Medspa marketing packages pricing: what you should actually pay in 2026

Medspa marketing packages pricing: what you should actually pay in 2026

Most medspa marketing agencies hide their pricing. They want you to schedule a call so they can upsell you or justify a bloated package.

I’m not going to do that. In this post, I’m showing you the exact pricing model for medspa marketing in 2026—what each tier actually includes, where agencies pad the price, what’s worth paying for, and how to calculate ROI before you sign.

The pricing tiers (what you’ll actually encounter)

Tier 1: $500–$800/month (the one-person show)

At this price point, you’re getting a freelancer or solo operator doing everything: ads, SEO, social media, content, reporting. Everything.

What’s included:

• Google Ads campaign management (usually 1–2 campaigns, minimal optimization)
• Basic Facebook ads (if you’re lucky)
• Monthly reporting in a Google Doc (vague metrics, usually not actionable)
• Maybe some SEO work, but inconsistent
• Availability: 10–15 hours per week (realistically)

What’s missing:

• True medspa specialization (they work with dentists, therapists, other service businesses)
• Proper attribution (cost-per-booked-appointment tracking is manual at best)
• Proactive optimization (you’ll get “let’s try this” instead of “here’s what the data says”)
• Account ownership protection in writing

ROI expectation: If your freelancer is good, you might see est. 1.5–2.0x ROAS on paid ads. If they’re average, est. 0.8–1.2x (you’re losing money). Cost-per-booked-appointment will likely be est. $250–$400, which is above healthy benchmarks.

Best for: Micro-medspas with est. $200K–$400K annual revenue, single location, willing to tolerate inconsistency.

My take: You usually get what you pay for here. These operators are often good people, but they’re generalists. They don’t have the bandwidth to specialize in medspa metrics or build a real attribution stack.

Tier 2: $800–$1,500/month (the specialist boutique agency)

This is where most quality medspa marketing agencies live in 2026. At this tier, you should be getting a dedicated team with some depth of specialization.

What’s included:

• Google Search Ads management with daily optimization (exact match, negative keyword refinement, landing page testing)
• Google Local Services Ads (if applicable to your market)
• Meta Ads (Facebook and Instagram) with audience segmentation and creative testing
• Basic SEO (page optimization, keyword research, content planning—but not ongoing content production)
• Monthly strategy call (walkthrough of performance, what’s working, what’s next)
• Detailed monthly reporting with cost-per-booked-appointment and ROAS
• Account ownership: you own all ad accounts; agency has admin access
• Availability: 25–35 hours per week on your account

What’s NOT included (and shouldn’t be):

• Graphic design beyond basic ad creative
• Content production (blog writing, video production)
• Full-service website redesign
• Fractional CMO services (separate retainer)

ROI expectation: You should see est. 2.5–4.0x ROAS on paid ads. Cost-per-booked-appointment should be in the est. $140–$200 range. After 60 days of optimization, monthly appointments from paid ads should stabilize.

Best for: Medspas with est. $500K–$2M annual revenue, looking to grow consistently without overhauling their marketing fundamentally.

My take: Sprout Sage Solutions operates in this tier. This is where you get specialization without enterprise overhead costs.

Tier 3: $1,500–$2,500/month (the full-funnel specialist)

At this level, you’re getting a dedicated account team with multiple specialists: a paid media expert, an SEO expert, and a strategist.

What’s included:

• Everything from Tier 2, plus:
• Dedicated account manager who owns your relationship
• Advanced audience targeting (lookalike audiences, behavioral data, intent signals)
• Creative testing at scale (A/B testing 5+ ad variations weekly)
• Ongoing SEO content production (est. 2–4 blog posts per month)
• Google review management and reputation monitoring
• Email campaign setup and automation
• Bi-weekly strategy calls (not just monthly)
• Advanced attribution (UTM tracking, CRM integration, appointment source tracking)
• Availability: 45–55 hours per week on your account

ROI expectation: est. 3.5–5.0x ROAS on paid ads. Cost-per-booked-appointment in the est. $120–$170 range. A healthier pipeline of repeat customers through email automation.

Best for: Medspas with est. $1.5M–$4M annual revenue, multiple locations, or in highly competitive markets.

My take: You’re paying for specialization and bandwidth here. You should see noticeably faster optimization cycles and smarter audience targeting than Tier 2.

Tier 4: $2,500–$5,000/month (enterprise / multi-location)

This is for medspa groups with multiple locations, est. $4M+ annual revenue, or owners who want a complete marketing ecosystem.

What’s included:

• Everything from Tier 3, plus:
• Dedicated account manager + strategist + paid media expert + SEO expert + content producer
• Multi-location campaign management and location-level attribution
• Custom content calendar (12+ pieces per month across all channels)
• Video production (product demos, testimonials, educational content)
• Influencer outreach and partnership coordination
• Weekly strategy calls and real-time optimization
• Custom reporting dashboards
• Availability: 60+ hours per week on your account

ROI expectation: est. 4.0–6.0x ROAS on paid ads. Cost-per-booked-appointment est. $100–$150 (economy of scale). Comprehensive revenue attribution across all marketing channels.

Best for: Multi-location medspa groups, franchises, or single locations with exceptionally high service demand.

My take: If you’re spending this much, the agency better have a dedicated team assigned to you, not a fractional model where they’re juggling 10 other clients.

