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Last Updated: August 6, 2026
Key Takeaways
Aesthetic Record pricing starts at $15 per user per month for Essentials and $19 per user per month for Accelerator, both with a one-time $399 startup and onboarding fee.
There is no permanently free plan. Aesthetic Record offers a 14-day risk-free trial, and Enterprise pricing is custom.
The per-user headline is only part of the cost. Paid add-ons like e-prescribing, ChartSmart AI, and LeadAR, plus per-user storage, SMS, and email caps, push the total higher.
Some users report a $1,120 charge to export their patient data, so ask about data portability before you sign a contract.
Pabau, an all-in-one practice management platform, starts at $62 per month with every feature included and no reported data export fees.
Aesthetic Record costs $15 per user per month on the Essentials plan and $19 per user per month on Accelerator, each with a one-time $399 startup and onboarding fee, while Enterprise pricing is custom. That is the headline number.
The fuller picture, once you add training, paid add-ons, per-user caps, and a widely reported data export fee, is what lands on your first-year invoice. This guide breaks down every Aesthetic Record plan, what each tier includes, the costs that sit outside the subscription, and how the total stacks up against an all-in-one practice management platform like Pabau.
How much does Aesthetic Record cost?
Aesthetic Record costs $15 per user per month for Essentials and $19 per user per month for Accelerator, each with a one-time $399 startup and onboarding fee. Enterprise pricing is custom and quoted per practice. Because billing is per user, your monthly cost climbs with every provider or front-desk user you add.
Older third-party listings still show $12 and $16 per user. Those figures are from 2022 and are out of date. Always confirm current rates on Aesthetic Record’s official pricing page before you budget.
Aesthetic Record does not offer a permanently free plan. New practices can test the platform on a 14-day risk-free trial before committing, and can also book a live demo.
What each Aesthetic Record EMR plan includes
Every Aesthetic Record EMR plan bundles charting, scheduling, point of sale, inventory, photo management, and patient communication into one subscription. The difference between tiers is mostly integrations, reporting depth, and per-user limits rather than core clinical features. For a broader look at the category, see our guide to aesthetic EMR software.
Essentials ($15 per user per month)
Essentials is the entry tier and covers the day-to-day basics an aesthetic practice needs to open its doors.
- Clinical and front desk: procedure charting, high-res photo management, automated reminders, and medical director oversight
- Revenue tools: online booking and eCommerce, point of sale, memberships, packages and discounts, eGift cards, and reputation management
- Per-user caps: 2 GB storage, 250 SMS, and 300 emails per user each month
Accelerator ($19 per user per month)
Accelerator adds the integrations and reporting that busier practices tend to outgrow Essentials for.
- Everything in Essentials, plus third-party integrations such as RepeatMD, TouchMD, JOYA, and PatientFi
- Growth features: 2-way texting, advanced KPI dashboards, employee time tracking, dynamic before-and-after videos, and CRM connections (Mailchimp, HubSpot, ActiveCampaign, Zoho)
- Higher caps: 4 GB storage, 400 SMS, and 600 emails per user each month
Enterprise (custom pricing)
Enterprise is built for multi-location and franchise groups and is quoted per organization. It layers on an enterprise management portal, franchise and multi-location dashboards, branded onboarding, a strategic account manager, and account cloning across locations, on top of everything in Essentials and Accelerator.
Aesthetic Record add-on costs
Several tools most aesthetic practices expect to use are billed on top of the core subscription, so they belong in any honest cost estimate.
Two-way texting isn’t a separate line item here. It’s bundled into the Accelerator tier already, though it runs through a third-party integration rather than a native Aesthetic Record tool.
None of these are unusual features for a med spa to want. The point is that the $15 or $19 per-user figure rarely reflects the full stack a working practice ends up running.
The $399 onboarding fee and training
Every new Aesthetic Record account pays a one-time $399 startup and onboarding investment, and it applies to both Essentials and Accelerator. It is a separate line from the monthly subscription, so factor it into your first-year budget rather than your ongoing run rate.
The fee covers a 90-day guided onboarding with a specialist, CORE4 training and workshops, live system audit calls, access to the AR Learning Lab knowledge base, and live chat support seven days a week.
For a solo provider, that is a modest one-off. For a practice onboarding a full team, it is a first-year cost the headline price does not show.
The $1,120 data export fee: What users report
The cost that comes up most often in Aesthetic Record pricing discussions is a reported $1,120 fee to export patient data. Reviewers on Capterra and Software Advice describe the charge appearing after roughly two years of use.
Aesthetic Record has not addressed this figure on its official pricing page, so treat it as user-reported rather than confirmed policy. If you are evaluating the platform, ask your sales contact directly whether data portability carries any fee before you sign.
Exit costs like this shape how freely you can switch systems later, and they never appear on a headline pricing sheet.
Pro Tip
Before you sign any EMR contract, ask the vendor in writing what it costs to export your full patient database and photos if you leave. Get the number, the format, and the timeline in the agreement. Data portability is cheap to promise during a sales call and expensive to discover two years in.
What raises your Aesthetic Record bill
The single biggest driver of your Aesthetic Record cost is the per-user model, because every provider, injector, and front-desk login adds another $15 to $19 a month. Here is what a realistic first year looks like for a three-provider med spa on Essentials, before any add-ons.
