10 Best AI Receptionists for Med Spas in 2026

A med spa receptionist doesn’t answer the phone so much as run a small business over it: quote a consult price, explain that a GFE is needed before a first treatment, take a deposit, find a Saturday slot with the right injector, and know when a question about swelling belongs to a nurse. 

Most AI receptionists can say hello and read a schedule. Far fewer can put the booking into Zenoti or Boulevard with the right provider and room, and fewer still will sign a BAA.

This guide ranks ten AI receptionists for med spas on the two questions that decide the purchase: where does the booking land, and who signs the BAA? 

Keragon is the pick for practices that want the receptionist wired into the booking system and EMR they already run.

Zenoti's own AI Receptionist fits practices living inside Zenoti, and Podium suits aesthetics groups that want one inbox for every lead. The rest are receptionist services at various price points, and the entry price is rarely the number that matters.

TL;DR

• Ask every vendor where a booked consult actually lands. Keragon, Zenoti, and Goodcall write into med spa systems; most others book into a shared calendar or text a link.
• In Zenoti's 2025 survey, 79% of med spa clients said they had abandoned a booking because nobody was reachable or online booking was too hard. Text, web form, and missed-call coverage matter as much as voice.
• BAA availability is uneven: Keragon includes one on every plan, JustCall on its Business tier, Upfirst on custom contracts, and several receptionist services name none. Cash-pay does not exempt you.
• An AI receptionist must never judge candidacy, discuss dosing, or interpret a reaction. Every tool here should route those to a provider; check how.
• Keragon's AI Receptionist Agent answers forms, texts, and missed calls natively, conducts a connected voice AI for calls, and books into Zenoti, Boulevard, or Aesthetix CRM. From $99 a month, billed annually.

Comparison table

Scores are editorial, weighted per the table below. Prices come from vendor pages or a September 2026 third-party comparison and will move. Booking and BAA claims were verified on vendor pages for Keragon; most receptionist-service figures are from a JustCall comparison dated September 15, 2026.

How we evaluated these receptionists

A med spa receptionist is judged by what happens after hello. The criteria reward booking that reaches the system the injectors work from, coverage of the channels clients actually use, and hard limits on clinical talk.

The 10 best AI receptionists for med spas

Here are the ten best AI med spa receptionists in 2026.

1. Keragon

Best AI receptionist for med spas that want inquiries answered on every channel and booked straight into Zenoti, Boulevard or their EMR.

Overview

Keragon's AI Receptionist Agent runs on a HIPAA-compliant automation platform built for healthcare, designed around how med spa inquiries actually arrive: a website form at 9 pm, a text asking about lip filler pricing, a missed call during a busy check-in. 

The agent answers each within seconds from your approved answers, captures treatment interest and contact details, offers real consult times with the right injector, and books into the system your team runs.

Front-office pains Keragon agents solve

Three inquiry failures that cost med spas consults, and what the agent does about each.

1. The 9 pm consult request nobody sees until 10 am

Website forms and texts arrive when the desk is closed. Within a minute, at any hour, the agent sends a real next step and books qualified inquiries into open consult slots. 

Zenoti's 2025 med spa consumer survey reported that 79% of clients had abandoned a booking attempt because nobody was reachable or online booking was too hard; after-hours coverage is where that number gets fixed.

2. The booking that lands on a calendar, not in Zenoti

Most AI receptionists book into a shared Google Calendar or text a link, and a coordinator re-keys the appointment into the booking system later. 

The agent books directly into Zenoti or Boulevard with the right provider, room, and service length, and the client record is created or matched, not duplicated.

3. The caller who gives up during check-in

A missed call at 2 pm is a lead that already chose you. 

The agent returns the call by text within a minute, offering a booking or a callback window, answers the basics from your approved list, and records the caller and result in your CRM so the follow-up cannot be forgotten.

Sample automation 1: Website form to booked consult

Trigger: a consult request is submitted on your website or a Facebook lead form.

What the agent does: replies by text within a minute, asks the qualifying questions you set (treatment of interest, location, first visit or returning), offers consult slots with an appropriate provider from your Zenoti or Boulevard schedule, and books the one the client picks. It creates or matches the client in Aesthetix CRM or HubSpot, and flags a GFE requirement to staff if your policy needs one before a first treatment.

