Buying guide

How to Choose a Med Spa SEO Company

Published prices, contract terms and asset ownership for 24 med spa SEO and PR agencies, and what to ask the 16 that publish no price.

Updated Oct 2, 2026 · 7 min read

Key points

8 of the 24 agencies we checked publish a starting price. The other 16 do not publish one.
Published monthly starting prices run from $750/mo at Intrepy Healthcare Marketing (SEO for solo physicians) to $4,500/mo at Society22 PR.
3 of the 24 state a setup fee policy: RUNNER Agency charges none, Skinspire charges $999 once, Wowbix charges $500 to $1,000 one time.
Only 5 of the 24 publish how cancellation works, and only 7 state who owns the work when you leave.
None of the 24 states a free trial. 19 offer a free demo, audit or consultation.

Most of the med spa SEO companies we checked do not publish a price. We read the websites of 24 agencies in our digital PR and SEO category on October 1, 2026, and recorded what each one publishes: prices, setup fees, contract terms, cancellation rules, ownership and proof of results.

Every figure below links to a vendor profile, and each profile links to the source page.

What does a med spa SEO company do?

The work is local search. For a med spa that means showing up when someone nearby searches a treatment name, a healthy Google Business Profile, reviews, treatment pages that rank, and content that answers patient questions. Where agencies in this category state how they charge, most bill monthly. Many add web design, paid ads, or public relations that earns press mentions. Some also sell visibility in AI-generated answers, sometimes called generative engine optimization.

The 24 agencies in this category lead with different mixes of those services, from SEO specialists to full-service agencies and PR-led firms. What separates them most is what they publish.

How much does med spa SEO cost?

8 of the 24 agencies publish a starting price:

Vendor	Published starting price	Minimum term as stated
Intrepy Healthcare Marketing	$750/mo (SEO, solo physicians)	Not stated
Wowbix	$1,200/mo	No contract
RUNNER Agency	$1,295/mo	Not stated
Skinspire	$1,450/mo	90-day onboarding, then month to month
On The Map Marketing	$1,500/mo (SEO)	Not stated
Pasha Digital Solutions	$1,800/mo	Not stated
Subscribe PR	$1,950/mo	Stated two ways, see below
Society22 PR	$4,500/mo	Not stated

These prices are not like for like. RUNNER Agency's Essentials plan at $1,295/mo covers a local SEO audit, keyword research, Google Business Profile optimization, listings and review management. Wowbix's Tier 1 at $1,200/mo includes Google Business Profile optimization and 2 to 3 pieces of SEO content a month. Subscribe PR's Essential tier at $1,950/mo includes 30 targeted blogs a month and backlink building. Skinspire sells a single plan at $1,450/mo that includes an up to 20-mile exclusive territory. Society22 PR's Core plan at $4,500/mo is public relations, with unlimited pitching cycles and story creation, and its higher tiers run to $12,500/mo.

The other 16 do not publish a price. Two state quote only: Outpace SEO and Illumination PR. For the rest, you learn the number only by asking.

What sits behind the monthly price?

Three things to pin down first.

Setup fees. 3 of the 24 state a policy. RUNNER Agency says its plans carry no setup fee. Skinspire charges a $999 one-time start-up fee. Wowbix quotes $500 to $1,000 one time, sometimes folded into the first month. The rest do not state one, so ask.
Add-ons. Subscribe PR sells press placements as add-ons on top of its tiers, starting at $995/mo, with a ghostwritten option at $3,995/mo. Sagapixel charges 10% to 22% of ad spend for ad management and says creative and landing pages cost extra. MyAdvice adds a 3% service fee to card payments and a $50 handling fee on checks. Where nothing is stated, ask which services cost extra before you sign.
Onboarding and ramp-up. Ekwa Marketing describes a launch stage that reworks the website and key offsite platforms before ongoing marketing starts. First Page Sage says campaigns begin with a strategic planning month, with full monthly deliverables from month two. The first months can look different from the steady state, so ask what happens when.

How long is the commitment?

8 of the 24 state a minimum term. Four state month to month: DAGMAR Marketing, First Page Sage, Sagapixel and Wowbix. Brandlift Med and Surgeon's Advisor say no long-term contract. Skinspire runs a 90-day onboarding period, then month to month. Subscribe PR states it two ways: three months minimum on its home page FAQ, month to month on its services page. Ask which applies to you.

The other 16 do not state a term on their sites. Some agencies set an initial period. Whatever you agree, get the length, the renewal and the notice in writing.

How do you get out?

5 of the 24 publish how cancellation works. Wowbix says there is no contract and you can leave at any time. Subscribe PR asks for 30 days written notice. TechStep Solutions says either side can end the agreement with 30 days notice. MyAdvice says its agreement auto-renews and needs written notice at least 45 days before renewal, and that ending early still leaves the rest of the term owed. Otter PR says clients cancel through its official online form, and that long-term payment schedules cannot be cancelled early and the full agreement amount stays owed.

