Zenoti alternatives for med spas
Zenoti sells to med spas from single locations to enterprise franchises, but its pricing page asks for a quote on both plans and its terms add a non-refundable setup fee per center and automatic one-year renewals. Every alternative on this page publishes its price model, and five of the six run month to month.
MedSpaVendorGuide does not sell any of the products compared here, and nobody paid to be on this page. Every vendor fact comes from the vendor's own website and links to its source, and the order is the computed score, which counts what each vendor publishes, not how good it is.
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|---|---|---|---|---|---|---|---|
| Score | 3.8/5 (18 of 24 checks) | 4.0/5 (19 of 24 checks) | 3.8/5 (18 of 24 checks) | 3.8/5 (18 of 24 checks) | 3.7/5 (18 of 24 checks) | 3.6/5 (17 of 24 checks) | 3.6/5 (17 of 24 checks) |
| What it is | Quote-priced operating platform for salons, spas, medspas and fitness businesses, with a medspa EMR | Practice management software for clinics and medical spas, priced per user by team size | EMR and practice management software for med spas and aesthetic clinics, priced per user | Salon, spa and med spa software priced per location and per user, with forms and charting | EMR and practice management platform for med spas, plastic surgery and other aesthetic practices | CRM and marketing automation platform for medical spas, plastic surgeons and dermatologists | Booking, payments and marketing software for beauty, wellness and medspa businesses |
| Starting price | Not published | From $59 | $15/user/mo | $120/mo per location + $10/mo per user | Not published | $299/mo | $24/mo billed annually ($28 monthly) |
| How it charges | Quote only | Per-user subscription by team size, paid monthly or annually | Monthly subscription per user, plus a one-time onboarding fee | Monthly subscription per location plus per user, with optional add-ons | Quote only | Monthly subscription per plan, with usage-based messaging credits and paid add-ons | Monthly or annual subscription by plan, plus a flat card processing rate |
| Setup fee | One-time non-refundable setup fee per center; amount not published | Not published | $399 startup and onboarding fee | None: onboarding and data transfer are free | Not published | Required onboarding starting at $1,500 | None stated; data transfer is free |
| Minimum term | Initial term set in the order form, then automatic one-year renewals | 30-day rolling contract on the monthly subscription; prepaid 12, 24 or 36-month terms are discounted | No contract: month-to-month or annual, as chosen | No contract | Contract term set in the order; renews automatically for the longer of the original term or twelve months | Month to month; an annual option is a 12-month commitment | No contract; subscriptions run on a one-month cycle unless stated otherwise at sign-up |
| Cancellation | Either party may end the agreement at the end of the initial or a renewal term with at least 60 days notice; setup fees are non-refundable | Monthly: 30-day notice to cancel. New customers may cancel within 30 days of payment for a full refund; after that prepaid fees are non-refundable | Either party may terminate with notice at least 30 days before the end of the subscription term, through Settings > Billing | Cancel at any time and for any reason | Written notice at least sixty days before the term expires stops renewal; fees are nonrefundable unless stated otherwise | Month-to-month plans cancel through the form at /cancel and end at the close of the paid period; cancellation requests by SMS, email or phone are not honored; payments are non-refundable | Cancel at any time in the product or by email; fees paid are non-refundable |
| Free trial | Not published | Not published | Yes | Yes | Not published | Not published | Yes |
| Free demo or audit | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Coverage | More than 50 countries | Nearly 40 countries across six continents | Not published | Not published | Not published | USA, Canada, Mexico, United Kingdom and Australia | Not published |
| Last checked | Oct 1, 2026 | Oct 1, 2026 | Oct 1, 2026 | Oct 1, 2026 | Oct 1, 2026 | Oct 1, 2026 | Oct 1, 2026 |
As of October 2026, checked on each company's own website. Scores count published facts, not quality. How we score.
Why do med spa owners look for a Zenoti alternative?
Zenoti sells one operating platform to salons, spas, medspas and fitness businesses, and the medspa edition adds charting, injectable tracking by lot number, before and after photos, digital consent and e-prescribing.
Its pricing page names two plans, Zenoti OS and AI Plus, and asks for a quote on both instead of showing a price.
The terms and conditions add a one-time non-refundable setup fee per center with no amount on the site, an initial term set in the order form, automatic one-year renewals, and a 60-day notice to end the agreement at a term boundary.
