Which AI engine names the most med spas?

Perplexity. Across 283 med spas in 6 US markets, Perplexity named 45 (15.9%) and Claude named 14 (4.9%). Perplexity named 45, Gemini named 41, Google AI Overview named 32, ChatGPT named 18, Claude named 14.

Do ChatGPT, Gemini and Perplexity name the same med spas?

No. Asked the same 10 questions in each of 6 markets, the closest any two engines came to agreeing was 50.9% of the med spas they named (Gemini & Perplexity); the furthest apart agreed on 18.5% (ChatGPT & Claude).

Does this look the same in every market?

No. Across the 6 markets measured, the share of med spas no AI engine named ranged from 77.8% to 93.1%. Each market is reported on its own figures, and a med spa is counted once per market.

The Local AI Visibility Index · By industry

State of AI Visibility: Med Spas

Every med spa Google Maps returned for 1 search in 6 US markets, 283 in total. In each market we asked 5 AI answer engines the same 10 client questions and recorded who got named.

Med spas: 283
Markets: 6
Searches: 1
Questions: 10 per market
Engines: 5
Measured: July 2026

85%

of well-reviewed med spas, at least 4.5 stars on 50 or more Google reviews, were named by no AI answer engine. That is 113 of the 133 well-reviewed med spas across 6 markets.

Finding 01

Being well reviewed did not get most med spas named

85.0% of well-reviewed med spas are never named by an AI answer engine. Measured across 283 med spas in 6 markets: of the 133 with at least 4.5 stars and 50 Google reviews, 113 were named in none of the AI answers about their own category.

Well-reviewed med spas: 4.5+ stars, 50+ reviews
Well-reviewed med spas measured	133
Named by at least one engine	20
Named by none	113

Google reviews do not decide whether AI answer engines name a business. Measured across 283 med spas in 6 markets: neither the number of reviews nor the star rating tracked with getting named — both came out close enough to zero to mean nothing (review count +0.009, star rating +0.046, on a scale where 1.0 would be a perfect match).

Finding 02

Which engines name med spas at all

Perplexity named the most: 45 of the 283 med spas measured, 15.9%. Claude named the fewest, 14.

Med spas each engine named, all 6 markets combined
Engine	Med spas named	Share of 283
Perplexity	45	15.9%
Gemini	41	14.5%
Google AI Overview	32	11.3%
ChatGPT	18	6.4%
Claude	14	4.9%

Being named by one engine is not being named by the others. The closest any two engines came to naming the same med spas was 50.9% (Gemini & Perplexity).

How often two engines named the same business
Engine pair	Agreed on
Gemini & Perplexity	50.9%
Perplexity & Google AI Overview	48.1%
Gemini & Google AI Overview	40.4%
Claude & Google AI Overview	39.4%
Claude & Perplexity	28.3%
ChatGPT & Gemini	25.5%
ChatGPT & Perplexity	23.5%
Claude & Gemini	22.2%
ChatGPT & Google AI Overview	19.0%
ChatGPT & Claude	18.5%

Finding 03

The med spas the engines name most

La Belle Medical Spa: Alireza Mahmoudieh, M.D. in Merced, CA came up in 70% of the 50 answers collected in its market, the highest share of any med spa measured. The 10 most-named med spas are listed below by name.

Each share is of the 50 answers collected in that med spa’s own market. Med spas no engine named are counted in the figures above and are not listed anywhere by name.

The 10 most-named med spas across 6 markets
Med spa	Market	Share of answers
La Belle Medical Spa: Alireza Mahmoudieh, M.D.	Merced, CA	70%
Bella Luna Aesthetics and Wellness	Springfield, MA	61%
Restorative Wellness Medical Spa	Merced, CA	53%
Revive MD Medical Group · one organization, 2 listings	San Luis Obispo, CA	48%
Be Skinful	Springfield, MA	41%
faced by emily	Springfield, MA	41%
GloMar Aesthetics	Springfield, MA	41%
MedSpa SLO l San Luis Obispo	San Luis Obispo, CA	32%
Integrative Health Aesthetics & Med Spa	Lewiston, ID	31%
Ageless U Med Spa	Deltona, FL	28%

The 6 markets measured, and how far apart they are

The share of med spas no engine named ranged from 77.8% in Lewiston, ID to 93.1% in Deltona, FL. A med spa’s own market is the figure that applies to it, so each market is reported on its own numbers and linked where its page is published.

Per-market results · 283 med spas across 6 markets
Market	Searched as	Med spas	Never named
Deltona, FL	medical spa	87	93.1%
Springfield, MA	medical spa	67	88.1%
Madera, CA	medical spa	45	91.1%
San Luis Obispo, CA	medical spa	36	86.1%
Merced, CA	medical spa	30	80%
Lewiston, ID	medical spa	18	77.8%

What a med spa owner should take from this

85% of the med spas with at least 4.5 stars and 50 reviews came up in none of the answers. Reviews are what a client checks; across these markets they were not what decided who the engines named.

The engines do not agree with each other. Perplexity named 45 med spas and Claude named 14, and the med spas one engine names are mostly not the ones another engine names.

In the average local market, three businesses take 85.0% of everything AI answer engines say. Measured across 283 med spas in 6 markets: the three most-named businesses in each market got 85.0% of all the mentions, and everyone else split what was left.

The share no engine named ranged from 77.8% to 93.1% between markets. The number that applies to a med spa is its own market’s, and its own answers are what it can change.

How we measured it

In each market we pulled every med spa Google Maps returns for the searches below, then asked 5 AI answer engines the same 10 client questions and recorded which ones each engine named. The questions were held identical across ChatGPT, Claude, Gemini, Perplexity and Google’s AI Overview, and a med spa with more than one listing is counted once per market.

Searches: "medical spa" (283 med spas, 6 markets).
Sample: 283 med spas across 6 markets: Deltona, FL; Lewiston, ID; Madera, CA; Merced, CA; San Luis Obispo, CA; Springfield, MA. A med spa returned by two of the searches in the same market is counted once. 21 listings that share the websites of 9 organizations are counted as those organizations, because AI engines cite an organization's site rather than any individual listing.
Well-reviewed: A med spa with a Google rating of at least 4.5 on at least 50 reviews. 133 of the 283 qualify. A med spa Google shows no rating or review count for is left out of that cut rather than counted on either side of it.
Collection: 10 client questions per market, held identical across ChatGPT, Claude, Gemini, Perplexity and Google's AI Overview. 50 answers per market, July 2026.
Visibility: Share of a market's answers naming or citing a med spa, weighted by the reach of the engine that named it.
What we will and will not publish: A by-industry number only goes up when it covers at least 3 markets and 150 med spas, with a usable reading for at least half of them. Where markets disagree, the range is published beside the combined figure.
Names: The med spas listed by name are the ones the engines named; that is the engines' own output. No med spa is named as one the engines left out.
Scope: Med Spas, 6 US markets. Answer engines change over time; these figures describe July 2026 and are recomputed quarterly.