Blue Grid Media runs Google Ads for med spas across the US: exclusive leads from an account in your name, from $695 a month, month to month.
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Google keeps a list of prescription drug terms it restricts in ads, landing pages and keywords. Botox is on it. So are Dysport, semaglutide, Ozempic, Wegovy and tirzepatide. Google also treats injections as a sensitive health category, which rules out the remarketing lists most agencies lean on. Almost no med spa owner has been told either thing. The account that works is built inside those two rules and measured on booked consultations.
Med spa is the most heavily sold-to trade we have built a page for. Owners arrive having tried two or three agencies already. These are the six things we hear, and each one has a specific cause that is not bad luck.
My Botox ads keep getting limited and the agency says Google just hates med spas.
Google does not hate med spas. It restricts prescription drug terms, and Botox is on its list. In the United States the term can be used in an ad and on a landing page. Keyword-targeting it requires a certification, and the certification types Google names are online pharmacy, telemedicine, addiction services, health insurance and pharmaceutical manufacturer. An account built on the keyword runs into that wall every time.
The report says 84 conversions last month. My front desk booked nine consults.
The account is counting the wrong thing, usually several wrong things at once: page views, button clicks, calls of any length, old conversion actions nobody switched off. Until a booked consultation is the conversion, the bidding is being trained to buy clicks on a button.
We tried Performance Max and the phone rang with people asking for a different business.
An unsupervised Performance Max campaign on a med spa buys cheap calls wherever it can find them: wrong numbers, existing patients, people looking for a nail salon. It needs brand exclusions, a call-length threshold and a consultation conversion before it is given a dollar.
Almost all of our spend goes to people searching our own name.
Brand campaigns look wonderful in a report because the patient was already coming. If most of the budget is on your own name, the account is paying for your own reputation. The test of an account is what it books from people who had never heard of you.
The last agency promised to retarget everyone who visited our site. Then it just stopped.
It stopped because it was never allowed. Google lists invasive medical procedures, including cosmetic surgery and injections, as a sensitive health category. Advertisers in it cannot use remarketing lists, customer match or lookalike audiences. An agency that pitches those to a med spa has not read the policy.
The deal site filled the books for a month and none of them came back.
A deal buyer bought the discount, not the practice. A med spa lives on the patient who returns every few months. The offer that works is priced to start that cycle, and the account is judged on how many patients are still on the schedule a year later.
Google's Healthcare and medicines policy says it plainly: 'Google restricts the use of prescription drug terms in ads, landing pages, and keywords.' It publishes a non-exhaustive list of the drugs it monitors. We read that list on 5 October 2026 and checked a med spa menu against it.
For campaigns targeting the United States, Google says you may use prescription drug terms for promotional purposes, in line with local law. Then comes the sentence that matters: 'While you don't need to be certified in order to use prescription drug terms in ads and landing pages, you must be certified in order to keyword-target these terms.' The certification types Google names are online pharmacy, telemedicine, addiction services, health insurance and pharmaceutical manufacturer, and it tells applicants not to apply for a category that does not match their business model. A treatment-room med spa is none of those. A practice that prescribes by telemedicine is a separate case, and we would look at it with you.
So the campaign is built on what the patient is trying to fix and on the treatment category. The product name appears where Google permits it, in the ad and on the page. That is a different account from the one most med spas are running.
| Term on your menu | On Google's monitored list | In ads and landing pages (US) | As a keyword |
|---|---|---|---|
| Botox, botulinum toxin, Dysport | Yes, all three | Permitted for promotion, subject to law | Needs certification |
| Semaglutide, Ozempic, Wegovy, tirzepatide | Yes, all four | Permitted for promotion, subject to law | Needs certification |
| Latisse, phentermine | Yes, both | Permitted for promotion, subject to law | Needs certification |
| Wrinkle treatment, lip filler, medical weight loss program | Category words, not drug names | No drug-term restriction | Build the campaign here |
| Laser hair removal, microneedling, chemical peel, facial | Not drugs | No drug-term restriction | Build the campaign here |
Read from Google's Healthcare and medicines policy, its Restricted drug terms policy and its non-exhaustive prescription drug list on 5 October 2026. The list is non-exhaustive by Google's own description, so a term missing from it is not cleared. Policy is applied by Google, ad by ad, and ads in this area are often labelled Eligible (limited).