Outcome: the inquiry becomes a booked consult before the client closes the tab, and both systems agree on who is coming.

Sample automation 2: Missed call to booking, with voice on the line

Trigger: a call to the practice number is not answered.

What the agent does: texts the caller a booking link and a callback option within the minute. With a voice AI such as Retell AI connected, the caller can book during the call itself while the agent reads live availability, books inside your rules, and confirms by text. Any mention of a reaction, pain, or a treatment question goes to a provider rather than being answered.

Outcome: the caller books with you rather than the spa down the road, and the front desk finds a confirmed appointment instead of a voicemail.

A brief you can paste

The AI Receptionist Agent takes instructions like this one, adapted from Keragon's med spa page; swap in your systems: 

"Create an AI receptionist agent for my med spa that answers website forms and texts in seconds, any hour, texts back missed calls with a booking option, and works with the voice AI I connect for phone calls. It answers hours, services, and booking questions only from my approved answers, captures treatment interest and contact details for follow-up, and routes anything clinical straight to my team. It never recommends treatments or clears anyone for a procedure."

What stays with your team

The agent never recommends a treatment, judges candidacy, discusses dosing, or clears anyone for a procedure. 

Consents and good faith exams are surfaced as status for your medical director to decide under your state's rules. 

Cash-pay is still PHI, and the agent handles every inquiry under a BAA.

Put the receptionist on last week's missed calls and web forms during the 14-day trial, or see the receptionist agent handle a sample inquiry first.

Key capabilities

• For phone calls, it conducts a connected voice AI against your live schedule, so the caller can book on the call; it’s not a phone system and doesn’t replace Zenoti or Boulevard; it connects to them
• Handles web forms and texts around the clock, and answers every unanswered call by text within a minute, with a way to book
• Books consults and treatments into Zenoti, Boulevard, PatientNow, Nextech, Phorest, or Booker, and syncs the client into Aesthetix CRM, GoHighLevel, HubSpot, or Klaviyo
• Answers hours, services, and pricing only from your approved answers; captures treatment interest; routes anything clinical straight to your providers
• Runs the phone channel through a voice AI you choose (Retell AI, Thoughtly, Bland) and posts the resulting booking to your schedule
• A BAA with every paid plan, a SOC 2 Type II audit, a log of each message and booking, and approval gates wherever you want a person to sign off
• Runs alongside Keragon's other med spa agents: pre-visit readiness (consents and GFE status), scheduling and backfill, client engagement

Best for

Single-location med spas through multi-location groups and MSOs that already run Zenoti, Boulevard, PatientNow, or an aesthetics CRM and want the receptionist to book into it rather than beside it. 

Also dermatology or plastic surgery practices with a med spa arm, where the EMR is the system of record.

Watch for

Voice is orchestrated through a connected provider rather than owned, so a second BAA with that provider is required for phone coverage. 

The agent answers only what you’ve approved, which means the quality of the receptionist depends on the answers you give it. 

Keragon Agents are live, and the roster is growing; confirm the AI Receptionist Agent against your inquiry mix during the trial.

Pricing

Starter costs $99 a month on annual billing or $149 monthly and includes the BAA, 200 workflow runs, 5,000 AI credits, and three published agents or workflows. Professional runs $269 or $399 on the same basis, Scale Up $995 or $1,499, and Enterprise is quoted. 

Every plan includes unlimited users, and the 14-day trial includes AI credits without asking for a card.

2. Zenoti AI Receptionist

Best native option for med spas already running Zenoti.

Overview

Zenoti, the med spa management platform, sells its own AI Receptionist under the "never miss a booking" banner alongside Zeenie, its AI assistant for providers. 

Because it lives inside Zenoti, the booking, the client record, memberships, and payments are all already in one place, and there’s no integration to build. It sits within Zenoti's wider AI workforce: lead management, automated waitlists, reputation management, and an engagement hub.

