Before you hire an AEO agency for your med spa, build a shortlist you can verify. We asked 11 AI platforms for recommendations to give you a starting point. Compare the agencies below, then use the hiring criteria to check their experience with your treatments and local market.
The leaderboard
Ordered by the number of AI platforms that named each agency. Ties are listed alphabetically.
| No. | Agency | Platforms naming it | Visibility |
|---|---|---|---|
| 1 | First Page Sage | 6 of 11 | 55% |
| 2 | Sagapixel | 6 of 11 | 55% |
| 3 | Studio 3 Marketing | 6 of 11 | 55% |
| 4 | Growth99 | 5 of 11 | 45% |
| 5 | The Med Spa Agency | 5 of 11 | 45% |
| 6 | Etna Interactive | 4 of 11 | 36% |
| 7 | Plastix Marketing | 4 of 11 | 36% |
| 8 | Rosemont Media | 4 of 11 | 36% |
| 9 | Thrive Internet Marketing Agency | 4 of 11 | 36% |
| 10 | KailxLabs | 3 of 11 | 27% |
| 11 | Wowbix | 3 of 11 | 27% |
| 12 | Algomizer | 2 of 11 | 18% |
| 13 | Focus Digital | 2 of 11 | 18% |
| 14 | Influx Marketing | 2 of 11 | 18% |
| 15 | Intrepy Healthcare Marketing | 2 of 11 | 18% |
| 16 | NexioBit | 2 of 11 | 18% |
Also named in this capture
The full agency CSV includes all 42 agencies in the identified roster, their websites, recorded aliases, and platform counts. The remaining names are:
- Aesthetic Bureau — 1 of 11
- AltorLab — 1 of 11
- Art Does Ads — 1 of 11
- Blu Ocean Innovations — 1 of 11
- Cardinal Digital Marketing — 1 of 11
- CiteLocal — 1 of 11
- ClinicAds — 1 of 11
- Digital Limelight Media — 1 of 11
- DoctorLogic — 1 of 11
- Ekwa Marketing — 1 of 11
- Electiv — 1 of 11
- Fuel Online — 1 of 11
- iPullRank — 1 of 11
- ITZ Digital — 1 of 11
- Loopex Digital — 1 of 11
- Med Spa Marketing Guys — 1 of 11
- Med Spa Marketing SEO — 1 of 11
- Med Spa SEO Agency — 1 of 11
- Medical Marketing Firm — 1 of 11
- Medical Marketing Whiz — 1 of 11
- Oracite — 1 of 11
- PilotPractice — 1 of 11
- ShowUpWithAI — 1 of 11
- The GEO Agency — 1 of 11
- The Kay Media — 1 of 11
- WebFX — 1 of 11
Key findings
- First Page Sage, Sagapixel, Studio 3 Marketing tied for the widest platform coverage. Each was named by 6 of 11 platforms. No agency in the identified roster appeared in all 11.
- The identified roster contains 42 agencies. They account for 86 distinct agency/platform pairs. 26 appeared on only one platform. Names without a confirmed agency identity are excluded from these totals.
- The answers produced different-sized shortlists. Gemini named 16 agencies in the roster; Microsoft Copilot named 4. These counts describe this capture, not a platform’s overall quality or difficulty.
- The citation pool contains 38 distinct pages. The most widely cited page was on prospyrmed.com, appearing in 6 platform citation lists. A citation to a page is different from a mention of the agency that published it.
Which platforms name which agencies
The first 10 agencies in the leaderboard across all 11 captured platforms. ✓ means the recorded entity list names the agency; ✕ means it does not. An ✕ applies only to this capture. Scroll horizontally to see every column.