What’s never worth paying for

Certain things are upsells that don’t move the needle. Don’t pay extra for:

Fancy reporting dashboards

You don’t need a custom dashboard. Google Analytics and your ad platform reports tell you everything you need to know. If an agency charges est. $300–$500/month for “custom reporting,” they’re overcomplicating it.

Social media management

For medspas, social media (Instagram, TikTok) is primarily for brand building and awareness. It rarely drives bookings directly. If an agency is charging est. $500–$1,000/month to post to your Instagram five times a week, you’re paying for content that isn’t converting. Post yourself, or hire a freelancer for est. $400/month.

Monthly content production (if not tied to SEO results)

Writing blog posts costs money. But if the agency isn’t tracking whether those posts rank, convert, or drive bookings, you’re just paying to fill a calendar. Charge only for content that’s tied to SEO keyword targets and conversion goals.

Retargeting campaigns (initial phase)

Retargeting is powerful, but not for the first 90 days. You need to build a pixel audience first. Don’t pay extra to “set up retargeting” in your first month. It should be built in as part of your standard campaign structure.

How to calculate ROI before signing

Before you commit to any package, run these numbers:

Step 1: Baseline your current metrics

• How many new patient consultations per month? (est. 12–20 is typical for a small medspa)
• How many of those consultations convert to treatment? (est. 40–60% is healthy)
• What’s your average first treatment revenue? (est. $400–$1,200 depending on service)

Step 2: Calculate acceptable cost-per-booked-appointment

Most agencies target a 3:1 to 5:1 ROAS. That means for every dollar spent on ads, you should generate est. $3–$5 in revenue.

If your average first treatment is est. $600, a 3:1 ROAS target means your cost-per-booked-appointment should be no higher than est. $200.

If you’re paying an agency est. $1,500/month and they should generate est. 15–20 new patient consultations at est. $200 cost-per-booking = est. $3,000–$4,000 in ad spend = est. $1,800–$2,400 in ad budget (with est. 50% management overhead). That math checks out.

Step 3: Set a 60-day break-even target

By day 60, the agency’s campaigns should be covering their own cost through new patient revenue. If they’re not, ask why. (Common reasons: your landing page isn’t converting, your follow-up is weak, your service prices are too low, or the agency isn’t targeting the right audience.)

Sprout Sage Solutions pricing breakdown

I operate in the Tier 2–3 range depending on your market and goals.

For most medspa owners: est. $1,200–$1,800/month

What’s included:

• Google Search Ads (typically 2–4 campaigns with daily optimization)
• Google Local Services Ads (if applicable)
• Meta Ads (Facebook and Instagram retargeting + awareness campaigns)
• Monthly strategy call with specific recommendations
• Cost-per-booked-appointment tracking and attribution
• You own all ad accounts; I have admin access
• Availability: 30–40 hours per week on your account

What’s NOT included:

• Website design or development (I recommend referrals but don’t do it)
• Graphic design beyond basic ad creative
• Ongoing content production (that’s a separate retainer)
• Video production

For competitive markets or higher-revenue medspas: est. $2,200–$2,800/month

This includes advanced audience targeting, weekly optimization calls, Google review management, and email automation setup.

For fractional CMO services: est. $2,500–$4,000/month

Quarterly strategy planning, monthly KPI review, vendor management, and full-funnel attribution. This is typically for owners generating est. $2M+ in annual revenue.

The ROI calculation (real numbers from our clients)

One of my medspa clients spent est. $1,500/month with me. In month 1, we spent est. $1,200 in ad budget and generated est. 8 new patient consultations at est. $150 cost-per-booking. Six of those converted to treatment at an average of est. $650 per patient = est. $3,900 in new revenue.

By month 3, the same est. $1,500 monthly spend generated est. 18 new patient consultations, with est. 11 converting to treatment = est. $7,150 in first-visit revenue, plus repeat business.

The ROI: est. $7,150 revenue from est. $1,500 in agency cost = est. 4.8x return in month 3.

That math is why medspa owners should be evaluating marketing on actual revenue impact, not vague metrics.

What to avoid in pricing

Long-term contracts with price locks. Avoid any agency that wants a 12-month contract at a locked price. Markets change, ad costs inflate, and you should be able to exit if they’re not delivering. Insist on 3–4 month terms or month-to-month after an initial 3-month trial.

Unlimited revisions or scope creep. If an agency says “unlimited Instagram posts” or “unlimited ad variations,” they’re either lying or they’re not giving you quality. Nail down exactly what’s included and what costs extra.

Hidden setup or platform fees. Some agencies charge est. $300–$500 in “setup fees” or est. $50–$100/month in “platform fees.” These are padding. A legitimate agency includes these in their monthly retainer.

Revenue-based pricing without a floor. Some agencies want a percentage of your revenue (est. 5–10%). This can be risky because you lose control of your cost structure. I prefer fixed retainers where you know exactly what you’re paying.

Your next step

Evaluate your current marketing spend and results. What are you paying now? What ROI are you seeing?

If you’re spending more than est. $1,500/month and not seeing est. 2.5x+ ROAS, something needs to change.

Use this free medspa revenue calculator to model different pricing scenarios and expected outcomes for your specific metrics.

Ready to evaluate Sprout Sage Solutions? Book a free 30-min strategy call. We’ll look at your current marketing, benchmark your cost-per-booked-appointment against your market, and tell you if hiring us makes sense.

You can also reach me directly at +91 97297 12388 to discuss pricing for your specific situation.