Etna Interactive's reviews are mostly positive. Its Google profile shows 4.5 from 25 reviews (21 five-star, 2 three-star, 2 one-star). Clients praise long partnerships and website work, while critical reviewers mention slow changes, high fees and a billing dispute. Etna has marketed elective practices since 2002 and doesn't publish retainer prices.
I run Medspa Market Pro (MMP), and we're one of the alternatives on this page. I checked every fact about Etna and the other agencies on their own websites and review profiles on October 21 and 22, 2026, and I link the source next to each one. Where Etna is the better choice, I say so.
What is Etna Interactive?
Etna Interactive is a marketing agency for elective medical practices. Its company fact sheet says it was founded in 2002 and names Ryan Miller as founder and CEO. Etna's origin page describes the founder's earlier job as a marketing executive for a large network of plastic surgery practices. Its mailing address is in San Luis Obispo, California, and it works fully remote with clients across the US and Canada.
It lists five specialties. They are plastic surgery, facial plastic surgery, dermatology, medical spas and ophthalmology.
Etna sells a strategy-led, full-service program. Each client gets a dedicated account executive backed by specialists in SEO, AI search, paid ads, content and web design. Its advertising page covers Google and Bing search plus social platforms like Facebook. It also builds its own products.
- Core Lead Management, which tracks where each lead came from and which Etna calls a standard feature in every plan
- Call Tracking
- Curator B&A, a before-and-after gallery tool
- Reputation Ally, review management software it describes as HIPAA-compliant
- SILO for WordPress, its website platform
- Spotlight Photo+Video
Ryan Miller is also a regular speaker in the industry. Etna's fact sheet says he has given more than 300 invited talks, for groups such as The Aesthetic Society, ASPS, AmSpa and device makers like Allergan Aesthetics.
Etna Interactive reviews and what clients say
Etna's reviews lean positive, but the low ratings carry specific complaints worth asking about. Here's where I looked and what I found on October 21 and 22, 2026.
| Source | What it shows |
|---|---|
| Google Business Profile | 4.5 from 25 reviews (21 five-star, 2 three-star, 2 one-star); 20 have written text |
| Etna's review page | A site badge shows 4.63 across 72 reviews, pulled from rating sites by Etna's own review software |
| Clutch | Profile exists, 0 reviews; lists 2002 as the founding year and 50 to 249 employees |
| Birdeye | 1 review, 5 stars, profile not claimed by Etna |
| No threads about this agency found |
I read every Google review. The positive ones repeat three things. Clients stay a long time (one says they've worked with Ryan Miller and Etna for over 15 years, another for over 10), the website work is well liked, and the staff come across as responsive. Six of the 21 five-star reviews praise a talk or a meeting with Etna rather than client work, so the client count is smaller than 21. The profile is also quiet lately, with three reviews since 2024.
Here are the four lower ratings, each in the reviewer's own account.
- Slow changes (3 stars, 2025). A reviewer says customer service was slow during their contract and changes were hard to make, so the site was "rarely current."
- Website shut off during a move (1 star, 2022). A reviewer says Etna shut off their website before they finished moving to a new one, over invoices Etna said were unpaid. Etna's public reply says four months of invoices were unpaid after repeated written and phone requests for payment authorization.
- Fees and staff turnover (3 stars, 2015). An older reviewer says they had four account managers in a short time and that charges grew high, including a 15-minute billing minimum. This review is over ten years old.
- No text (1 star, 2022). The fourth low rating has no written review.
A search tip. Results for "Etna reviews" mix in employee reviews for Etna Supply, an unrelated company. Check that a review names Etna Interactive before you count it.
How much does Etna Interactive cost?
Etna doesn't publish its retainer prices. It prices a plan for your practice after a strategy conversation.
Here's how its own what-to-expect page describes the process. You request a marketing assessment and spend about an hour on the phone with Etna's business development lead or Ryan Miller. If Etna thinks it can help, it sends a proposal within a week. Work starts after you sign and pay a deposit. After that, you get monthly reporting from your account executive, a strategy review every six months, and a yearly budget and goals review.
The one public price I found is Core Lead Management. Etna's Core Lead Management page lists it as "$60/mo" with install fees not included, and calls it a standard feature in every plan, so ask whether the $60 is on top of your retainer.
When you get the proposal, ask Etna to split the monthly fee, any website build, the add-on tools and your ad budget into separate lines, and to state the minimum term. Our medspa marketing cost guide shows how those pieces usually add up for a medspa.
Where Etna is strong
- Long track record. More than 20 years in aesthetic and elective medicine, per its medspa page, with Google reviewers who have stayed over a decade.
- Strategy before tactics. Its fact sheet says every engagement starts with a full-practice consultation and that Etna plans around your schedule capacity, not only lead volume.
