Trends · data through September 2026

Spas in the United States

Iceflower tracks 10,011 stores from 7,899 spa chains in the United States. Dermani Medspa grew fastest over the last year, ahead of Grand Spa and VIO Med Spa.

Rankings come from real card and bank transactions across a panel of 130M+ US and EU consumers. We publish relative growth and rankings, never revenue figures. About the data

Tracked chains
7,899
Tracked stores
10,011
Consumer panel
130M+

Growth ranking

Fastest-growing tracked spa chains

Ranked by year-over-year growth of share of tracked local spend. Arrows show movement in the rankings since last year. Each dot in the chart is one tracked chain: bigger market position to the right, faster growth higher up, more tracked stores in a bigger dot. Colors match the store map below. Dermani Medspa and Grand Spa sit in the high-growth half.

# Chain YoY growth
RankChainRank movementYoY growth
1 Dermani Medspa ▲11 +19.8%
2 Grand Spa ▲2 +15.7%
3 VIO Med Spa ▲1 +15.2%
4 Perspire Sauna Studio ▲1 +13.8%
5 Kohler Waters Spa ▲3 +11.8%
6 Poseidon Spa ▲8 +10.1%
7 OVME ▲3 +9.3%
8 Hand and Stone Massage and Facial Spa - +7.5%
9 Natural Body Spa ▲5 +7.0%
10 Urban Nirvana ▲1 +6.9%
11 Oasis Hot Tub Gardens ▲4 +6.7%
12 Revive Med Spa ▲1 +5.5%
13 Refuge - +4.0%
14 King Spa & Sauna ▲1 +3.1%
15 MassageLuXe ▼1 +2.1%
  • Hand & Stone Massage and Facial Spa
  • Cache Creek Spa
  • Woodhouse Spa
  • Bellagio
  • Hand and Stone Massage and Facial Spa
  • Prime IV Hydration & Wellness
  • SkinSpirit Skincare Clinic and Spa
  • Other tracked chains

Store footprint

Store map

10,011 tracked store locations in the United States. The 7 largest tracked chains are highlighted. The top 5 chains by store count run 646 of the 10,011 stores (6%); 7,281 of the 7,899 tracked chains have a single store here.

  • Hand & Stone Massage and Facial Spa (365)
  • Cache Creek Spa (1)
  • Woodhouse Spa (75)
  • Bellagio (3)
  • Hand and Stone Massage and Facial Spa (64)
  • Prime IV Hydration & Wellness (67)
  • SkinSpirit Skincare Clinic and Spa (30)
  • Other tracked chains

Top tracked chains by store count

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