Aesthera vs Cuvo Health: Flat Fee or Per Consult?
Cuvo Health and Aesthera charge in fundamentally different ways. Cuvo takes $997 per month, a $9,800 setup and $25 for every completed consult. Aesthera takes $497 per month and nothing per patient. Which is cheaper depends entirely on how many consults you run.
Cuvo Health is the closest thing to a direct competitor on this site, and the only one whose pricing works in the opposite direction to Aesthera's.
One of these gets more expensive as you grow
Cuvo charges $25 for every completed consult on top of its monthly fee. Aesthera charges nothing per patient.
That single difference decides the comparison, and it decides it differently at every volume. Run the arithmetic on Cuvo's own published figures:
| Consults a month | Cuvo platform fee | Cuvo consult fees | Cuvo total | Aesthera |
|---|---|---|---|---|
| 25 | $997 | $625 | $1,622 | $497 |
| 50 | $997 | $1,250 | $2,247 | $497 |
| 100 | $997 | $2,500 | $3,497 | $497 |
| 200 | $997 | $5,000 | $5,997 | $497 |
Aesthera's column never moves. That is the whole argument, and it either matters to you or it does not.
Where the setup fee lands
Cuvo's Launch tier carries a $9,800 one-time setup. Grow is $2,000 a month with $15,000.
Aesthera charges a $997 one-time setup. Cuvo's first year on Launch is about $21,764 on its own numbers. Aesthera's is $6,961. That is a wider spread than the monthly difference suggests, and setup is why.
What Cuvo gives you for the money
It would be dishonest to run that arithmetic and stop. Cuvo includes two things Aesthera does not.
- A website buildout. The Grow tier builds and maintains your site and adds lifecycle automation.
- A named partner in your category. Cuvo markets to med spas and DTC brands directly, and it publishes LegitScript guidance aimed at exactly this buyer.
If you need a website built and you want the platform vendor to own that, Cuvo's fee is buying something real.
Read Cuvo's own comparison carefully
Cuvo publishes a "best white label telehealth platforms" article in which Cuvo is recommended first. It also runs roughly twenty pages titled "Cuvo vs" various competitors.
That is a legitimate marketing strategy, and its articles are more detailed than most. It also means its vendor entries are written by an interested party. Apply the same scepticism to those pages that you should apply to this one.
What counts as a completed consult?
Cuvo charges $25 per completed consult. The definition of "completed" decides your bill, and it is worth pinning down before you sign.
Three questions settle it:
- Does a no-show count? If a patient books and does not attend, is that a completed consult?
- Does a rescheduled consult get charged twice?
- Is the fee charged on the consult, or on the prescription that follows it?
A med spa running weight management has a high consult-to-prescription ratio, because almost every consult ends in a prescription. A med spa running good faith exams for in-clinic treatments has a different ratio, because some patients are cleared and some are not.
The same $25 produces different monthly totals depending on which of those you are. Ask for the definition, then multiply by your own historical numbers rather than a projected one.
What the Grow tier's website buildout is worth
Grow includes a website buildout and lifecycle automation, and that is the main thing Cuvo offers that Aesthera does not. Three questions decide its value.
- What does the build include? A template with your logo is not the same as a conversion-built site with treatment pages.
- Do you own it? If the site lives inside their platform, it may not survive a move.
- What happens at $997 versus $2,000? The build sits on the higher tier, so the real cost of the website is $1,003 a month more than Launch, plus the consult fees.
If you would otherwise pay an agency five figures for a site, that may be good value. If you already have a site that converts, you are paying for something you will not use.
Exit terms and what leaving costs
Nobody signs a contract planning to leave. The terms that matter are the ones you read afterwards.
Ask both vendors four things in writing. Who owns the patient list. Whether you can export the data, and in what format. How much notice is required. Whether the website built on the platform travels with you.
On a per-consult model there is an extra question. If you leave mid-month, are consults already completed still billed? On a flat monthly fee that question does not arise.
Model your own volume
The table above uses round numbers. Yours will not be round, and the crossover sits somewhere specific to your practice.
Write down your expected consults per month. Multiply by $25. Add $997. That is Cuvo's monthly cost. Compare it to $497.
Then do it again at double the volume, because a med spa that markets successfully will get there. If the doubled figure makes the decision obvious, the decision is already made.
A worked first year at 60 consults a month
Round numbers hide things. Take a realistic med spa doing 60 completed consults a month, which is a steady but unremarkable weight management programme.
| Cuvo Launch | Aesthera | |
|---|---|---|
| Monthly platform fee | $997 | $497 |
| Consult fees, 60 a month | $1,500 | $0 |
| Monthly total | $2,497 | $497 |
| First-year platform cost | $29,964 | $5,964 |
| Setup | $9,800 | $997 |
Cuvo's first year is about $39,764 on its own published figures. Aesthera's is $6,961 including its $997 setup.
Aesthera's setup would have to exceed $33,800 for Cuvo to be cheaper at this volume. That is the useful form of the comparison, because it converts an unpublished number into a threshold you can test.
What to check in Cuvo's contract
Three clauses matter more than the headline price.
- Price escalation. Ask whether the monthly fee and the consult fee can rise, and by how much and how often.
- Notice period. Month-to-month means little if the notice period is 90 days.
- Consult fee at exit. Confirm whether consults completed before your final day are still billed after it.
None of these are unusual terms. They are simply the ones that decide what you pay in year two rather than year one, and year two is when most of the money is spent.
Who Cuvo is not for
Cuvo is a poor fit if you already have a website that converts. It is also a poor fit if your consult volume is high and predictable, or if you want the platform cost identical in month one and month twenty-four.
It is a good fit if a built website and lifecycle automation would otherwise be a separate project you have not started. It also suits a modest volume, where a per-consult fee stays small.
Being clear about which of those describes you is more useful than any overall ranking.
So which should a med spa choose?
Take your expected consults per month and multiply by $25. If that number is smaller than the value you place on a built website and lifecycle automation, Cuvo is the better buy.
If it is larger, and you would rather your platform cost stayed the same as you grow, Aesthera is. The crossover arrives sooner than most buyers expect, because the consult fee scales and the monthly fee does not.
Is Cuvo Health or Aesthera cheaper?
It depends on consult volume. Cuvo charges $997 a month plus $25 per completed consult. At 25 consults that is $1,622 a month. At 200 consults it is $5,997. Aesthera is $497 a month at any volume, with $0 per patient.
Does Aesthera charge per consult?
No. Aesthera publishes $0 per patient and no revenue share.
How much is Cuvo Health's setup fee?
$9,800 on the Launch tier and $15,000 on Grow, as published on its own site on 19 September 2026.
Is Cuvo Health's comparison article independent?
No. Cuvo publishes that article and ranks itself first in it. Judge its vendor entries the way you would judge any vendor's own comparison.
Should a med spa choose a flat fee or a per-consult model?
Model both at your expected volume and again at three times it. A per-consult fee is cheaper at low volume and more expensive as you grow, and the crossover is the only number that matters.
See if Aesthera fits your med spa
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