A single-location med spa therefore cannot work out a monthly cost or an exit cost from Zenoti's own pages, and that is the gap the alternatives below fill.
Zenoti does publish a lot else: its home page counts 30,000+ salon, spa and medspa businesses across 50+ countries, its success stories include the medspa B12 Love, and its medspa pages state HIPAA compliance with a BAA available.
The six alternatives are all in the practice management software category, and the comparison table above sets their published prices and terms next to Zenoti's.
Who is each alternative for?
Fit differs more than the feature lists do: three of the six are built for aesthetic practices only (Aesthetic Record, PatientNow and Aesthetix CRM, the last a CRM you run next to the EMR or booking system you already have), while Pabau serves clinics and medical spas, Mangomint salons, spas and med spas, and GlossGenius beauty, wellness and medspa businesses.
Pabau
Pabau is practice management software for clinics and medical spas, priced per user with plans named by team size: Solo for one user, Team for 2 to 3, Medium for 4 to 5, Group for 6 to 15, and Enterprise for 16 or more with multi-location supported.
Its med spa page publishes a starting price of $59, and the larger team sizes are priced by demo.
The monthly subscription runs on a 30-day rolling contract with 30-day notice, new customers can cancel within 30 days of payment for a full refund, and prepaid 12, 24 or 36-month terms are discounted.
Its med spa page lists image markup, injection plotting, customizable consent forms and an injectables consent form, and support runs 24 hours a day over live chat, tickets, video call, WhatsApp and phone.
The details are set out further in the Pabau vs Zenoti comparison.
Aesthetic Record
Aesthetic Record sells an EMR and practice management platform for med spas and aesthetic clinics, with per-user plans at $15 and $19 a month and an Enterprise plan priced by contact.
It publishes a $399 startup and onboarding fee, a 14-day risk-free trial, and month-to-month or annual terms that either party can end with 30 days notice.
Its pricing page covers procedure charting, high-resolution photo management, medical director oversight, before and after videos and an ASPIRE Galderma Rewards integration.
E-prescribing is a separate add-on at $40 to $45 per prescriber, and training beyond the 90-day guided onboarding is $99 an hour.
Mangomint
Mangomint serves salons, spas and med spas, charges $120 a month per location plus $10 a month per user, and includes onboarding and data transfer free.
There is no contract, cancellation is allowed at any time, and the pricing page says you can take all your data with you when you leave.
Its med spa pages address single-location and multi-location medspas, and list SOAP notes, image markup, before and after photo tracking, consent and intake forms, a Good Faith Exam integration with Docovia and a telehealth integration with Doxy.me.
It also publishes a free trial and HIPAA compliance with a signed BAA for med spa customers, set up through support.
The Aesthetic Record vs Mangomint comparison sets the two side by side.
GlossGenius
GlossGenius sells booking, payments and marketing software, and lists a separate medspa and aesthetics plan set next to its beauty and wellness plans.
The medspa plans are Practice Essentials at $168 a month and Practice Advanced at $298 a month, or $148 and $248 billed annually, and its beauty and wellness plans start at $24 a month billed annually.
Card processing is a flat 2.6%, instant payouts cost 1.8%, payroll is $40 a month plus $6 a seat, and the reception call-answering add-on is $50 a month.
It publishes a 14-day trial with no credit card, no contracts, cancellation at any time, and a Business Associate Agreement on request.
Its pages address solo providers through multi-location businesses, and its medical spa page says the product is trusted by 5,000+ practices.
Aesthetix CRM
Aesthetix CRM is a CRM and marketing automation platform rather than a full EMR: its pricing page names integrations with the EMR and booking systems aesthetic practices use, Zenoti among them.
Plans run $299, $399 and $499 a month with unlimited contacts and users, plus custom pricing for multi-location.
Onboarding is required and starts at $1,500, and messaging credits beyond the plan, A2P registration, an AI Employee add-on at $299 a month and WhatsApp at $29 a month all cost extra.
Month-to-month plans are cancelled through a form on its site, payments are non-refundable, and data exports in CSV and JSON during the subscription and for 90 days after it ends.
Support is 24/7 live chat, and its HIPAA page says accounts that process PHI need a signed BAA requested by email.