| Agency | ChatGPT | Google AI Overview | Google AI Mode | Gemini | Perplexity | Claude | Microsoft Copilot | Grok | Meta AI | DeepSeek | Brave Search AI |
|---|---|---|---|---|---|---|---|---|---|---|---|
| First Page Sage | Named | Not named | Named | Named | Named | Named | Not named | Named | Not named | Not named | Not named |
| Sagapixel | Not named | Named | Named | Named | Named | Not named | Named | Named | Not named | Not named | Not named |
| Studio 3 Marketing | Not named | Not named | Not named | Named | Named | Named | Not named | Named | Named | Named | Not named |
| Growth99 | Not named | Named | Not named | Named | Not named | Not named | Not named | Named | Named | Named | Not named |
| The Med Spa Agency | Not named | Named | Not named | Named | Named | Not named | Named | Named | Not named | Not named | Not named |
| Etna Interactive | Named | Not named | Named | Named | Not named | Not named | Not named | Not named | Named | Not named | Not named |
| Plastix Marketing | Not named | Not named | Named | Named | Not named | Not named | Named | Named | Not named | Not named | Not named |
| Rosemont Media | Not named | Named | Named | Not named | Not named | Not named | Named | Named | Not named | Not named | Not named |
| Thrive Internet Marketing Agency | Not named | Named | Not named | Named | Not named | Named | Not named | Named | Not named | Not named | Not named |
| KailxLabs | Not named | Not named | Not named | Named | Not named | Not named | Not named | Named | Not named | Not named | Named |
Agencies named per platform
These counts use the full identified roster, rather than only the 10 agencies shown in the matrix.
What the cited pages show
Across the 11 answers, we recorded 38 distinct cited pages. The table shows the 10 cited by the most platforms, with ties ordered by URL. A page can discuss several agencies, and its publisher may not be named in the answer. Citation counts therefore do not substitute for agency coverage.
| Cited page | Domain | Platforms citing it |
|---|---|---|
| Best AI SEO Agencies for Med Spas (2026): 9 Compared | prospyrmed.com | 6 of 11 |
| The Top Medspa GEO Agencies of 2026 - First Page Sage | firstpagesage.com | 4 of 11 |
| Best Ai Search Agencies For Med Spas | houseofmvps.com | 4 of 11 |
| Best Med Spa Marketing Agencies | artdoesads.com | 2 of 11 |
| The Top Seo Agencies For Med Spas | firstpagesage.com | 2 of 11 |
| Top Medical Spa Seo Agencies | focus-digital.co | 2 of 11 |
| Best Med Spa Marketing Agencies | prospyrmed.com | 2 of 11 |
| Top 4 Medical Marketing Agencies In The Us | aesthetixcrm.com | 1 of 11 |
| Best AEO Agencies in 2026 (Answer Engine Optimization) - Ran | altorlab.xyz | 1 of 11 |
| Press Release 695c50b5d7f171244adca2274cf9c650 | apnews.com | 1 of 11 |
View all 38 captured source URLs
- Best AI SEO Agencies for Med Spas (2026): 9 Compared — 6 of 11
- The Top Medspa GEO Agencies of 2026 - First Page Sage — 4 of 11
- Best Ai Search Agencies For Med Spas — 4 of 11
- Best Med Spa Marketing Agencies — 2 of 11
- The Top Seo Agencies For Med Spas — 2 of 11
- Top Medical Spa Seo Agencies — 2 of 11
- Best Med Spa Marketing Agencies — 2 of 11
- Top 4 Medical Marketing Agencies In The Us — 1 of 11
- Best AEO Agencies in 2026 (Answer Engine Optimization) - Ran — 1 of 11
- Press Release 695c50b5d7f171244adca2274cf9c650 — 1 of 11
- What Is Aeo In Digital Marketing — 1 of 11
- Best Seo Agencies For Med Spas — 1 of 11
- 15 Best SEO Agencies for Med Spas (2026 Rankings) — 1 of 11
- Top 4 Med Spa Digital Marketing Agencies For Success — 1 of 11
- Best AI Search (GEO/AEO) Agencies for MedSpas (2026) Report Published by Lockhart Research — 1 of 11
- Contact - The Lethbridge Herald - News and Sports from around Lethbridge — 1 of 11
- Best AI Search (GEO/AEO) Agencies for MedSpas (2026) Report Published by Lockhart Research — 1 of 11
- AEO for Med Spas | AI AEO & GEO (Generative Engine Optimization) — 1 of 11
- AEO for Doctors & MedSpas — Medical Marketing Whiz — 1 of 11
- The 9 Best Plastic Surgery Marketing Agencies in 2026 (Ranked by ... — 1 of 11
- Best Med Spa SEO Companies (2026): 8 Compared — 1 of 11
- Best AI Search Optimization Agencies for Med Spas (2026) — 1 of 11
- best ai search services for med spas — 1 of 11
- Answer Engine Optimization (AEO) for Med Spas - The Med Spa Agency — 1 of 11
- Best Med Spa Marketing Companies — 1 of 11
- Medical Marketing Whiz Recognized With Healthcare Digital Marketing Excellence Award — 1 of 11
- 10 Best Med Spa Marketing Agencies In The Usa For 2026 — 1 of 11
- Answer Engine Optimization (AEO) for Medical & Aesthetic Practices — 1 of 11