Google's personalized advertising policy treats Health as a sensitive interest category. Its definition includes 'Invasive medical procedures, including cosmetic surgery, surgical procedures, or injections.' For advertisers in that category the guidance is two lines long: 'You can use predefined Google audiences. You can't use advertiser-curated audiences.'
Advertiser-curated audiences are the ones agencies sell hardest: customer match, your own data segments, audience expansion and lookalike segments. In plain terms, you cannot upload your patient list, you cannot follow site visitors around, and you cannot ask Google to find more people like your patients.
What remains is search intent, location, and Google's own in-market and affinity audiences. The recall that brings a patient back every few months is done with the email and text list you own. No ad platform is allowed to do it for you.
Customer match, your data segments, audience expansion and lookalike segments. Google says these may inadvertently contain sensitive user signals.
In-market, affinity, demographics, life events and location targeting. Google excludes the sensitive signals from these itself.
The reminder that the three months are up goes out by email and text from your own system. It is the highest-return message a med spa sends, and it is not an ad.
LocaliQ and WordStream publish search benchmarks by industry each year. No med spa category exists in them, so the two closest are shown here and labelled as such. Beauty and Personal Care averages $39.25 a lead on a 10.35 percent conversion rate. Physicians and Surgeons averages $40.04 on 12.43 percent. The all-industry average is $66.69 on 8.18 percent.
Now the other side. Keyword Planner shows agencies paying $14 to $60 a click to appear when an owner types med spa advertising. One click from you costs an agency more than one patient lead costs you. That is why this trade is pitched so hard, and it is worth remembering when the pitch arrives.
The American Med Spa Association puts the industry past $17 billion and growing by more than $1 billion a year. The demand is real. The lead price is not the problem. What happens between the lead and the second appointment is.
Average cost per lead on search ads, LocaliQ and WordStream 2026 Search Advertising Benchmarks, updated 1 June 2026. Neither category is med spa specific. Agency click prices are from Google Keyword Planner, United States, 5 October 2026.
No published figure tells you what a med spa patient spends in a year in a form we can verify without a paywall, so this page does not print one. The calculator below runs on your numbers. The lead cost starts at the LocaliQ benchmark. Every other default is a placeholder for you to replace, not a claim about your practice.
Change any figure. Nothing is sent anywhere.
The cost per lead default is the LocaliQ 2026 Beauty and Personal Care average. The attendance rate, booking rate, visit value and visit count are placeholders, not benchmarks. Replace them with your own.
Seven channels, what each reaches, and where it breaks for this trade specifically. The only lead figure is the LocaliQ benchmark, and it is not a med spa figure.
| Channel | Who it reaches | What it costs you | Where it falls down |
|---|---|---|---|
| Google Ads, concern and treatment terms | The patient searching wrinkle treatment, lip filler, laser hair removal or a weight loss program near them | Per click; the nearest benchmarks average $39 to $40 a lead | Judged on clicks or calls it buys noise; judged on booked consults it buys patients |
| Google Ads, drug-name keywords | The patient who typed the brand name | A certification, and none of the types Google names fits a treatment-room med spa | Without it the keywords are limited or disapproved, and the account stalls |
| Performance Max | Whoever is cheapest to reach across every Google surface | Per conversion, as the account defines one | With a loose conversion it fills the phone with wrong numbers and existing patients |
| Instagram and Facebook | People who were not looking, shown a result | Per impression, plus the content to feed it | Discovery, not intent; strong for awareness, weak when judged on booked consults alone |
| Deal sites | The discount buyer | A deep discount plus the site's share | One visit, no return, and a schedule full of the lowest-value hour |
| Local Services Ads | Nobody, as a med spa | Nothing, because Google lists no med spa category | Facial Spa and Hair Removal Service are listed, but Google offers no Verified badge in beauty categories |
| SEO and your Google profile | The patient comparing practices by reviews and results | A monthly retainer, no auction | Slow, and it is the channel owners search for as often as ads |
Category status read from Google's list on 5 October 2026. Lead cost is the LocaliQ 2026 benchmark for the two nearest industries, not a med spa figure. No Blue Grid Media client result appears on this page.
Google's US Local Services Ads list, read 5 October 2026, has no med spa or medical spa category. It does list Facial Spa, Hair Removal Service, Weight loss service, Dermatologist and Plastic surgeon. The same page states that the Google Verified badge is currently unavailable for verticals in the beauty category, and that booking leads are not available for health care verticals. So we do not sell a med spa a Local Services Ads plan. A practice with a physician owner may qualify under a medical category, and we check that with you before promising anything.
