Exclusive Cosmetic Surgery
and Med Spa Leads

Typical 2026 ranges: shared cosmetic surgery and med spa leads run $75 to $175 each, Google Ads PPC runs $100 to $350 per lead, and exclusive lead providers run $200 to $500 per inquiry. Realself and Aedit pricing varies by procedure. Cost per booked consult is the metric that matters: shared typically lands at $1,500 to $3,500 per booked consult, exclusive at $1,000 to $2,500.

PeakIntent runs exclusive flow for plastic surgeons, dermatologists, and med spas. Other paths: directly negotiated exclusive contracts with PPC agencies, build your own lead funnel via Google Ads and Meta with landing pages, or partner with referral networks. Avoid generic marketplaces (Thumbtack, Houzz, Yelp ads) for high-ticket cosmetic procedures, conversion economics rarely work.

Two reasons. First, your patient is comparing you against 3 to 7 other practices in the same metro at the same time, which destroys the consult-booking rate because the prospect feels pitched and walks. Second, generic marketplaces optimize for lead volume not lead quality, so a meaningful share is price-shoppers who will never close. Exclusive flow targets ready-to-book patients and removes the race-to-first-call dynamic.

Shared marketplace leads typically book at 5 to 8 percent of inquiries. Exclusive leads book at 18 to 25 percent. The consult-to-paid-procedure rate is roughly the same across both (around 30 percent), so the entire economic difference comes from the booked-consult rate. A practice doing 100 leads per month at 5 percent vs 20 percent close means 5 paid procedures vs 20 at the same marketing spend.

Lead intake itself is not PHI, but any inquiry that includes a medical question or photo becomes PHI the moment it lands. Ask any lead provider for a signed BAA (Business Associate Agreement). PeakIntent provides BAAs as standard. Provider should also confirm whether their intake form fields can include medical details and how those are stored, transmitted, and retained.

Google LSA is open to licensed cosmetic surgeons (MDs, DOs) but not generally to med spa nurses or aestheticians as primary providers in most markets. LSA CPLs run $80-$250 per booked consult for practices that can rank in the 3-pack, and requires 2-8 weeks of Google verification plus a review-count floor. Best run alongside PeakIntent Exclusive so your pipeline has immediate volume while LSA ramps behind the verification queue.