That is before e-prescribing, LeadAR, 2-way texting, or a possible data export fee down the line. A few things reliably push the number up:
- Adding users: per-user billing means a fourth or fifth provider is a permanent monthly increase, not a one-off
- Hitting the caps: Essentials includes 2 GB storage, 250 SMS, and 300 emails per user, and photo-heavy or high-volume practices can outgrow those and need Accelerator
- Layering on add-ons: e-prescribing, ChartSmart AI, LeadAR, AR Pay, and eFax are each billed separately
- Leaving later: the reported $1,120 export charge is a switching cost worth pricing in from day one
Aesthetic Record pros and cons
Aesthetic Record holds a 3.5 out of 5 rating on Capterra and has built genuine traction among solo and small aesthetic practices. Reviewers praise its aesthetic-specific feature depth. The recurring criticisms are reliability and cost transparency.
What Aesthetic Record does well
- Low entry price: $15 per user per month is a genuinely low barrier for a solo provider testing an EMR-first platform
- Pricing variations: configuring different prices per membership tier, practice, or item at the point of sale is a well-built native feature
- Aesthetic-specific tools: before-and-after photo management, memberships, and eCommerce are purpose-built for med spas
- Self-service learning: the AR Learning Lab and community give new users a training path
Where Aesthetic Record falls short
- Reliability complaints: time-outs on shared iPads and app or POS crashes appear across Capterra and Software Advice reviews
- Costs outside the subscription: the $399 onboarding fee, per-user add-ons, and a reported $1,120 export fee add up
- Per-user pricing at scale: the model gets expensive fast for larger teams and multi-location groups
- Click-heavy workflows: reviewers describe routine tasks needing more navigation than expected
Who Aesthetic Record is best for
Aesthetic Record is the best fit for a solo provider or small single-location practice that wants an aesthetic-focused EMR and can work within per-user pricing. Its low entry price and strong photo and membership tools suit a lean team getting started.
It is a weaker fit for practices planning to add providers or locations, where per-user billing and higher-tier gating raise the total quickly.
Aesthetic practices comparing options often also look at AestheticsPro, Mangomint, and Pabau, which sit at different price and rating points. Weight-loss clinics and injectables-focused med spas weighing similar EMR options face many of the same trade-offs. For a wider view of the category, see our guide to the best medical software.
How Pabau’s pricing compares to Aesthetic Record
Pabau, an all-in-one practice management platform for aesthetic, wellness, and medical practices, starts at $62 per month and takes a different approach to pricing than Aesthetic Record. Instead of charging per user for a base plan and gating features behind higher tiers, every Pabau subscription includes every feature, with pricing that scales by users and locations.
That structure changes the total cost picture in three ways:
- Onboarding is included rather than a separate $399 line
- There are no reported data export fees, so leaving later does not carry a surprise charge
- Multi-location support is built in rather than reserved for an Enterprise tier
Ageless Enhancements, a two-location med spa, relies on that multi-location support to keep bookings and records synced across both sites. You can see current tiers on the Pabau pricing page.
For a solo provider testing the water, Aesthetic Record’s low per-user entry can win on first-year price. For a practice planning to add providers, run more than one location, or avoid exit-fee risk, Pabau’s flat, all-inclusive model tends to give a more predictable total cost of ownership as you grow.
See what $62 a month gets you with Pabau
From booking and charting to billing, memberships, and automated follow-ups, Pabau gives aesthetic and wellness practices a single platform with every feature included. No onboarding fee. No data export fees.
The bottom line on Aesthetic Record pricing
Aesthetic Record’s headline rate of $15 per user per month looks approachable, but the number you actually pay depends on your team size and the extras you switch on.
Add the $399 onboarding fee, paid tools like e-prescribing and ChartSmart AI, and the data export charge users have reported, and the total can climb well past the sticker price as you grow into more providers or a second location.
The most reliable way to judge value is to map your full first-year total against how you actually plan to scale, rather than comparing entry-tier rates alone.
Book a demo with Pabau to see how an all-inclusive plan, with onboarding built in and no reported export fees, compares for your practice.
Continue your research
Want the full platform comparison, not just price? Pabau vs Aesthetic Record breaks down the two platforms feature by feature.
Curious how Pabau handles the med spa workflow? Pabau for medical spas covers the tools built for aesthetic and wellness practices.
Comparing the wider market first? Best medical software benchmarks the leading options so you can weigh cost against fit.
Frequently asked questions
How much does Aesthetic Record cost per month?
Aesthetic Record costs $15 per user per month for Essentials and $19 per user per month for Accelerator, each with a one-time $399 startup and onboarding fee. Enterprise pricing is custom. Older third-party figures of $12 and $16 per user are from 2022 and out of date, so confirm current rates on the vendor’s pricing page.
Does Aesthetic Record have a free plan or free trial?
Aesthetic Record does not offer a permanently free plan. It provides a 14-day risk-free trial and a live demo so new practices can evaluate the platform before committing to a paid subscription.
What are Aesthetic Record’s hidden or extra costs?
Beyond the per-user subscription, budget for the $399 onboarding fee and paid add-ons such as e-prescribing, ChartSmart AI, LeadAR, and AR Pay. Multiple reviewers also report a $1,120 charge to export patient data after about two years, which the vendor has not confirmed. Ask about data portability and add-on pricing before signing.
Are there affordable electronic health records systems tailored for aesthetic practices?
Yes. Several aesthetic-focused EHR and practice management systems compete at different price points, from Aesthetic Record’s $15-per-user entry tier to flat-rate platforms like Pabau from $62 per month. The most affordable option depends on your user count and which add-ons you need, so compare total first-year cost rather than the headline monthly rate.
How does Aesthetic Record pricing compare to Pabau?
Aesthetic Record has a lower per-user entry price, while Pabau uses a flat subscription from $62 per month with every feature included, onboarding built in, and no reported export fees. For a solo provider, Aesthetic Record can be cheaper up front. For a growing or multi-location practice, Pabau often gives a lower total cost of ownership.
