Report 01, September 2026

The Med Spa AI Visibility Index.

1,531 med spa websites read by a machine, in 245 cities across 46 states, and the clinics Google AI Mode named in 198 of them on September 8, 2026.

Data captured September 8, 2026 by KKV Labs LLC. $1,000 a month, 3-month minimum as it takes time to show results, named by AI in 90 days or every dollar back.

The finding, in three sentences

Most med spa websites are not readable by an answer engine. Of the 1,531 sites we screened, 331 (22%) carry no structured data on the homepage at all.

The answers are still open. Across 198 cities Google AI Mode named 4.6 clinics on average, never fewer than 3 and never more than 7, and in 179 of those cities (90%) no single clinic was pulling ahead.

That is the gap. A handful of named slots per city, 891 different clinics holding them today, and the cheapest fix in the category sitting undone on most of the websites in the market.

The headline numbers

What a machine sees when it reads a med spa site.

Three checks a machine can run without an opinion. Each count is out of the same 1,531 screened sites, so the rows compare.

How to fix all three is written up in the med spa guides. None of it needs an agency.

22%

No structured data on the homepage

No LocalBusiness, Service or FAQ markup at all. The site tells a person what the clinic does and tells a machine nothing, so an answer engine has to guess the name, the services and the address from prose.

Source: KKV Labs screening, 331 of 1,531 sites, September 8, 2026

6%

No mobile viewport tag

The page has no instruction on how to render on a phone. It is the cheapest signal of an unmaintained site, and almost every patient reading the answer is on a phone.

Source: KKV Labs screening, 91 of 1,531 sites, September 8, 2026

5%

Copyright year of 2022 or older

The footer says the site has not been touched in years. It is not a ranking factor on its own, it is a symptom: the pages, the prices and the service list behind it are usually just as old.

Source: KKV Labs screening, 74 of 1,531 sites, September 8, 2026

The answers

How many clinics make the answer.

We asked Google AI Mode the same question in every city: who is the best med spa here. It answered with names in 198 cities, and the list was short every single time.

A short list is the finding. Every clinic outside it is invisible for that question, no matter how good it is or how much it spends on ads.

4.6

Clinics named, on average

Across 198 cities

90%

Cities with the answer still open

179 of 198 cities

891

Different clinics holding a slot

Named at least once

Source: KKV Labs, Google AI Mode answers captured September 8, 2026 in 198 cities.

How long the list was, by city

  • 3 clinics16 cities
  • 4 clinics72 cities
  • 5 clinics88 cities
  • 6 clinics20 cities
  • 7 clinics2 cities

Source: KKV Labs, Google AI Mode answers captured September 8, 2026 in 198 cities.

The city table

Every city we have checked.

Sites screened, sites with no structured data, and how many clinics the answer named on the day we captured it. Biggest markets first. Cities with a published page link to the full snapshot.