PatientNow
PatientNow sells an EMR and practice management platform whose home page says it is built only for aesthetic medicine, with plans named Standard, Amplify and Catalyst.
Like Zenoti it publishes no prices: the pricing page says pricing is tailored to your practice and routes you to a demo.
Its terms set the contract term in the order, renew automatically for the longer of the original term or twelve months, and require 60 days written notice to stop a renewal, with fees nonrefundable unless stated otherwise.
It is the only one of these seven vendors with a customer result published on its site: Touch MedSpa increased consultation conversions to 90% with RxPhoto, the photo tool in its plan lists.
Its plan lists add treatment quoting, before and after photos, loyalty and memberships, and AI-generated SOAP notes.
What does each alternative charge outside the headline price?
The add-ons and fees in this section come from each vendor's own pricing or terms pages.
- Zenoti bills voice, SMS and messaging on usage and charges USD 10 per month per 5GB of extra photo and file storage, and its per-center setup fee is non-refundable with no amount stated.
- Aesthetic Record charges $399 to start, $40 to $45 per prescriber for e-prescribing, and $99 an hour for additional training.
- Pabau lists optional add-ons with Engage Plus priced per location, and says setup, training and data migration fees are non-refundable without stating the amounts.
- Mangomint prices its phone add-on at $70 a month per line, payroll from $50 a month plus $8 per worker, and marketing plans from $30 a month.
- GlossGenius charges a flat 2.6% for card processing, 1.8% for instant payouts, $40 a month plus $6 a seat for payroll, and $50 a month for its reception add-on.
- Aesthetix CRM requires onboarding starting at $1,500, and charges separately for messaging credits beyond the plan, A2P registration, its $299 a month AI Employee add-on and WhatsApp at $29 a month.
- PatientNow states no setup or onboarding fee on its site.
How do the contracts compare?
Zenoti sets the initial term in the order form and renews it automatically one year at a time, with either side able to leave at a term end on 60 days notice.
PatientNow's terms cover the same three points, with renewals the one difference: the term is set in the order and 60 days written notice stops it, but renewal runs for the longer of the original term or twelve months, where Zenoti renews one year at a time.
Five of the six alternatives publish month-to-month terms: Pabau on a 30-day rolling contract, Aesthetic Record on a month-to-month or annual basis, Mangomint and GlossGenius with no contract and cancellation at any time, and Aesthetix CRM on month-to-month billing cancelled through its site.
Refund wording differs: Pabau gives new customers a full refund if they cancel within 30 days of payment.
The non-refundable wording across the group includes Zenoti's setup fee, Pabau's setup, training and data migration fees, Aesthetix CRM's payments and GlossGenius's fees paid.
Three vendors publish what happens to your data if you leave: Mangomint says you take it all with you, Aesthetix CRM allows CSV and JSON export during the subscription and for 90 days after, and PatientNow says its team helps you export it.
What should you ask before you decide?
The gaps above turn into direct questions on a demo call.
- Ask each quote-only vendor, Zenoti and PatientNow, for the total first-year cost including setup and onboarding for your number of locations and users.
- Ask Zenoti what initial term would go in the order form for a business your size, since only the one-year renewal cycle is on its site.
- Ask Pabau what a Team or Medium plan costs at your location, since its published $59 is a starting price and the larger plans are priced by demo.
- Ask Mangomint how long its free trial runs, because the pricing page publishes the trial without a stated length.
- Ask each vendor you demo how your data comes out if you cancel, since only three of the seven publish an export policy.
- Ask how a Business Associate Agreement is handled if you store patient records: Mangomint sets one up through support, Aesthetix CRM requires one by email, GlossGenius provides one on request, and Zenoti says a BAA is available.
Which one fits you
Choose Zenoti if
- You run several locations or a franchise and want one platform across salons, spas, medspas and fitness brands, with 24/7 global support.
- You want the published medspa specifics: injectable tracking by lot number, e-prescribing, telehealth appointments and provider credential rules.
- You are comfortable getting a quote instead of reading a price.
Choose Pabau if
- You want a published starting price of $59 and plans named by team size, from one user to 16 or more.
- You want a 30-day rolling monthly contract, or a discounted prepaid 12, 24 or 36-month term.
- You want injection plotting and injectables consent forms, and a full refund if you cancel within 30 days of payment as a new customer.