Key capabilities

• Answers and books directly into the Zenoti appointment book
• Part of Zenoti's AI workforce alongside Zeenie, AI lead management and automated waitlist management
• Access to memberships, packages and client history in the same platform
• Zenoti also publishes the 2026 Beauty and Wellness Benchmark Report, the most-cited med spa data source
• Also connects to Keragon, which can extend it to the CRM, forms, and messaging tools outside Zenoti

Best for

Single and multi-location med spas that run Zenoti end to end and want the receptionist, booking, and client record under one vendor.

Watch for

Only useful if you’re on Zenoti. 

Pricing is bundled and quoted, and the receptionist reaches the systems Zenoti reaches; anything outside it, a separate CRM or forms tool, needs another layer.

Pricing

Quoted as part of Zenoti; not published separately.

3. Podium (Avery)

Best for aesthetics groups that want one AI handling every inquiry channel from a single inbox.

Overview

Podium built Avery specifically for aesthetic practices. It picks up inquiries wherever they arrive (a text, a web chat, a phone call, an email, an Instagram DM), qualifies them and books, and Podium says the reply comes within two minutes.

Key capabilities

• Packaged into an aesthetics operating system in January 2026 with patient communications, marketing automation, and lead management; Podium cites a 45% conversion lift and holds 4.6 on G2 across roughly 2,000 reviews
• Avery answers text, web chat, phone, email, and social DMs and books the appointment
• One inbox for staff, with a person taking over when Avery reaches an exception
• Reviews, text campaigns, text-to-pay, and call summaries in the same platform
• Aesthetics operating system launched January 2026
• Connects to Keragon, so bookings and client records can flow into your EMR

Best for

Multi-location aesthetics groups that want inquiry response, reputation, and payments from one vendor and will sign a platform agreement.

Watch for

No public pricing, and third-party reviews put practices in the several-hundred-dollars-a-month range with Avery as an add-on. 

Bookings default to Podium's scheduler; check whether a write-back exists for your booking system before you commit.

Pricing

Custom quotes; third parties report roughly $399 to $599 a month, AI employee extra.

4. Goodcall

Best per-customer-billed receptionist for Boulevard and Zenoti users.

Overview

Goodcall bills by unique caller rather than by minute or call, so a client who rings three times about one appointment costs the same as one who rings once. 

It publishes setup instructions for Boulevard appointment creation, cancellation, and rescheduling and for Zenoti API bookings, which puts it ahead of most receptionist services on the "where does the booking land" question. 

Logic flows branch a consult inquiry from a rebooking without code.

Key capabilities

• Per-unique-customer billing with unlimited minutes; spam and hang-ups don’t count
• Documented Boulevard and Zenoti booking setups, plus Mindbody
• Logic flows for branching call types
• BAA offered on its dental vertical page
• 14-day trial

Best for

Single-site med spas on Boulevard or Zenoti that want predictable billing and real booking.

Watch for

Priced per agent, so a second location is a second subscription. 

The Starter tier keeps only seven days of call history. 

Its Boulevard setup requires disabling the card-at-booking requirement, which deposit-heavy clinics should test carefully.

Pricing

Starter: $79 per agent per month ($66 annually) for 100 unique customers; Growth: $129 for 250; Scale: $249 for 500; overage: $0.50 per customer.

5. JustCall

Best for med spas that want the phone system and the AI receptionist on one platform.

Overview

JustCall is a business phone system with an AI Voice Agent layered on top, so the receptionist answers on your existing numbers and routing rather than beside them. 

It books into Google, Outlook, and shared team calendars with double-booking protection, sends an SMS confirmation after the call, speaks 14 languages with mid-call switching, and includes two-way SMS and a shared inbox on every plan. 

Zenoti and Boulevard are reachable through its API and third-party connectors rather than native apps.

Key capabilities

• AI receptionist on your own numbers with multi-level IVR from the entry plan
• Calendar booking with conflict handling and SMS confirmations
• 14 languages with auto-detection across 10, including Spanish
• Two-way SMS and shared inbox on every plan
• HIPAA, GDPR, and PCI included on the custom Business plan

Best for

Med spas that want calls, texts, and the AI in one system and are large enough for the Business plan if PHI is involved.

Watch for

No native Boulevard, Zenoti, Vagaro, or Mangomint connector; bookings land on a calendar. 

HIPAA and the BAA sit on the Business plan, which carries a 10-license minimum. 