Med spa websites screened and clinics named by Google AI Mode, by city, September 8, 2026
CitySites screenedNo structured dataClinics namedAnswer
Bakersfield, CA1215still open
Baton Rouge, LA1263one clinic ahead
Myrtle Beach, SC1225still open
Tucson, AZ1223one clinic ahead
Edmond, OK1116still open
Tulsa, OK1165still open
Lafayette, LA1034still open
Little Rock, AR1044still open
Albuquerque, NM1115still open
Columbia, SC1125still open
Midland, TX1144still open
Norman, OK1114still open
Omaha, NE1125still open
Rochester, NY1114still open
Coeur d'Alene, ID1025still open
El Paso, TX1035still open
Beaumont, TX1025still open
Carmel, IN1025still open
Colorado Springs, CO1025still open
Gilbert, AZ1045still open
Lancaster, PA1024still open
Savannah, GA1035still open
Waco, TX1035still open
Augusta, GA935still open
Idaho Falls, ID934still open
Ocala, FL815still open
Abilene, TX903one clinic ahead
Greensboro, NC935still open
Lakeland, FL905still open
Manchester, NH916still open
Missoula, MT925still open
Overland Park, KS914still open
Panama City, FL915still open
Portland, ME934still open
Santa Rosa, CA926still open
Temecula, CA915still open
Toledo, OH924still open
Bradenton, FL815one clinic ahead
Clearwater, FL844still open
Daytona Beach, FL816still open
Fresno, CA835still open
Longview, TX834still open
Lubbock, TX814still open
Roanoke, VA824still open
Shreveport, LA835still open
Winston-Salem, NC815still open
Springfield, MO725still open
Akron, OH834still open
Ann Arbor, MI805still open
Birmingham, AL825still open
Boca Raton, FL813one clinic ahead
Boise, ID825still open
Bozeman, MT803one clinic ahead
Lexington, KY815still open
Logan, UT833one clinic ahead
Melbourne, FL815still open
Naples, FL826still open
Ogden, UT826still open
Pensacola, FL815still open
Redding, CA814still open
Sarasota, FL815still open
St. George, UT815still open
Winter Park, FL826still open
Henderson, NV715still open
Modesto, CA745still open
Montgomery, AL724still open
Tyler, TX725still open
Albany, NY714still open
Amarillo, TX724still open
Annapolis, MD704still open
Athens, GA715still open
Charlottesville, VA743one clinic ahead
Chattanooga, TN716still open
Chico, CA745still open
Franklin, TN745still open
Gainesville, FL715still open
Grand Rapids, MI705still open
Knoxville, TN715still open
Reno, NV714still open
Temple, TX736still open
Vero Beach, FL744still open
Wichita, KS715still open
Wichita Falls, TX733one clinic ahead
Charleston, SC634still open
Frederick, MD615still open
Loveland, CO613one clinic ahead
Port St. Lucie, FL614still open
San Angelo, TX635still open
Syracuse, NY635still open
Visalia, CA625still open
Bend, OR616still open
Bloomington, IN614still open
Buffalo, NY614still open
Canton, OH615still open
College Station, TX615still open
Columbia, MO604still open
Columbus, GA624still open
Dayton, OH635still open
Eau Claire, WI624still open
Eugene, OR625still open
Fort Collins, CO634still open
Grand Junction, CO615still open
Great Falls, MT634still open
Greenville, SC605still open
Harrisburg, PA616still open
Harrisonburg, VA604still open
Jackson, MS626still open
Kalamazoo, MI605still open
Lansing, MI614still open
Macon, GA625still open
Madison, WI604still open
Providence, RI616still open
Pueblo, CO615still open
Rochester, MN605still open
Salem, OR615still open
Santa Fe, NM614still open
Spokane, WA605still open
Warner Robins, GA615still open
Wilmington, NC614still open
York, PA625still open
Billings, MT526still open
Johnson City, TN535still open
Lincoln, NE504still open
Scottsdale, AZ515still open
Waukesha, WI536still open
Allentown, PA515still open
Appleton, WI515still open
Asheville, NC515still open
Binghamton, NY503one clinic ahead
Bismarck, ND514still open
Davenport, IA535still open
Destin, FL504still open
Dothan, AL513one clinic ahead
Dublin, OH514still open
Fort Myers, FL505still open
Fort Wayne, IN524still open
Greeley, CO505still open
Green Bay, WI524still open
Iowa City, IA505still open
Jefferson City, MO534still open
Lynchburg, VA514still open
Medford, OR524still open
Olympia, WA514still open
Owensboro, KY505still open
Provo, UT526still open
San Luis Obispo, CA503one clinic ahead
Saratoga Springs, NY513one clinic ahead
Sioux Falls, SD515still open
Tallahassee, FL515still open
Tuscaloosa, AL504still open
Twin Falls, ID513one clinic ahead
Wilmington, DE514still open
Fayetteville, AR405still open
Midland, MI414still open
Odessa, TX405still open
Ventura, CA405still open
Utica, NY314still open
Bellingham, WA414still open
Biloxi, MS417still open
Boulder, CO414still open
Casper, WY406still open
Cheyenne, WY415still open
Des Moines, IA414still open
Dover, DE424still open
Fargo, ND417still open
Holland, MI414still open
Joplin, MO414still open
Lafayette, IN435still open
Mobile, AL414still open
Morgantown, WV415still open
Nashua, NH414still open
Poughkeepsie, NY416still open
Saginaw, MI415still open
Santa Barbara, CA404still open
Topeka, KS425still open
Waterloo, IA404still open
Yakima, WA415still open
Youngstown, OH405still open
Aiken, SC305one clinic ahead
South Bend, IN306still open
St. Joseph, MO304still open
Bowling Green, KY324still open
Burlington, VT304still open
Charleston, WV323one clinic ahead
Corvallis, OR314still open
Evansville, IN304still open
Hilton Head, SC314one clinic ahead
Kennewick, WA324still open
Kingsport, TN303one clinic ahead
La Crosse, WI325still open
Oshkosh, WI325still open
Palm Desert, CA314still open
Rapid City, SD305still open
Scranton, PA316still open
Valdosta, GA324still open
West Hartford, CT324still open
Worcester, MA304still open
Findlay, OH224still open

