Aesthetic Record is built around the patient chart, and Boulevard is built around booking. If charting, before-and-after photos and prescribing matter most and you want one system at a low monthly price, Aesthetic Record fits. If the patient's booking experience on your website matters most and you have the budget, Boulevard fits. In our September 2026 study of 389 med spa websites in 21 US cities, Boulevard was the most common booking platform (53 clinics) and Aesthetic Record the third (30). On November 4, 2026 we re-read both vendors' price lists and re-checked every study homepage to see how clinics on each one actually send patients to book.
The short answer
- Pick Aesthetic Record if you want charting, photos, memberships and booking in one place, and you are happy for booking to open on a separate page. Plans are $15 or $19 a month per user, plus a $399 one-time setup fee.
- Pick Boulevard if you want booking to open in a panel over your own website and plan to grow past five providers or one location. Plans run from $143 a month to $410 a month per location at list price, and forms and documentation are an add-on below the top plan.
- Running both is rare. None of the 26 Aesthetic Record homepages we re-checked loaded a second booking system, and none of the 67 clinics showed both of these two platforms.
What we measured
In September 2026 our grader read 389 med spa homepages in 21 cities and recorded which booking platform the Book buttons used. Of 364 where booking could be checked, 227 used a platform we could name; the full breakdown is in our online booking study. On November 4 we fetched each of the 393 study homepages again, once each and following robots.txt, and looked for every booking vendor's links, scripts and embeds in the page code. 369 homepages could be read. Boulevard appeared on 41 and Aesthetic Record on 26. The counts are lower than September's because this pass read only the code the server sends, without running the page's scripts.
How booking looks on your website
This is the difference a patient feels, and the one our data shows most clearly.
- Boulevard keeps patients on your page. 30 of the 41 Boulevard homepages load its booking overlay, a panel that slides in over the clinic's own site. 8 link out to a Boulevard booking page instead.
- Aesthetic Record sends patients to its own site. None of the 26 Aesthetic Record homepages loads booking inside the page, and the 25 that link to it all send the patient to a separate Aesthetic Record page. Its help centre describes one way to add booking to a website: copy the booking URL and paste it into a button.
- One clinic's Book button opens a login screen. Its "Request an appointment" buttons point to the Aesthetic Record patient-portal login, so a new patient meets a password field before a calendar.
- Six Aesthetic Record clinics book on a coded web address. Their booking links run on five-letter codes such as "cgiku" rather than the clinic's name. That works, but Aesthetic Record's help centre warns that when you rename the address, the old link will be broken. Rename it before you print it anywhere.
- No Book button opens a specific treatment. None of the 25 Aesthetic Record homepages and none of the Boulevard homepages with visible links sent a patient straight to one service. Every link opens the full menu or a location picker.
Both systems also sell gift cards online: 7 Boulevard homepages and 4 Aesthetic Record homepages link to the platform's gift-card page. If you move from one to the other, that link, the Book buttons and the booking link in your Google Business Profile all have to change on the same day. Our switching checklist lists every place the old system tends to hang on.
What each costs in 2026
We read both vendors' own pricing pages on November 4, 2026: Aesthetic Record pricing and Boulevard pricing.
- Aesthetic Record Essentials: $15 a month per user, with photo management, procedure charting, reminders, memberships, a patient portal, online booking and gift cards. $399 startup and onboarding.
- Aesthetic Record Accelerator: $19 a month per user. Adds third-party integrations, two-way texting (at extra cost), before-and-after videos and KPI dashboards. Same $399 setup. Enterprise is by quote.
- Aesthetic Record extras: e-prescribing is listed at $31 to $45 per prescriber depending on the option and billing term; AR Pay and eFax cost extra at unpublished rates.
- Boulevard Essentials: $143 a month, one location, up to 5 providers.
- Boulevard Premier: $293 a month per location, unlimited providers, shown at $234 as a limited-time offer for new customers.
- Boulevard Prestige: $410 a month per location, shown at $328 on the same offer, with the Forms add-on included.
- Boulevard extras: Forms, which Boulevard says handles client documentation and photo storage, from $65 a month per location; ePrescribe $45 per prescriber; QuickBooks sync $45 a month.
Three clinic sizes, side by side
Aesthetic Record charges for every staff login, front desk included, so count users rather than injectors. These examples use list prices for one location, before card processing and prescribing:
- Solo injector, 1 user: Aesthetic Record $15 to $19 a month. Boulevard Essentials $143, or $208 with Forms.
- Four providers and a front desk, 5 users: Aesthetic Record $75 to $95. Boulevard Essentials still covers it at $143, or $208 with Forms.
- Eight providers and two front desk staff, 10 users: Aesthetic Record $150 to $190. Essentials stops at five providers, so Boulevard means Premier at $293 plus Forms ($358), or Prestige at $410 with Forms included.
Charts, photos and HIPAA
Aesthetic Record is sold as an aesthetics EMR. Its homepage lists a complete EMR, clinical documentation, before-and-after photo and video management and cloud e-prescribing, and says it is trusted by over 9,000 aesthetic clinics. Procedure charting and photo management are in its cheapest plan.
Boulevard sells to salons, barbers and spas as well as med spas, and has added clinical tools. Its August 2026 article on med spa charting describes visual markup tools for documenting injectables, treatment photos and intake forms. On the pricing page, documentation and photo storage come through Forms, an add-on below Prestige, and ePrescribe is $45 per prescriber. Its pricing FAQ answers yes to whether Boulevard is PCI, HIPAA or SOC compliant.
Whichever you choose, get a signed Business Associate Agreement before charts, photos or intake forms go into it, and keep advertising pixels off the booking and form pages. Our HIPAA guide for med spa websites covers the website side.
Which one fits your clinic
- Solo injector or small clinic, charting first: Aesthetic Record. At one to five users it costs a fraction of Boulevard, and the chart is in the base plan.
- Booking experience first, five or more providers: Boulevard. Its overlay keeps the patient on your site, which is what 30 of the 41 Boulevard clinics we checked use.
- Moving from Aesthetic Record to Boulevard: ask Boulevard in writing how your charts, consent forms and before-and-after photos come across, and what stays behind in the old account. Change every Book button, the gift-card link and your Google booking link on the same day.
- Still choosing between more than two: our Boulevard vs Vagaro comparison and software alternatives study cover the other common systems.
Whichever you run, check three things on your own site this week: the Book button opens a calendar rather than a login page, the booking address carries your clinic's name, and each treatment page opens that treatment. If you want us to check your booking path, we'll do it for free and send the top three fixes, no call required: get a free audit.