The AI Voice Agent itself is quoted.

Pricing

Phone system from $29 per user per month billed annually with a two-license minimum; AI receptionist from $0.99 per minute pay-as-you-go or $99 per month for Agent Lite; HIPAA on the custom Business plan.

6. Smith.ai

Best free start, with human receptionists available on the same account.

Overview

Smith.ai now offers a genuinely free AI receptionist tier, 25 calls a month with recording, transcription, and routing, alongside its long-standing human receptionist service. 

Its Quality Studio lets you run simulated calls and fix the script before a client hears it, and live agents can take high-value consults when the AI shouldn't. 

Payment collection and a dedicated Spanish line are priced add-ons on the staffed plans.

Key capabilities

• Free AI receptionist for 25 calls a month, then per-call pricing
• Live human receptionists on the same account for escalation
• Quality Studio for simulated test calls
• Payment collection ($1.00 per call) and Spanish line as add-ons on staffed plans
• Enterprise tier with multi-location support

Best for

Clinics nervous about putting AI in front of clients who want to start free and keep humans one step away.

Watch for

Per-call billing at $2 to $3 a call gets expensive on a busy line. 

No BAA is named on any public page, and the aesthetics-specific tooling is thin; its depth is in legal and professional services.

Pricing

AI Receptionist is free for 25 calls a month, then $3.00 a call; Pro is $150 for 75 calls; Enterprise is $500 for 300. Human receptionists start at $300 a month for 30 calls.

7. Rosie

Best low-cost receptionist with English and Spanish on every call.

Overview

Rosie answers in English and Spanish at every price point with no add-on, handles simultaneous calls so a Saturday rush doesn’t hit a busy signal, and trains itself on your Google Business profile and website. 

Calendar booking and warm transfers arrive at the $149 Scale tier; the $49 tier texts a booking link.

Key capabilities

• English and Spanish on every call, every tier
• Simultaneous call handling
• Warm transfers on Scale; waterfall transfers on Growth
• Mid-call texting of booking links and directions
• Self-training on your Google Business profile and site

Best for

Single-site med spas with a bilingual client base that want coverage without a project.

Watch for

The entry tier doesn’t write to a calendar. 

No aesthetics platform integration; Zapier is the connector for everything. 

250 minutes is roughly 80 calls, which a busy clinic passes in two weeks.

Pricing

Professional: $49 a month for 250 minutes; Scale: $149 for 1,000 minutes with calendar booking; Growth: $299 for 2,000 minutes.

8. My AI Front Desk

Best flat-fee bundle of voice, chat, SMS and a CRM for micro practices.

Overview

Now branded Frontdesk AI, it bundles voice, web chat, two-way SMS and a built-in CRM into one plan, so a website inquiry and a phone call land in the same place. 

Setup is claimed to take five minutes, 20+ languages are supported, and outbound calling for confirmations and recalls is included with a daily cap.

Key capabilities

• One plan covering voice, 100 web chats, 400 SMS, and sequence automations
• AI-native CRM included
• 20+ languages; 7-day free trial
• Outbound calling included, capped at 20 a day
• Overage credits auto-reload so a spike does not cut off the line

Best for

Micro practices and new med spas without a CRM or a front desk.

Watch for

200 voice minutes is the smallest voice allowance in this list, with overage at $0.25 a minute. 

API access is quoted only. 

HIPAA documentation is inconsistent, so confirm before any client detail is spoken to it.

Pricing

$99 a month or $79 billed annually; Partner and Enterprise custom.

9. Dialzara

Best for budget buyers who read the tier table before the headline.

Overview

Dialzara has the lowest sticker price here and the most consequential feature gating. 

The $29 Lite tier is a blind transfer with no calendar sync, no after-hours rules, and no Spanish; the $99 Pro tier adds warm transfers, after-hours handling, escalation, and bilingual support. 

White-glove onboarding with a prompt engineer comes with paid plans, and an AI SMS agent is bundled with voice.

Key capabilities

• 50+ voices and a self-editable prompt
• Warm transfers, after-hours rules and escalation from Pro
• Bilingual English and Spanish from Pro
• Multi-agent, multi-location setup on Plus
• AI SMS agent bundled with voice; 7-day trial, no contract

Best for

Budget-conscious single sites willing to start at the Pro tier.