Source: KKV Labs screening and Google AI Mode answers captured September 8, 2026. 198 cities. The med spa hub publishes the full snapshot for the cities we sell into, including the clinic names and the 10 prompts for that market.

Method

How to check our work.

Citation

Use any figure on this page. We ask for one thing: name the source and link to this page, so a reader can see the date and the method.

The site sample
Med spa websites found in each city, then opened and read one by one. We found 1,325 and screened 1,531 of them. This is not a random sample of all US med spas: it is every site we could find in the cities we were looking at, which skews toward small and mid-size markets.
The three website checks
Structured data means any schema.org markup on the homepage, in a script tag or in the HTML. Mobile viewport means the viewport meta tag. Copyright year means the most recent year printed in the footer. All three are mechanical, and you can check any of them on any site in about ten seconds.
The AI answers
One question per city, asked in Google AI Mode from a fresh logged-out session on September 8, 2026, with the named clinics recorded as given. Answers change. This is a dated snapshot, not a ranking and not an endorsement of any clinic on it.
What we are not claiming
Nothing here says a clinic with structured data will be named, or that a named clinic is better than an unnamed one. It says what the market looks like today, and that the easiest signals to fix are the ones most clinics have not fixed.

Questions

What people ask about this data.

Where does this data come from?
From our own screening. We open med spa websites one by one and record three mechanical checks, and we ask Google AI Mode the same question in each city from a fresh logged-out session. So far that is 1,531 websites in 245 cities and 198 captured answers. Nothing is bought, licensed or estimated.
Can I cite these numbers?
Yes, free of charge. Name KKV Labs as the source and link to the report page so your reader can see the date and the method. If you want the city table as a file, email us and we will send it.
Is a clinic named in the answer better than one that is not?
No, and we do not say that anywhere. The lists are a dated snapshot of what one AI answer said on one day. They are not rankings, not endorsements, and not a judgement about any clinic's work.
How often is this updated?
We re-run the checks as we screen new markets and re-check old ones. Every figure on the reports is computed from the data file at build time, so the page updates the moment the file does, and every AI answer carries the date it was captured.
Why only med spas?
Because that is where we have enough data to say anything honest. We do the same work for law firms, dentists, chiropractors, HVAC companies and other local businesses, but we will not publish an index for an industry until we have screened enough of it.

See what AI says about med spas in your city.

We run these 10 questions for your service and your city through ChatGPT, Perplexity and Google AI Mode and send you the dated screenshots: who is named today, and whether the answer is still open. No call required.

All research reportsWhat the free check includes