How to Start a Medspa Franchise: Costs, Steps, and Areas Served

Quick answer

To start a medspa franchise, choose a franchisor whose model fits your budget, review its Franchise Disclosure Document, secure financing, pick a territory, complete training, and launch with the brand's marketing support. With The IV Hub Wellness, the estimated total investment is $102,875 to $166,490, the business runs from a salon suite with one employee, no medical license is required to own it, and most locations are designed to open in three to six months. Territories are available in 36 states.

What is a medspa franchise?

A medspa (medical spa) franchise is a licensed business that combines the comfort of a spa with services delivered by trained clinicians. You buy the right to operate under an established brand and receive its systems: clinical protocols, training, suppliers, booking tools, pricing, and marketing. In return you pay a franchise fee and ongoing royalties.

The term "medspa" covers a wide range. Some franchises focus on aesthetics such as injectables and lasers, which usually means large clinics, expensive equipment, and several clinical staff. Others — like The IV Hub Wellness — focus on wellness services: IV hydration, vitamin injections, medical weight loss, peptides, and lab testing. That wellness-first approach is why the model is also searched as a wellness clinic franchise, an IV clinic franchise, or a weight loss franchise.

Why a wellness-first medspa model

Wellness services are repeat services. A client who comes in for an IV drip before a trip often returns for monthly vitamin injections, a weight loss program, or memberships. That rhythm creates predictable, recurring revenue rather than one-time sales.

• Small footprint: a salon suite instead of a 2,000-square-foot clinic.
• Lean staffing: designed as a one-employee operation.
• No insurance billing: cash pay, with HSA/FSA accepted.
• Flexible delivery: in-suite visits, house calls, or adding services to an existing salon or spa.
• No buildout loans: skip the construction and long lease commitments.

How much does a medspa franchise cost?

Aesthetic medspa franchises commonly require several hundred thousand dollars or more once buildout and lasers are included. The IV Hub Wellness keeps the starting cost lower because of the salon-suite format:

Figures are estimates. The Franchise Disclosure Document governs all costs, fees, and terms.

7 steps to start a medspa franchise

1. Define your goals and budget. Decide whether you want a full-time business, a second income, or an add-on to an existing salon, spa, or fitness studio.
2. Request franchise information. Start on the franchise page: download the brochure and send the request form.
3. Review the FDD. Read the Franchise Disclosure Document carefully with a franchise attorney and accountant, and talk with current owners.
4. Secure financing. Owners often use personal capital, SBA-backed loans, equipment financing, or retirement rollover structures.
5. Choose your territory and salon suite. Pick an area with the right demographics, then lease a suite — no construction needed.
6. Complete training and licensing. Training covers IV therapy, medical weight loss, peptides, standards of practice, marketing, and operations, while you set up the licenses your state requires.
7. Launch and grow. Open with done-for-you marketing on TikTok, Instagram, email, and SEO, then build memberships and repeat visits with weekly Mastermind support.

Do you need a medical license to own a medspa franchise?

No. Many owners come from business, sales, hospitality, beauty, or fitness backgrounds. Medical services are delivered by appropriately licensed clinicians following clinical protocols. Rules on medical ownership and supervision vary by state, so the franchisor helps you set up a compliant clinical structure during onboarding. The IV Hub Wellness clinical program is overseen by Noreen Connolly, PhD, NP — read more on our medical director page.

Services and revenue streams

A wellness medspa earns from several services instead of one menu item:

• IV hydration therapy — energy, recovery, beauty, and immunity drips.
• Vitamin injections — quick, affordable visits that bring clients back often.
• Medical weight loss — ongoing programs with regular check-ins.
• Peptides such as sermorelin.
• Monthly memberships — recurring revenue that smooths out busy and slow months.

Medspa vs. IV clinic vs. weight loss franchise

Areas served and available states

The IV Hub Wellness serves clients at clinics in Medford, Stoneham, Burlington, and Danvers, Massachusetts, and the surrounding Greater Boston and North Shore communities, including:

• Medford, MA
• Stoneham, MA
• Burlington, MA
• Danvers, MA
• Boston, MA
• Malden, MA
• Melrose, MA
• Woburn, MA
• Reading, MA
• Wakefield, MA
• Winchester, MA
• Lexington, MA
• Peabody, MA
• Salem, MA
• Beverly, MA
• Somerville, MA
• Cambridge, MA
• Everett, MA
• Arlington, MA
• Wilmington, MA

Franchise territories are currently being awarded in these 36 states:

• • Alabama
• • Alaska
• • Arizona
• • Arkansas
• • Colorado
• • Delaware
• • Florida
• • Georgia
• • Idaho
• • Illinois
• • Indiana
• • Iowa
• • Kansas
• • Louisiana
• • Maine
• • Massachusetts
• • Mississippi
• • Montana
• • Nebraska
• • New Hampshire
• • New Jersey
• • New Mexico
• • North Carolina
• • North Dakota
• • Ohio
• • Oklahoma
• • Oregon
• • Pennsylvania
• • Tennessee
• • Texas
• • Utah
• • Vermont
• • Virginia
• • Washington D.C.
• • West Virginia
• • Wyoming

Territory availability changes and is confirmed during the discovery process.

Questions to ask any medspa franchisor

• What is the full startup cost, and what does the FDD say about ongoing fees?
• How large is the space, and is a buildout required?
• How many staff do I need to open?
• Who provides clinical protocols and oversight?
• What training and ongoing support are included?
• Who handles marketing, and what does it include?
• Do I need to bill insurance?
• Is my territory protected, and is it available in my state?