Watch for

Lite will not do the job for a med spa. Overage is steepest here, at $0.35 to $0.48 per minute. Outbound is a separate product from $750 a month.

Pricing

Lite $29 for 60 minutes; Pro $99 for 220; Plus $199 for 500; Elite $349 for 1,000.

10. Upfirst

Best low-cost overflow receptionist with the broadest language coverage.

Overview

Upfirst bills per call rather than per minute, excludes spam from the count, and supports 35+ languages with automatic switching from its cheapest tier. 

Caller memory recognizes returning clients, in-call texting sends a booking link while the caller is still on the line, and you can switch coverage modes (all calls, overflow, after hours).

Key capabilities

• Per-call pricing with spam excluded
• 35+ languages on every tier
• Caller memory and in-call texting
• Coverage modes you control
• 14-day trial, no card

Best for

Med spas that want cheap after-hours or overflow coverage in many languages and do not yet handle PHI on the line.

Watch for

BAAs appear only on the Custom tier, so a covered clinic cannot buy compliance self-serve. 

Booking goes to Google, Outlook, Calendly, Acuity, or Cal.com with no aesthetics platform named, and there’s no med spa industry page, so the script is yours to build.

Pricing

Starter $24.95 a month for 30 calls; Premium $59.95 for 90; Pro $159.95 for 300; Scale $299 for 600.

What an AI receptionist must not say in a med spa

Every tool above can be configured to answer pricing from a menu and book a consult. None of them should decide whether a caller is a candidate for neurotoxin or filler, recommend a treatment based on symptoms, advise on medication before or after a procedure, interpret swelling or a reaction, or change aftercare a clinician issued.

The receptionist's job at that moment is to gather the minimum needed for a handoff and route to a provider under your protocol.

Keragon's agent is built that way by default; for the others, test it with a scripted "is Botox safe with my blood thinner" call before you sign.

How to choose an AI receptionist for a med spa

Six checks, in the order that removes the most options fastest.

Where does the booking land?

Ask the vendor to book a test consult and show it in Zenoti or Boulevard with the right provider and service length. 

A shared calendar or a texted link means a coordinator still does the booking.

Which channels does it cover?

Most med spa inquiries start as a web form or a text, not a call, so a voice-only receptionist leaves those leaking. 

Send yourself a form after closing time during the trial and see how long the reply takes.

Who signs the BAA, and on which plan?

Cash-pay does not exempt a med spa: treatment records, photos, and histories are PHI, and state privacy law applies regardless. 

Get the BAA in writing before the demo, and ask whether call recordings and transcripts are covered by it.

What happens on a clinical question?

Call the demo line and ask about a medication interaction. 

The right answer is a handoff with context, not an answer.

How does the bill grow?

Per-call, per-minute, per-customer, and flat plans price the same clinic very differently. 

Take last month's call volume and price it on each model before comparing headline rates.

Can it handle deposits and your cancellation policy?

Few AI receptionists take a deposit on the call. Most send a secure payment or booking link by text. 

Make sure the policy wording is yours, and log the call so you have a record of what the client was told.

How to implement an AI receptionist in a med spa

A rollout that most single-site spas can complete in two weeks.

Step 1: Count the leak first

For two weeks, log missed calls, after-hours forms and texts, and how many became consults. That gap is the receptionist's job.

Step 2: Write the approved answers

Hours, services, consult pricing, deposit and cancellation policy, GFE requirement, what counts as clinical. The receptionist may say these and nothing else.

Step 3: Connect the booking system before the phone

The agent must read real availability and write a real booking first. Prove it with a dummy client in Zenoti or Boulevard, then add the texting line and, where you use one, the voice vendor.

Step 4: Rehearse on real inquiries

Replay last month's forms, texts, and voicemails with sending off. Read every reply. Fix the answers until your best coordinator would sign each one.

Step 5: Go live on forms and missed calls, then voice

Text and form response is the lowest-risk channel. Add voice once staff trust the handoffs.

Step 6: Review the log weekly

Check which inquiries turned into bookings, which went to staff, and which fell through. The audit log is where the second month's improvements come from.