That leaves 19 agencies with no published cancellation policy. Before you sign, ask how much notice is needed, what happens at renewal, and what happens to money already paid.

Who owns the website, content and ad accounts?

7 of the 24 state who owns what. Pasha Digital Solutions says the client keeps ownership of its domain, content, photography and analytics. Wowbix says the practice owns its website and content. Surgeon's Advisor says the client owns everything the agency does on its behalf. TechStep Solutions says the client owns final deliverables once paid in full, and the agency keeps the underlying code and proprietary technology. Otter PR says the client gets full ownership of materials created for it once the account is paid in full and closed in good standing. Studio 3 Marketing runs paid ads from the client's own ad account, so the client keeps control and ownership. MyAdvice says clients own text and visual content created by them, by the platform's AI tools or by MyAdvice for them, but that packaging it up on exit is billed hourly.

Where nothing is stated, ask directly about the domain, the website files, the ad accounts, the Google Business Profile and the content. Confirm the answer in the contract.

What proof can you check?

14 of the 24 publish a case study result. Some name a med spa: Sagapixel reports a 450% increase in conversions from organic search for a med spa, Intrepy Healthcare Marketing reports a 79% increase in organic search traffic for a med spa client, Studio 3 Marketing reports +199% web traffic in 6 months for Aurora Medical Spa, and TechStep Solutions reports a 35% increase in engagement after a website redesign for Bellus Touch Med Spa. Others name nearby practices: DAGMAR Marketing reports a 142% increase in organic conversions for Batniji Facial Plastic Surgery, RUNNER Agency reports a 54% increase in new patient consultations for Rivkin Westside Aesthetics, and Illumination PR reports over 100 organic leads per month for Sperling Dermatology.

Read what each result actually describes. First Page Sage reports AI recommendation share growing from 11% to 64% across 31 key queries for an unnamed New York plastic surgeon. Society22 PR states $67M+ in new patient revenue and 25,000+ procedures booked from earned media for its plastic surgery clients overall. HigherVisibility reports a 141.51% increase in conversions for Caliber Collision, which is not an aesthetics client. An unnamed client or a different industry tells you less than a result you can check, so ask each agency for a med spa reference you can call.

On trying before buying: 19 of the 24 offer a free demo, audit or consultation, and none states a free trial.

What should you ask on a sales call?

What is the total monthly fee for a practice my size, and what does it include?
Is there a setup or onboarding fee, and when is it due?
Which services cost extra: ad management, landing pages, content, PR placements?
Is there a minimum term, how does it renew, and how much notice do you need to cancel?
If I cancel early, is any of the balance still owed?
Who owns the domain, website, ad accounts, Google Business Profile and content if I leave?
Do you run paid ads from my own ad account?
Can you show me a result for a med spa like mine, and a client I can call?
Who does the work each month, and who is my day-to-day contact?
How do you handle patient information that appears in reviews, forms and analytics? Ask for the answer in writing.

How to use what is published

The digital PR and SEO category page lists all 24 agencies with scores computed from what each one publishes, and every profile links to the page each fact came from. Shortlist two or three on the published facts, then use the questions above to fill the gaps in writing.

Questions and answers

How much does med spa SEO cost per month?

Among the 8 agencies in our category that publish a price, monthly starting prices run from $750 at Intrepy Healthcare Marketing (SEO for solo physicians) to $4,500 at Society22 PR. The other 16 of the 24 do not publish a price.

Do med spa SEO companies require a contract?

Some do not. DAGMAR Marketing, First Page Sage, Sagapixel and Wowbix state month-to-month terms, and Brandlift Med and Surgeon's Advisor state no long-term contract. Skinspire has a 90-day onboarding period, then month to month. 16 of the 24 do not state a term on their sites.

Who owns my website and content when I leave an SEO agency?

7 of the 24 agencies we checked state it. Pasha Digital Solutions says clients keep their domain, content, photography and analytics, and Wowbix says the practice owns its website and content. For the rest, get ownership of the site, domain, ad accounts and content in writing before you sign.

Do med spa SEO agencies offer a free trial?

None of the 24 we checked states a free trial. 19 offer a free demo, audit or consultation. Ask what the free session covers before you book it; comparing two agencies' audits gives you something concrete to put side by side.

Should I hire an agency that only works with med spas?

Skinspire is the only agency of the 24 that works only with aesthetic and wellness clinics. The others serve med spas alongside other practices, and several name med spas as a specialty. Our data records what each agency publishes, not which focus gets better results, so compare candidates on their published med spa results and references.