- AI Marketing Tools, Platforms, and Agencies for Med Spas ... — 1 of 11
- Med Spa AI Search Optimization | AEO for Med Spas — 1 of 11
- Med Spa SEO Agency | Grow Rankings, Leads & Patients — 1 of 11
- Best AI Search (GEO/AEO) Agencies for MedSpas (2026) Report — 1 of 11
- Best AEO Agencies in the US [Full 2026 Report] - Relevance — 1 of 11
- Digital Advertising — 1 of 11
- best geo gen engine opt agencies for medical spa aesthetics — 1 of 11
- Best Google Ads Management Agencies For Medical Spa Aesthetics — 1 of 11
- 39 Best Medical Spa Marketing Agencies for 2026 - Web Tonic — 1 of 11
- Best Med Spa SEO Agencies for 2026: 21 Picks — 1 of 11
These links come from the export. Display labels use the captured titles, with URL-derived labels when a title is missing, is a placeholder, or contains an excerpt rather than a descriptive page title. The JSON and source CSV preserve the original titles. This is not an independent evaluation of every page. Pages may change or disappear after capture. A source’s inclusion does not establish that its claims are accurate.
Agency-owned roundups and mentions
For an additional check, we matched cited domains to the known agency websites in this roster. We then selected titles or URL paths that identify a “best” or “top” agency, company, firm, or consultant list. This is a title/URL classification, not a full editorial review of the pages. The table includes only matched agency-owned roundup pages; unmatched domains are not assigned an owner.
| Agency | Platforms citing its roundup | Also naming the agency |
|---|---|---|
| First Page Sage | 5 | 4 |
| Thrive Internet Marketing Agency | 1 | 1 |
| Focus Digital | 2 | 2 |
| AltorLab | 1 | 0 |
| Art Does Ads | 2 | 1 |
| ITZ Digital | 1 | 1 |
| PilotPractice | 1 | 0 |
The last column counts the intersection of the two platform sets. An overlap is an association in this capture. It does not show that the roundup caused a recommendation. The downloadable JSON includes the matched URLs and platform sets.
How to evaluate an AEO partner
Look beyond a general agency shortlist
Being named for med spa AEO does not establish experience with your treatments, clinicians, or local market. Ask for relevant work and who approves treatment descriptions. Keep this capture as a baseline for seeing whether specialist agencies gain visibility over time.
Build the brief around current treatments, actual locations, and suitable consultations. Request evidence for these four areas:
Evidence to request before hiring
| Priority | Evidence to request | Outcome to measure |
|---|---|---|
| Treatment priorities | A page and prompt plan for the treatments the practice provides | Suitable consultations by treatment |
| Provider review | A named practice reviewer for qualifications, treatment descriptions, and outcome claims | Approved, accurate information |
| Local information | Ownership of location details, hours, and consultation paths | Relevant local inquiries |
| Consultation measurement | Definitions for requests, booked consultations, and attendance | Each stage reported separately |
Example client questions to track
Illustrative client questions, not prompts tested in this agency study. Replace placeholders with the client’s actual services and locations.
- Which med spas offer [treatment] in [city]?
- Where can I verify [practice]’s providers and qualifications?
- How do I book a [treatment] consultation with [practice]?
- Which med spas in [area] explain their consultation process?
What this means if you run an agency
For agencies serving med spas, track the practice’s actual treatments and locations separately from your own visibility in agency-hiring answers.
- Agree the practice scope. Confirm treatment names, locations, provider details, and who approves changes.
- Review the discovery and booking path. Check cited pages and accurate practice information, then test the consultation journey on a phone. Use our AI search visibility checklist to organize the review.
- Preserve the baseline. Report AI answers, relevant inquiries, booked consultations, and attendance separately.
Want this view for your agency and clients? Explore Rankability Tracker to see which brands appear in AI answers and which pages are cited. Use those findings to build your next client action plan.
Methodology
Rankability publishes this study, sells AI visibility software, and is not an agency. Inclusion does not verify an agency’s expertise, service quality, or results. Answer engine optimization (AEO) helps a business become visible in AI-generated answers.
