Aesthetic Record vs Zenoti
Verified pricing and capability, read from each vendor's own published material on July 30, 2026. We do not score these out of ten — the right answer depends on whether you chart treatments and how your team is shaped.
These are not the same kind of product. Aesthetic Record is a clinical emr; Zenoti is a unverified. Before comparing price, work out which category your practice needs — we sorted all 24 platforms on that axis. Choosing on price across this line is how practices end up paying for two systems.
| Aesthetic Record | Zenoti | |
|---|---|---|
| Type | Clinical EMR | Unverified |
| Publishes pricing | Yes | No — quote only |
| Starting price | $15/mo | Not published |
| Entry tier | Essentials | — |
| Billing basis | per user per month, plus a one-time "$399 Startup & Onboarding Investment" | — |
| One-time setup fee | $399 | None published |
| Free trial | yes — "14 Day Risk-Free Trial" | demo-only — "Book a personalized demo" is the sole CTA; no trial offered |
| Named tiers | Essentials, Accelerator, Enterprise | Zenoti OS, AI Plus package |
| Target segment | solo to multi-location medical-clinical med spa; per-user model favors small teams, Enterprise tier covers franchise/multi-site | multi-location and enterprise salon-spa and med spa chains; footprint-based pricing signals an enterprise-first motion |
| Payment processing | Not published | Not published |
One of these publishes pricing and the other does not, which makes a direct cost comparison impossible without a sales call. That asymmetry is worth weighing on its own: a vendor that publishes rates is one you can budget against before committing your time to a demo cycle.
Clinical capability, side by side
Aesthetic Record
Yes — genuine clinical/EMR. Procedure charting, photo management with before/after, medical director oversight/sign-off workflow, patient portal, plus optional Cloud ePrescribing on the Surescripts network with drug interaction tracking, RXBC benefits checks, and EPCS for controlled substances.
Zenoti
Not verifiable from the pricing page. Medical service types (injectables, skin treatments, medical weight loss) are listed as supported categories, but no charting, SOAP notes, e-prescribing, before/after photo, or consent form functionality is described and no regulatory compliance detail is given.
Costs outside the headline price
Aesthetic Record
CONFIRMED ONBOARDING FEE: "$399 Startup & Onboarding Investment" applies to both Essentials and Accelerator. The $15-$19 headline is PER USER, so a 6-person med spa is $90-$114/mo before add-ons — the sticker price is deceptively low relative to per-location competitors. Every clinically important capability is a separate paid module: Cloud ePrescribing is $31-$40 per prescriber on a 6-month rate and $40-$45 per prescriber annually; ChartSmart AI charting is tiered at $30/mo (50 charts), $50/mo (100 charts), $75/mo (unlimited); LeadAR marketing/lead management is $97/month. Storage is capped per user (2 GB / 4 GB) and SMS/email allotments are small (250 SMS + 300 emails per month on Essentials) — overage pricing is not published. Enterprise onsite setup carries separately-billed travel costs. Payment processing rates are not published on the pricing page.
Zenoti
Zero pricing is published. Two structural cost risks are disclosed in the vendor's own language: (1) AI features are paywalled into a higher package — "You must be on our AI Plus package to leverage our AI Agents," so AI capabilities shown in a demo may require a tier upgrade; (2) communications are metered — "Usage is billed based on consumption with optional base packs," meaning SMS/email costs are variable and uncapped unless you buy packs. Pricing is explicitly footprint-based: "Multi-location pricing is customized based on your footprint and needs," so quotes will differ materially between buyers of similar size. Onboarding is stated as included: "structured onboarding, staff training, and business setup guidance." Setup fees, contract length, and payment processing rates are all undisclosed.
How to decide
- Settle the category question first. If you document procedures, a booking-only platform is not a candidate at any price.
- Convert both to your shape — locations and providers — rather than comparing sticker prices. Per-location and per-user models diverge sharply once you are past a solo practice. The calculator does this.
- Add the modules you will actually turn on. In this category, forms, e-prescribing, marketing and text messaging are frequently separate line items.
- Ask each vendor to demonstrate charting with your own treatment types, and get the BAA in writing before migrating patient data.
Verified July 30, 2026. We earn affiliate commission from some vendors and not others; that has no bearing on the ordering or content of this page. See exactly who pays us.