What's the cheapest medspa software between Boulevard, Aesthetic Record, and PatientNow?

Boulevard is typically the most affordable, starting around $300–500/month for a single location, while Aesthetic Record runs $400–800/month and PatientNow starts at $500–1,200/month. However, Boulevard's minimal clinical documentation may require supplemental charting tools, so total cost depends on your practice's documentation needs.

Which medspa software is best for booking and patient retention?

Boulevard excels at appointment scheduling, waitlist management, and loyalty-points integration—it's specifically designed to drive repeat bookings and reduce no-shows. If maximizing booking velocity and patient app engagement is your priority, Boulevard's consumer-facing features outpace both Aesthetic Record and PatientNow.

Does PatientNow include payment processing?

Yes, PatientNow includes built-in payment processing at standard rates and integrates billing, insurance claims, and reporting into one platform. This all-in-one approach eliminates the need to integrate a separate processor, unlike Aesthetic Record which requires you to connect your own (Stripe, Square, etc.).

Which medspa software has the best clinical documentation for injectables and fillers?

Aesthetic Record is purpose-built for clinical depth and includes templates for injectables, fillers, laser, and body-contouring procedures with before/after photo management and detailed unit tracking. It's the strongest choice if liability protection and audit-ready charting are priorities.

Can I use Boulevard if I do surgical procedures?

Boulevard is not ideal for surgical procedures—its clinical documentation is minimal and not HIPAA-native like a true EHR. If you perform advanced procedures requiring robust pre-op/post-op charting, Aesthetic Record or PatientNow are better fits.

What does Boulevard charge for payment processing?

Boulevard Payments charges standard processor fees of 2.9% + $0.30 per transaction. Payment processing is optional but encouraged; you can use Boulevard's booking without it, but integrating payments is recommended for seamless checkout.

Boulevard vs Aesthetic Record vs PatientNow: Which Medspa Software Fits Your Practice

Three leading platforms dominate medspa software—here's how they differ in pricing, features, and which practices they actually serve best.

AI Inside MedSpa Intelligence · Jun 26, 2026

Boulevard, Aesthetic Record, and PatientNow are the three most widely deployed practice-management and patient-engagement platforms in independent medspa and aesthetic practices. Each has carved a distinct market position, and the choice between them hinges on practice size, revenue model, technical tolerance, and whether you prioritize booking velocity, clinical documentation, or integrated payments.

Boulevard: Consumer-First Booking and Loyalty

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