Overview
Use this reference to find your medspa's Medical Director (MD) oversight fee based on your state, service menu, and client volume. These rates apply to medspas working with a Moxie in-house MD. If your medspa contracts with an external MD, you and your MD set your fee structure directly.
Moxie reviews oversight fees twice per year, in January and July, based on your medspa's trailing revenue and client volume. Fee changes take effect the following billing cycle.
California, North Carolina, and Illinois medspas
For medspas in California, North Carolina, or Illinois with oversight from an in-house MD, your monthly invoice includes the Moxie Support Fee ($300). This fee covers professional corporation (PC) management, year-round PC oversight, billing management, software support, taxes, and PC bookkeeping.
The following table shows the monthly oversight fee by service type:
Service type | What's included | Monthly invoice |
Standard services | Injectables, fillers, microneedling, weight loss, and prescriptive skin care | $950 |
Advanced services | Peptides, hormone replacement therapy (HRT), and lasers | $1,350 |
✏️ Note — If offering even one advanced service (peptides, HRT, or lasers), your medspa is billed at the full advanced-services rate. Advanced services aren't averaged or prorated against your standard-service volume.
✏️ Note — If your medspa's net revenue stays below $10,000 for 6 or more consecutive months, your fee stays at $950/month even if your service menu includes advanced services.
Client volume adjustment: For every 100 patients seen in a 6-month period, your MD's compensation increases by $125/month, regardless of service type. This adjustment only applies once your medspa's net revenue passes $10,000/month.
Medspas in all other states
For medspas outside California, North Carolina, and Illinois with oversight from an in-house M the following table shows the monthly oversight fee by service type:
Service type | What's included | Monthly invoice |
Standard services | Injectables, fillers, microneedling, weight loss, and prescriptive skin care | $650 |
Advanced services | Peptides, hormone replacement therapy (HRT), and lasers | $1,200 |
✏️ Note — If offering even one advanced service (peptides, HRT, or lasers), your medspa is billed at the full advanced-services rate.
✏️ Note — If your medspa's net revenue stays below $10,000 for 6 or more consecutive months, your fee stays at $650/month even if your service menu includes advanced services.
Client volume adjustment: For every 100 patients seen in a 6-month period, your MD's compensation increases by $125/month, regardless of service menu. This adjustment only applies once your medspa's net revenue passes $10,000/month.
Expanding to additional locations
If your medspa is expanding to a new location, a separate flat-rate structure applies until your combined net revenue across all locations reaches $10,000/month. After that, your standard rate structure applies based on the scenario below.
The following table shows the applicable rate structure by expansion scenario:
Expansion scenario | Rate before $10,000 combined revenue | Standard services (after threshold) | Advanced services (after threshold) |
Expansion outside Illinois, North Carolina, and California | $250/month flat | $500/month | $1,050/month |
Expansion where your first location is already in Illinois, North Carolina, or California | $250/month flat | $650/month | $1,050/month |
Expansion where your first location is NOT in Illinois, North Carolina, or California | $550/month flat ($250 + $300 Moxie Support Fee) | $950/month | $1,350/month |
In all three scenarios, the client volume adjustment applies once your combined net revenue across all locations passes $10,000/month: your MD's compensation increases by $125/month for every 100 patients seen across all locations in a 30-day period.
External MDs
If your medspa contracts with an external MD instead of a Moxie in-house MD, you and your MD set your oversight fee directly. Moxie facilitates payments but does not set your rate.
✏️ Note — In California, North Carolina, and Illinois, if you have an external MD but choose to have Moxie manage your PC, your invoice still includes the $300 Moxie Support Fee in addition to the oversight fee you and your MD agree on.
Notes and exceptions
These rates apply only to medspas working with a Moxie in-house MD. Medspas with an external MD set their own fee structure directly.
Weight loss services (including GLP-1 medications) are billed as a standard service, not an advanced service.
Offering any one advanced service (peptides, HRT, or lasers) moves your entire monthly fee to the advanced-services rate — it isn't split by service.
The $10,000 net revenue threshold is based on net sales: gross revenue minus discounts, returns, Moxie wallet credits, and refunds.