Compliance: recordings, texts, and the cash-pay question

A med spa that bills any insurance, or operates inside a dermatology or plastic surgery practice that does, is a covered entity under HIPAA. 

Many cash-pay spas assume they’re outside it; that’s a question for your attorney, and state medical privacy law applies either way. 

The safe posture is to treat every inquiry that names a treatment as protected and to require a BAA from every vendor in the message path.

Call recordings carry treatment history, so confirm where audio is stored, how long, who can replay it, and whether it trains a model. 

Roughly a dozen states require all-party consent to record, so the agent should disclose in its opening line. 

Texting needs 10DLC registration, and under the TCPA, promotional texts need written consent while appointment messages need prior express consent.

For the full vendor checklist, see Keragon's guide to HIPAA-compliant med spa software and its trust center.

Ready to give your med spa 24/7 AI reception?

If your team is missing website inquiries, texts, or calls after hours, Keragon’s AI Receptionist Agent can handle those first responses and turn qualified inquiries into booked appointments without adding another person to the front desk.

The agent responds to forms and texts, follows up on missed calls, answers questions using your approved information, and books directly into systems such as Zenoti, Boulevard, PatientNow, Nextech, Phorest, and Booker. It can also route clinical questions to your team rather than attempting to answer them.

Try Keragon free for 14 days and test the receptionist with your own inquiry flow. Start your free trial, or see a sample agent handle a med spa inquiry before connecting your systems.

Final Thoughts

Ten receptionists, two questions: where does the booking land, and who signs the BAA? Most receptionist services book into a calendar and leave compliance for a custom tier.

Zenoti's own receptionist answers the first question for Zenoti practices, and Podium answers the channel question for aesthetics groups.

Keragon answers both for practices that already run Zenoti, Boulevard, or an aesthetics CRM: forms, texts, and missed calls handled natively; voice through a connected AI; bookings written into the system your injectors work from; and a BAA on the $99 plan. 

Start with forms and missed calls, measure consults booked after hours for a month, then add voice.

Open a Keragon trial, or see a sample agent handle a med spa inquiry before connecting anything.

FAQs

What is the best AI receptionist for a med spa?

Keragon, for practices that run Zenoti, Boulevard, PatientNow, or an aesthetics CRM.

It answers forms, texts, and missed calls natively; conducts connected voice AI for calls; books into your system with the right provider and room; and every plan includes a BAA, starting at $99 a month on annual billing. 

Zenoti's own AI Receptionist is the native pick for Zenoti-only practices; Podium suits groups that want one inbox for every lead.

Can an AI receptionist book Botox and filler consultations?

Yes, for scheduling. It can quote your consult price from an approved menu, find a slot with the right injector, and book it. 

It must never judge whether the caller is a candidate, discuss dosing, or advise on medications; those go to a provider.

Does an AI receptionist integrate with Zenoti or Boulevard?

Keragon books directly into both, and into PatientNow, Nextech, Phorest, and Booker, while Zenoti's receptionist is native to Zenoti. Goodcall publishes Boulevard and Zenoti booking setups; most other receptionist services book into a shared calendar or text a link.

Is an AI receptionist HIPAA compliant for a cash-pay med spa?

Treat it as if HIPAA applies. Whether a cash-pay spa is a covered entity is a legal question, but state privacy law applies regardless, and treatment records and photos are sensitive either way. 

Keragon includes a BAA on every plan; JustCall on its Business tier; Upfirst on custom contracts; several services name none.

How much does an AI receptionist cost for a med spa?

Entry points range from free (Smith.ai, 25 calls) and $24.95 to $49 a month (Upfirst, Dialzara Lite, Rosie), to $79 to $99 (Goodcall, My AI Front Desk, and Keragon with annual billing), up to a few hundred dollars a month for Podium and a bundled quote for Zenoti. 

Compare the plan that includes booking into your system, the channels you need, and a BAA, not the sticker price.

Can an AI receptionist take a deposit over the phone?

Most send a secure payment or booking link by text rather than taking card details on the call. 

Keragon's agents can send a deposit or card-on-file link through Stripe or your booking system's payments at the moment of booking.