AI SMS agents for med spas
Med spa clients text more than they call: to ask about a treatment, to book, to move an appointment. An AI texting agent can answer those messages in seconds. Because treatment questions can include health information, we put booking and a stated HIPAA position next to two-way texting.
Facts last checked
What matters most here
- Two-way AI texting
- 9 publish it
- The agent should hold the conversation, not just send one automatic reply.
- Booking by text
- 9 publish it
- A client who asks about Botox at 9 p.m. should be able to book before they put the phone down.
- A HIPAA position
- 4 publish it
- Medical treatments make some messages protected health information. If your med spa is a covered entity, the texting vendor needs a BAA.
9 tools that publish: Two-way AI texting + Books appointments
Ordered by how many of these 5 checks each vendor meets with a published fact: Two-way AI texting, Books appointments, HIPAA or BAA stated, Publishes a price, Free trial or free plan. Then vendors that publish a price, then A to Z.
- My AI Front Desk5/5 checksReady-made product
- Starting price
Business-in-a-Box billed annually ($99/month billed monthly); 200 voice minutes, 100 chatbot conversations and 400 SMS per month
- Free trial
- Two-way AI texting
400 SMS per month on Business-in-a-Box.
- Books appointments
- Website chat
100 chatbot conversations per month on Business-in-a-Box.
- Integrations
- Zapier, Yardi, RealPage, AppFolio, Entrata, Buildium, Shopify, WooCommerce, Klaviyosource for integrations, checked Oct 3, 2026
- Dialzara4/5 checksReady-made product
- Starting price
Business Lite, 60 receptionist minutes/month, billed monthly; $0.48/minute over
- Free trial
On inbound voice plans.
- Two-way AI texting
Separate SMS agent, from $19/month.
- Books appointments
- Website chat
$39/month standalone or bundled free with voice plans.
- Integrations
Also lists CRM and calendar integration without naming specific products.
- Intercom4/5 checksReady-made product
- Starting price
- $29/seat/monthsource for starting price, checked Oct 3, 2026
Intercom Essential plan, $29 per seat/mo (the page offers annual and monthly billing). Fin is charged on top at $0.99 per outcome, an outcome being a resolved conversation or a completed workflow, charged once per conversation. Phone and SMS usage is billed separately.
- Free trial
No credit card required; unlimited Fin outcomes during the trial.
- Two-way AI texting
SMS is a pay-as-you-go channel on Intercom plans.
- Books appointments
The Fin Voice page shows booking an appointment as an example action.
- Website chat
Live chat is included on all Intercom plans.
- Integrations
- Salesforce, HubSpot, Freshworks, Zoho, Front, Gorgias, Dixa, Twilio, RingCentral, Aircallsource for integrations, checked Oct 3, 2026
Helpdesks from the Fin pricing page; phone systems (Twilio, RingCentral, Aircall and others) from the Fin Voice page.
- Bland AI4/5 checksDeveloper platform
- Starting price
- $0.14/minutesource for starting price, checked Oct 3, 2026
Start plan: $0.14 per minute with no platform fee; the rate covers the language model, speech-to-text, text-to-speech and telephony. Transfers are $0.05 per transfer minute. The Build plan is $0.12/min plus a $299/month platform fee.
- Free trial
- Free credits on sign-upsource for free trial, checked Oct 3, 2026
Start plan sign-up includes two credits and an inbound number, no card required.
- Two-way AI texting
- Books appointments
Scheduling with Cal.com and Calendly.
- Website chat
- Integrations
- Salesforce, HubSpot, Zapier, Calendly, Cal.com, Slack, Make, Twiliosource for integrations, checked Oct 3, 2026
- Retell AI4/5 checksDeveloper platform
- Starting price
- $0.07/minutesource for starting price, checked Oct 3, 2026
Pay as you go, no monthly platform fee. Voice agents cost $0.07–$0.31 per minute depending on the model, voice and features; telephony ($0.015/min US), phone numbers ($2/month) and add-ons are priced separately. Chat agents from $0.002 per message.
- Free trial
- $10 free creditssource for free trial, checked Oct 3, 2026
- Two-way AI texting
SMS billed at $0.01 per message.
- Books appointments
- Website chat
Chat agents from $0.002 per message.
- Integrations
- HubSpot, Go High Level, Make, n8n, Twilio, Vonagesource for integrations, checked Oct 3, 2026
- Synthflow4/5 checksDeveloper platform
- Starting price
- From $30,000/yearsource for starting price, checked Oct 3, 2026
Sales-led pricing: Enterprise contracts start at $30,000 a year, scoped around call volume, concurrency, telephony, integrations, security and launch support. No self-serve plan prices are published.
- Free trial
- Free to buildsource for free trial, checked Oct 3, 2026
The site says you can build an agent for free from templates; paid pricing is quoted by sales.
- Two-way AI texting
SMS chat agents need your own Twilio account.
- Books appointments
Real-time booking, including Cal.com.
- Website chat
- Integrations
- Salesforce, HubSpot, Zapier, Cal.com, GoHighLevelsource for integrations, checked Oct 3, 2026
- Sameday AI3/5 checksReady-made product
- Starting price
Launch plan, starts at $449 per month with 500 minutes
- Free trial
- Not published
- Two-way AI texting
- Books appointments
- Website chat
- Not published
- Integrations
- ServiceTitan, Housecall Pro, FieldRoutes, AccuLynx, JobNimbus, MaidCentral, Service Fusion, Thumbtack, Google Local Services, Angisource for integrations, checked Oct 3, 2026
The integrations page also lists Jobber.
- Hatch2/5 checksReady-made product
- Starting price
- Not published
Platform fee plus usage, annual plans paid monthly per location; amounts not published
- Free trial
- Not published
The pricing FAQ says no pilot or trial is published.
- Two-way AI texting
- Books appointments
- Website chat
- Not published
- Integrations
- ServiceTitan, AccuLynx, LeadPerfection, improveit 360, Yelp, Angi, Google LSA, Thumbtacksource for integrations, checked Oct 3, 2026
- Podium2/5 checksReady-made product
- Starting price
- Not published
Pricing is by sales quote; the AI Employee is an add-on to any plan.
- Free trial
- Not published
- Two-way AI texting
- Books appointments
- Website chat
Website chat conversations continue over text.
- Integrations
- HubSpot, Salesforce, Outlook, QuickBooks, Square, Mindbody, Dentrix, Nextech, DealerSocket, Shopifysource for integrations, checked Oct 3, 2026
Texting rules for med spas
Keep marketing texts to clients who opted in, honour STOP, and keep treatment details out of texts unless your vendor says its texting is covered by a BAA. Promotions are marketing messages; a reply to a client who texted you is not.
Where Vocenya fits
Vocenya does not offer a two-way AI texting agent, so it is not in this table. If your med spa also misses phone calls, our AI receptionist for med spas answers calls, books and texts you a summary, and HIPAA mode adds a signed BAA. Compare AI receptionists for the phone side.
Our industry pages
Related guides
Questions
Can an AI book med spa appointments by text?
Several vendors on this page say their AI texting agent can book appointments. Check which booking or practice software it connects to before you buy.
Do med spas need HIPAA-compliant texting?
If your med spa is a HIPAA covered entity and messages include protected health information, the vendor handling them needs a Business Associate Agreement. Get advice for your own practice.
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