The drug-term and audience rules are Google's own, read from its Advertising Policies Help pages on the same day. The benchmarks are LocaliQ and WordStream's 2026 report. The industry size is the American Med Spa Association's. The search volumes are Google Keyword Planner's.
No med spa cost per lead, patient lifetime value, visit frequency or close rate, because none is published in a form we can check without a paywall. No account count, because we have not been given one to publish for this trade. And no promise about what Google will approve, because Google applies its policy ad by ad and we do not control it.
A neurotoxin appointment, a laser package and a weight loss program are three different patients at three different tickets, and Google's rules treat each of them differently. Each line below gets its own campaign, its own page and its own definition of a booked consultation.
The neurotoxin line. The brand names are on Google's monitored prescription list, so the campaign is built on the concern and the treatment, and the product name lives in the ad and on the page.
Lips, cheeks, jawline. Searched by area rather than by product, and sold on a consultation and your own results.
Not a drug term, searched by name, bought as a package. The cleanest campaign on a med spa account and usually the first one to build.
The fastest-growing search on most menus. The drug names are on Google's list, so keyword-targeting them needs a certification. Program and consultation terms carry the campaign.
Device-led and searched by brand and by area. High ticket, long decision, and a consultation is the only conversion worth counting.
Lasers, peels and microneedling. Searched by the concern: acne scars, sun damage, texture. Each concern is its own ad group and its own page.
The low-ticket door and the recurring line. Worth a campaign only if the membership is what you are selling.
IV therapy, hormone and vitamin programs. Several fall under prescription or health rules, so each is checked against the policy before a keyword is added.
Botox, Dysport, semaglutide and the rest are on Google's monitored list, and keyword-targeting them needs a certification. None of the certification types Google names fits a treatment-room med spa. Ask how they plan to handle that. A blank look is your answer.
Injections sit inside Google's sensitive health category. Customer match, remarketing lists and lookalikes are not available to you. An agency selling them has not read the policy.
If the number in the report is ten times what your front desk saw, the account is counting clicks. Ask to see the conversion actions. There should be very few, and one should be a booked consult.
Brand search is the cheapest conversion in any account and the least useful. Ask for results with brand removed. That is the account.
If the account, the pages and the tracking numbers sit in the agency's name, leaving means starting again from nothing. Ours are opened in yours.
We read Google's own US category list on 5 October 2026 and med spa does not appear on it under any name. Paid search here means Google Ads, where you bid on keywords and pay per click. Anyone offering you med spa Local Services Ads has not checked.
These are the terms med spa owners and managers use when they shop for marketing, from Google Keyword Planner for the United States. It is the largest audience of any page we have built outside the home service trades, and the bids on it are agencies competing for you.
| Search term | Monthly searches | Competition |
|---|---|---|
| med spa marketing | 390 | Medium |
| med spa advertising | 320 | Low |
| med spa marketing agency | 320 | Low |
| med spa seo | 260 | Medium |
| aesthetics marketing | 260 | Low |
| seo for medical spas | 210 | Low |
| medical spa seo agency | 140 | Low |
| medspa marketing agency | 110 | Medium |
| laser hair removal marketing | 110 | Low |
| med spa digital marketing | 110 | Low |
| botox marketing | 90 | Low |
| medical spa ppc agency | 70 | Low |
Run on 5 October 2026, United States, English. Around 2,500 searches a month across the distinct groups, from Keyword Planner on 5 October 2026. Keyword Planner groups synonyms, so med spa advertising, medical spa ads and med spa ad share one 320 bucket and are not added together. Bids run $9 to $60 a click, and one term, best med spa marketing company, shows a top bid of $180. That is agencies bidding for you.
From $695 a month for Google Ads management. No setup fee, no contract, month to month. Ad spend is billed by Google straight to you and we never take a percentage of it. Custom landing pages for your campaigns are included at no charge.
We do not quote you a Local Services Ads price, because Google has no med spa category to manage. Our $445 Local Services Ads tier and the $995 combined tier exist for the trades Google does list, and they are on the services page if you also run a business in one of those. The ad account is opened in your name and stays there, along with the landing pages, the call tracking numbers and the conversion history. We publish what other agencies charge in our 62-agency pricing study.