Choose Aesthetic Record if
- You want a published starting price of $15 per user per month, with the $399 onboarding fee stated up front.
- You want a 14-day risk-free trial and 90-day guided onboarding with a specialist.
- You want procedure charting, medical director oversight and before and after videos in its published feature lists.
Choose Mangomint if
- You want published per-location and per-user pricing with no contract and free onboarding.
- You want to cancel at any time and take all your data with you.
- You want SOAP notes, image markup and a published Good Faith Exam integration for med spas.
Choose GlossGenius if
- You want booking, payments and memberships at published prices, with a 14-day trial and no credit card.
- You want charting on a medspa plan set at $168 or $298 a month.
- You want a flat 2.6% card processing rate and support hours published on the contact page.
Choose Aesthetix CRM if
- You want a CRM and marketing automation platform that integrates with the EMR and booking systems aesthetic practices use, Zenoti included.
- You want month-to-month billing and CSV or JSON data export during the subscription and for 90 days after it ends.
- You want unlimited contacts and users on plans from $299 a month.
Choose PatientNow if
- You want an EMR platform whose site says it is built only for aesthetic medicine, and you do not mind getting pricing in a demo.
- You want treatment quoting, before and after photos and AI-generated SOAP notes in the plan lists.
- You want a published customer result: Touch MedSpa increased consultation conversions to 90% with RxPhoto.
Questions and answers
What are the alternatives to Zenoti for a med spa?
The six alternatives covered here are Pabau, Aesthetic Record, Mangomint, GlossGenius, Aesthetix CRM and PatientNow, all practice management software that names med spas. Pabau, Aesthetic Record, Mangomint and GlossGenius publish starting prices; Aesthetix CRM publishes CRM plans from $299 a month and integrates with Zenoti; PatientNow, like Zenoti, gives pricing in a demo. For multi-location groups that accept a quote process, Zenoti remains on the table alongside them.
Is there a cheaper alternative to Zenoti for a med spa?
Zenoti publishes no price, so its cost cannot be compared from its own site. Published starting prices among the six run from $15 per user per month at Aesthetic Record, plus its published $399 startup and onboarding fee, to $299 a month at Aesthetix CRM, which adds onboarding from $1,500. GlossGenius starts at $24 a month billed annually, Pabau at $59, and Mangomint at $120 a month per location plus $10 per user.
Does Zenoti publish its prices?
No. Its pricing page names two plans, Zenoti OS and AI Plus, and each carries a quote request instead of a price. Its terms add a one-time non-refundable setup fee per center with no amount stated, an initial term set in the order form and automatic one-year renewals. A free demo is published on its medspa pages, while a free trial is not mentioned.
Which Zenoti alternatives run month to month?
Five of the six: Pabau on a 30-day rolling monthly contract, Aesthetic Record on month-to-month or annual terms, Mangomint and GlossGenius with no contract and cancellation at any time, and Aesthetix CRM on month-to-month billing cancelled through a form on its site. PatientNow does not publish a month-to-month option; its term is set in the order and renews for the longer of the original term or twelve months.
Which alternatives are built for med spas rather than salons?
PatientNow's home page says its platform is built only for aesthetic medicine, and Aesthetic Record sells an EMR for med spas and aesthetic clinics. Pabau targets clinics and medical spas, Mangomint serves salons, spas and med spas with published med spa features, and GlossGenius lists a separate medspa and aesthetics plan set. Zenoti itself serves salons, spas, medspas and fitness businesses from one platform.
What should I ask on a demo with a quote-only vendor?
Ask for the total first-year cost including setup or onboarding, since Zenoti names a per-center setup fee without an amount, PatientNow states no setup or onboarding fee, and Aesthetix CRM's onboarding starts at $1,500. Ask what minimum term would be written into the order for your location count and what notice it takes to leave. Ask how your data comes out if you cancel, and how a Business Associate Agreement is handled if you store patient records.
Sources
Vendor facts: each profile links every fact to the page it was read on. Zenoti (checked Oct 1, 2026), Pabau (checked Oct 1, 2026), Aesthetic Record (checked Oct 1, 2026), Mangomint (checked Oct 1, 2026), PatientNow (checked Oct 1, 2026), Aesthetix CRM (checked Oct 1, 2026), GlossGenius (checked Oct 1, 2026).