The

5

best

Medical Spa

franchises of 2026

Complete ranking by Growth & Profitability

Medical spa franchises operate at the intersection of aesthetics, wellness, and medical services, offering treatments such as IV hydration, injectables, laser therapy, and recovery services.

Capital requirements vary widely across the category, making payback efficiency and system scale critical factors when evaluating franchise performance.

Below are the top 5 medical spa franchises based on capital efficiency, network strength, and franchisee momentum.

Prime IV Hydration & Wellness

8.8
/
10

Prime IV Hydration & Wellness offers IV hydration therapy services, providing nutrient-infused solutions for hydration, wellness, and recovery support.

KEY FRANCHISE STATS

All you need to know about this franchise

Franchisees

?

152
+
223%
223%
Franchise fee

?

$49,000
Investment

?

$100,000 - $632,000
Revenue (AUV)

?

Undisclosed

$539,000

+
6.1%
6.1%
Operating Profit

?

n.a.

Our score
8.8
/
10

What WE LIKE

Here's the rationale for our score

Prime IV provides IV therapy and wellness services in a retail medical spa setting.
Its top ranking is driven by strong system scale paired with solid franchisee growth.

  • Large system with 152 franchisees
  • Moderate average investment (~$366K)
  • Competitive 0.68x payback
  • Strong franchisee growth (~223%) signals rapid expansion

QC Kinetix

8.6
/
10

Regenerative medicine clinic franchise providing non-surgical treatments for joint pain, utilizing innovative techniques like regenerative cell therapy and platelet-rich plasma (PRP) therapy.

KEY FRANCHISE STATS

All you need to know about this franchise

Franchisees

?

159
+
n.a.
n.a.
Franchise fee

?

$55,000
Investment

?

$227,000 - $496,000
Revenue (AUV)

?

Undisclosed

$467,000

+
n.a.
n.a.
Operating Profit

?

n.a.

Our score
8.6
/
10

What WE LIKE

Here's the rationale for our score

QC Kinetix focuses on regenerative medicine and non-surgical pain management.
Its ranking benefits from large system size and strong growth momentum.

  • Large system with 159 franchisees
  • Moderate average investment (~$361.5K)
  • Solid 0.77x payback
  • Strong franchisee growth (~172%)

The DripBar

8.3
/
10

The DripBar offers IV hydration therapy services, providing nutrient-infused solutions for hydration, energy, wellness, and recovery support.

KEY FRANCHISE STATS

All you need to know about this franchise

Franchisees

?

106
+
172%
172%
Franchise fee

?

$55,000
Investment

?

$147,000 - $415,000
Revenue (AUV)

?

Undisclosed

$454,000

+
15.4%
15.4%
Operating Profit

?

n.a.

Our score
8.3
/
10

What WE LIKE

Here's the rationale for our score

The DRIPBaR delivers IV vitamin therapy in boutique spa environments.
Its ranking reflects a balance of system size and expansion velocity.

  • Established system with 106 franchisees
  • Relatively low average investment (~$281K)
  • Competitive 0.62x payback
  • Robust franchisee growth (~172%)

4Ever Young

8.1
/
10

4Ever Young is a wellness franchise that takes a holistic approach to anti-aging, offering advanced treatments and therapies to help clients look and feel their best. Their services cater to a wide range of health and beauty needs.

KEY FRANCHISE STATS

All you need to know about this franchise

Franchisees

?

56
+
250%
250%
Franchise fee

?

$60,000
Investment

?

$387,000 - $747,000
Revenue (AUV)

?

Undisclosed

$934,000

+
n.a.
n.a.
Operating Profit

?

n.a.

Our score
8.1
/
10

What WE LIKE

Here's the rationale for our score

4Ever Young offers anti-aging treatments including IV therapy, hormone replacement, and aesthetic services.
Its ranking is supported by strong growth despite higher capital requirements.

  • Growing system with 56 franchisees
  • Higher average investment (~$567K)
  • Solid 0.61x payback
  • Very strong franchisee growth (~250%)

Live Hydration Spa

7.8
/
10

Live Hydration Spa offers IV hydration therapy services, providing nutrient-infused solutions for hydration and wellness support.

KEY FRANCHISE STATS

All you need to know about this franchise

Franchisees

?

30
+
114%
114%
Franchise fee

?

$57,000
Investment

?

$228,000 - $396,000
Revenue (AUV)

?

Undisclosed

$404,000

+
-0.4%
-0.4%
Operating Profit

?

n.a.

Our score
7.8
/
10

What WE LIKE

Here's the rationale for our score

Live Hydration Spa specializes in IV therapy and wellness treatments.
Its ranking reflects balanced economics and steady system growth.

  • Mid-sized system with 30 franchisees
  • Moderate average investment (~$312K)
  • Reasonable 0.77x payback
  • Strong franchisee growth (~114%)

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