Use the published rates. Nine of nineteen external agencies print prices, so compare scope directly, and ask whether paid search and analytics share one team. Read the latest analysis or book a call.


