Where Iowa's med spas are
The largest concentrations of med spas in our Iowa data are in Ankeny, West Des Moines, Davenport, Cedar Rapids, Clive, Marion, Bettendorf and Dubuque. Competition for the map pack is heaviest there, and so is the reward: the same review count that dominates a small town is invisible in Ankeny.
The map pack in Iowa
The map pack is a three-slot race, and in Iowa it is won by review count and recency far more than by rating: 92.1% of Iowa med spas are already at 4.5 stars or better, so stars do not separate anyone. The 75th percentile is 110 reviews and the 90th is 269. Those are the numbers to plan around, not the median.
The website gap in Iowa
Website presence in Iowa: 90.0% of med spas link one, 10% do not. The national figure is 10.3% without. Google and the AI answer engines both use the site to confirm what you do and where, so a missing site costs more than the leads it would have produced on its own.
What to do first in Iowa
- Set a review velocity. One review per job day, asked at the door, moves a 36-review shop past the Iowa 75th percentile (110) within a year. The guides have the scripts.
- Finish the Google profile: primary category, every service you offer, real job photos, and hours that match reality. It is free and it is where Iowa customers decide.
- Follow up every lead within five minutes. Speed to lead beats ad spend in a trade where the customer is collecting three quotes. The calculator shows what slow replies cost.
- Then, and only then, spend on ads. Pointed at a profile with 36 reviews and no website, ads pay for your competitor's education. Pointed at a finished profile, they work.
The full national picture, with percentiles, ratings and hours, is in the benchmark report. The method is on the about page.