Best for
Best med spa marketing agencies for CRM and lead follow-up
These agencies build the system that answers and books leads, not just the ads that create them: CRM automation, an AI receptionist or chat, and email and text follow-up, all three.
Med Spa Scalers · #1 overall, 84/100
The only agency on this list that runs ads, a CRM, an AI receptionist and automated follow-up as one system for US med spas, and publishes the lead data behind it.
Ichelon Consulting Group · #2 overall, 63/100
The broadest service menu we found, with published starting retainers, from a healthcare agency where med spas are one specialty among many.
PELORA Marketing · #4 overall, 46/100
Publishes a complete nine-tier price list, from $4,500 a month, and leads with shoot-day video and ad creative.
Karbon Agency · #5 overall, 45/100
Flat published prices, with ads from $1,500 a month and an AI receptionist from $500, on month-to-month terms.
ClinicAds · #6 overall, 44/100
Measures booked procedures, signs a business associate agreement and pairs Meta and Google ads with fast GoHighLevel text follow-up.
Zio Advertising · #8 overall, 40/100
A small shop where Giuseppe Gaspari runs your account himself and reports what each lead turned into.
Order follows the overall ranking. The full method is on how we rank, and the complete list is the 2026 top 10.