Best for: practices that want a HIPAA-compliant marketing platform with fully transparent pricing
Strengths
- One of the few healthcare marketers publishing full pricing on its site
- HIPAA-compliant apps and platform built for medical practices
Considerations
- Broad healthcare focus, not aesthetics-only
- Month-to-month costs more than committing to a contract, per its published terms
Pricing: Published: GOLD $899/mo, PLATINUM $1,699/mo, PLATINUM PLUS $2,499/mo, ENTERPRISE $5,000/mo · Lock-in: Month-to-month available at a higher rate than contract
Best for: cash-pay aesthetics practices (med spa, plastic surgery, cosmetic dental) wanting a dedicated full-service agency
Strengths
- Focused on cash-pay aesthetics across med spa, plastic surgery, and cosmetic dentistry
- Proprietary Growthstack platform ties campaigns to practice growth
Considerations
- Pricing not published; requires a discovery call
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: med spas that want market exclusivity — one practice per city
Strengths
- One-practice-per-city exclusivity policy
- 20+ years in aesthetics marketing spanning acquisition and retention
Considerations
- Exclusivity means your market may already be taken
- Pricing not published
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
4.59/100That’s us — see disclosure above Best for: med spas that want performance marketing with AI reporting tying spend to booked consultations, without platform lock-in
Strengths
- AI-driven reporting — a live dashboard shows what every ad dollar did, down to the lead
- No long-term lock-in: month-to-month
- Published pricing: marketing from $1,500/month plus ad spend, so you know the cost before the first call
Considerations
- Small, newer team — we don't have a decade-deep case-study library yet
- Not aesthetics-exclusive — a local-business specialist rather than a med-spa-only shop
Pricing: Published at karbonagency.com/pricing: marketing (Meta ads + a free landing page) from $1,500/month plus ad spend; other services priced separately · Lock-in: No long-term lock-in — month-to-month
Best for: owners who want done-WITH-you systems and to keep control in-house
Strengths
- Med-spa-exclusive, done-with-you model where the owner keeps control of systems
- States "no contracts" on its site
Considerations
- Done-with-you means your team still does part of the work
- Pricing not published
Pricing: Pricing not published — quoted after a call · Lock-in: "No contracts" stated on site
Best for: larger aesthetics practices wanting big in-house creative plus performance under one roof
Strengths
- 200+ employees across LA, Austin, and Tampa with in-house creative and performance teams
- LeadLoop software for lead tracking and attribution
Considerations
- Aesthetics-heavy but not exclusive to medical aesthetics
- Pricing not published
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: med spas wanting an all-in-one website + CRM + marketing platform
Strengths
- All-in-one platform combining website, CRM, and marketing tools for aesthetics practices
- Listed vendor in the AmSpa (American Med Spa Association) ecosystem
Considerations
- Platform model — your website and CRM live on their system
- Tiered plans (Essentials/Accelerator/Elite) are quoted on request, not published
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: practices that want an agency doing aesthetics and nothing else
Strengths
- Aesthetics-only positioning — "It's all we do", per its site
- Integrated strategy approach across channels rather than à-la-carte tactics
Pricing: Pricing not published — quoted after a call · Lock-in: Not published
Best for: practices wanting a HIPAA website platform with managed marketing layered on
Strengths
- Website platform built for healthcare compliance, with med spas a named market
- Hybrid platform + managed-marketing model
Considerations
- Platform-first — the website lives on their system
- Pricing not published
Pricing: Pricing not published — quoted after a call · Lock-in: Not published