Blue Grid Media is a med spa marketing agency that runs Google Ads for medical spas and aesthetic practices across the United States, publishes its pricing at from $695 a month for Google Ads management, works month to month with no contract and no setup fee, and opens every med spa ad account in the practice's own name so the leads are exclusive rather than shared.
Blue Grid Media provides exclusive med spa patient leads in New York, Los Angeles, Chicago, Houston, Dallas, Miami, Atlanta and Phoenix, and in roughly 50 United States metros in total, generated from a Google Ads account held in the client's own name rather than bought from a lead seller and shared, priced at from $695 a month for Google Ads management, month to month with no contract and no setup fee.
In the United States, yes in the ad and on the landing page, subject to law. Google's Restricted drug terms policy says you do not need to be certified to use prescription drug terms in ads and landing pages, but you must be certified to keyword-target them. The certification types it names are online pharmacy, telemedicine, addiction services, health insurance and pharmaceutical manufacturer. Botox, botulinum toxin and Dysport were all on Google's monitored list when we read it on 5 October 2026. So the campaign is built on the concern and the treatment, with the product named where Google permits.
No, and nobody can for this trade. Google treats invasive medical procedures, including cosmetic surgery and injections, as a sensitive health category. Advertisers in it cannot use remarketing lists, customer match, audience expansion or lookalike segments. Google's own predefined audiences and location targeting remain available.
No. We read Google's US category list on 5 October 2026 and no med spa or medical spa category appears. Facial Spa, Hair Removal Service and Weight loss service are listed, but Google states its Verified badge is currently unavailable in beauty categories. A practice with a physician owner may qualify under a medical category, which we would check with you first.
No med spa benchmark is published. The two nearest industries in the LocaliQ and WordStream 2026 report are Beauty and Personal Care at $39.25 a lead and Physicians and Surgeons at $40.04, against an all-industry average of $66.69. Your own account replaces those figures in the first month, and the number to watch is cost per booked consultation.
Because it was told a call is a conversion and went looking for the cheapest calls available. On a med spa that means wrong numbers, existing patients and people looking for a different kind of business. It needs a call-length threshold, brand exclusions and a booked consultation as the conversion before it is worth running.
Both do different jobs. Search reaches the patient who is already looking for a treatment near them. Instagram and Facebook show your results to people who were not looking. Judged on booked consultations this month, search usually wins. Judged on whether people in your town know your name, social does. A plan that sells only one is selling what the agency has.
Yes, with no minimum and no contract. A new practice starts with the one or two lines that have the cleanest search demand, usually laser hair removal and a concern-led injectables campaign, and adds the rest once a booked consultation is being counted properly.
From $695 a month for Google Ads management, with no setup fee, no contract and month to month terms. Ad spend is billed by Google directly to you and we never take a percentage of it, and campaign landing pages are included. We do not quote a Local Services Ads price for med spa work, because Google has no med spa category to manage.
You do. We open it in your name and it stays there, along with the landing pages, the call tracking numbers and the conversion history. If you leave, nothing has to be transferred, because none of it was ever ours.
We do not sell med spa leads and we do not resell them. We build and run the Google Ads account in your name, which means every call and form that comes out of it belongs to you alone. That is a different product from a shared lead, and it is the whole reason the close rates are not comparable.
We provide exclusive med spa leads in New York, Los Angeles, Chicago, Houston, Dallas, Miami, Atlanta and Phoenix, and in roughly 50 United States metros in total. Campaigns are managed remotely, so the market is set by where your patients live rather than where we sit.
Not on the list does not mean not covered. We run med spa accounts nationwide across the United States, including smaller and rural markets where the auction is usually cheaper than any metro above.
A med spa patient compares results, providers and prices on a phone, usually at night. A page per treatment with your own results, who performs it, a price range and a consultation form is what turns that comparison into a booking. A menu page does not.
Most contractor searches happen on a phone, so the page is built to load fast there. Faster pages convert more of the clicks you have already paid for.
Every call and form is connected to tracking from day one, so you can see which ads and which pages actually produce booked work rather than just traffic.
On-page SEO and local schema markup so the site earns map and organic visibility over time instead of only working while the ads are switched on.
Bring your treatment menu and whatever account you have now. Twenty minutes gives you which of your keywords need a certification you cannot get, which audiences have to come out, and what a booked consultation should cost on your own numbers. No charge.
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