This industry edition builds on our SaaS AEO agency research. Capture dates differ; this edition orders agencies by platform coverage because comparable agency mention positions are unavailable in this source.
Capture settings
- Prompt: “who are the best AEO agencies for med spas”
- Capture date: October 25, 2026 (UTC). Exact timestamps and saved-record provenance are retained in the downloadable JSON.
- Coverage: one recorded answer from each of 11 platforms.
- Source: one exact October 25, 2026 Rankability Tracker run retrieved through the Rankability MCP. 11 platforms supplied usable answers out of 11 configured. English; no location configured. Original answers, extracted labels, citation URLs, provider state, and actual capture timestamps are retained in the downloads.
- Language: the captured answers are in English. No location was configured for this broad agency-hiring prompt. Exact model versions and personalization settings are not supplied in the saved results, so we do not assume them.
Agency identification and name cleanup
We use Tracker’s detected-brand labels and sentiment records, excluding records explicitly marked as not mentioned, cross-check agency identities against official business websites, and combine known aliases. The roster includes identifiable marketing service businesses; software-only labels, individuals, client examples, and unresolved identities are excluded. We do not assume that an AI description of an agency’s expertise is true. Some provider answer text does not preserve every visible name or link; the recorded entity labels are retained with the original answer text so readers can inspect that limitation.
The review found excluded records for 0 distinct canonical names, including 0 whose agency identity was not confirmed. The excluded-entity CSV records each excluded label, platform, reason, and saved-record reference. Excluded records do not contribute to the totals. An agency can still qualify on another platform where the retained answer recommends it. The counts are therefore specific to the identified roster, not an exhaustive count of all marketing businesses that may be represented in the raw answers.
Aliases combined in this capture:
- Influx Marketing: Influx, Influx Marketing.
- Thrive Internet Marketing Agency: Thrive, Thrive Internet Marketing Agency.
- Plastix Marketing: Plastix, Plastix Marketing.
- Studio 3 Marketing: Studio 3 Marketing, Studio III Marketing.
- Intrepy Healthcare Marketing: Intrepy, Intrepy Healthcare Marketing.
Metrics and ties
The table displays the first 16 of 42 identified agencies. If a tie crosses the cutoff, alphabetical order determines which tied names appear. The downloads include the full roster and shared coverage ranks; the visible No. column is sequential list numbering.
- Platforms naming an agency: the number of distinct platform entity lists containing its normalized name. Repeated names and aliases within one platform count once.
- Visibility: platform count ÷ 11 × 100, rounded to the nearest whole percent.
- Agency/platform mentions: the sum of platform counts across the identified roster; this is not the number of repeated text mentions.
- List number: sequential numbering in the displayed leaderboard. Equal coverage is tied; alphabetical order within a tie does not indicate better performance.
- Rank in the downloads: descending platform coverage, with equal coverage sharing rank. Names within a tie appear alphabetically.
- Cited pages: distinct recorded URL strings across the answer citation lists and consolidated citation records. Equivalent URLs with different strings are not silently merged.
- Mention positions and scores: not reported. The saved export’s tracked-brand position field is not structured agency-position data. The source citation score is also not an agency score.
Editorial research update
Supplemental organic entity research completed on October 25 with 2 accepted source pages. Reviewed themes informed the selection guidance; extracted competitors, pricing claims, and unsupported guarantees were not adopted as facts. This research does not add agency recommendations or change platform counts. Providers sometimes answer the AEO question with broader SEO or marketing firms. Inclusion confirms a marketing-service identity and an appearance in the retained answer, not a verified AEO service, vertical specialty, or service-quality assessment.
Downloads
- Full research JSON, original answers, aliases, and provenance
- All identified agencies and counts (CSV)
- Complete platform coverage matrix (CSV)
- All cited pages (CSV)
- Excluded and unresolved entity labels (CSV)
Limitations
This is one question, one capture date, and one recorded answer per platform. Answers can change with time, model, settings, and user context. The study does not measure hiring suitability, customer satisfaction, lead volume, service quality, or the accuracy of every recommendation. Agency identification and alias choices affect the roster. Missing or unresolved identities can change the ranking if confirmed later. Citations and mentions describe co-occurrence; they do not establish causation.
Changelog
| Edition | Date | Changes |
|---|---|---|
| 1 | October 25, 2026 | Initial industry edition. Combined documented aliases, separated unresolved identities, reconciled citation URLs, and ranked by distinct platform coverage. |