- Its own tools. Lead tracking, call tracking, galleries and review management come from one vendor.
- Clear exit language. Its what-to-expect page says that if you part ways, you own all your assets and it will help you transition.
- Honest about fit. The same page says it will recommend another vendor if it thinks you'd be better served elsewhere.
Where Etna may not fit
- No published retainer price. You'll need a call and a proposal before you see a number.
- It asks for your time. Etna says plainly that it isn't the right partner if you want to hand off marketing and step away, and it expects you to take part.
- Built for the long game. Half-yearly strategy meetings and yearly budget planning suit a practice ready to commit, less so one that wants a quick test.
- Edit speed and exit terms. One reviewer describes slow changes, and another describes their site going offline during a move over a payment dispute. Ask how fast requests are handled and what happens to your site if a payment is in dispute when you leave.
When to look for an Etna Interactive alternative
Etna is a strong choice for an established practice that wants a strategic partner for years. Look at alternatives when one of these is true for you.
- You want to see whether ads can fill one treatment before a larger commitment.
- You want the price and the cancellation terms before any phone call.
- You want a fully custom, design-led rebuild with photo and video at the center.
- You'd rather work in writing than in scheduled strategy meetings.
- You run several locations and want a very large in-house team.
4 Etna Interactive alternatives worth comparing
1. Medspa Market Pro (that's us)
Best for medspas that want to test Meta ads on one treatment.
Our First Visit Test is one Meta (Facebook and Instagram) campaign for one treatment you already sell. We build the offer, the ad and the sign-up form, write your front desk's follow-up script and manage the campaign. It costs $299 for the first month, then $1,000 a month, and you can cancel anytime. Your ad budget goes to Meta directly. Our test page's example uses $20 a day, the lowest budget we recommend, for 30 days, which makes the total for the first month $899 ($299 to us and $600 to Meta).
The campaign, form and audience stay in your ad account. We report spend, sign-ups and cost per sign-up, and you add bookings and attended visits from your calendar. We don't guarantee patient numbers. The proof behind the test is our LaVieMD campaign, which brought in 370 leads at $13.26 each over six months.
Honest limits. We don't build websites, and we're not a software platform or CRM, so if you want lead tracking software and a new site from one vendor, Etna fits better. We don't run a booking system, the test covers one campaign and one treatment, and our roster is capped. We work in writing, with no calls by default. Broader work like local SEO, Instagram and email starts with a written audit and is quoted in writing, month to month.
2. Influx Marketing
Best for practices that want a premium brand, a custom website and original photo and video from one team.
Influx is a design-led agency for plastic surgery, medspas, cosmetic dentistry and cash-pay healthcare, with offices in Pasadena, Salt Lake City and Tampa. Its web design page says it keeps design, content, media, development and SEO in-house, and it's rolling out Growthstack, an all-in-one marketing platform for medspas. Its Google profile shows 100 reviews, all five stars. It doesn't publish prices or contract terms.
Key difference. More weight on design and media than Etna, which leads with strategy and its own tools.
3. Rosemont Media
Best for plastic surgery and dental practices that want a fully custom website with SEO.
Rosemont Media is a San Diego healthcare marketing company that says it builds 100% custom websites, with no templates. It focuses on plastic surgery and dental practices and also offers SEO, social media and branding. Pricing isn't published, so ask for a written quote.
Key difference. A website-first boutique, where Etna leads with strategy and its own tools.
4. Studio 3 Marketing
Best for multi-location or fast-growing aesthetic brands that want a large in-house team.
Studio 3 was founded in 2011 and, per its about page, has 200+ employees with offices in California, Texas and Florida, all work produced in-house, and a 1 to 4 employee-to-client ratio. It covers branding, websites, video, ads, social and email, and has its own lead management software, LeadLoop. Pricing isn't published. Its ownership terms are. Its ads page says it runs everything from your own ad account, and its website page says you own the design, code and content of the site it builds, with full use rights to the custom images.
Key difference. A larger team with in-house video, aimed at groups.
Etna Interactive vs alternatives at a glance
| Model | Starting price | Contract | Who owns the ads or site | Best for | |
|---|---|---|---|---|---|
| Etna Interactive | Strategy-first full service with its own tools | Retainer not published; Core Lead Management $60/month plus install | Signed proposal and deposit; term not published | Etna says you own all your assets | Established practices wanting a long-term partner |
| Medspa Market Pro | One Meta campaign for one treatment, written and async | $299 first month, then $1,000/month plus ad budget | Month to month, cancel anytime | Campaign, form and audience stay in your ad account | Medspas that want to test Meta ads on one treatment |
| Influx Marketing | Design-led full service, plus Growthstack platform | Not published | Not published | Practice owns site, content and assets as defined in the agreement | Premium brand and website rebuilds |
| Rosemont Media | Custom websites plus SEO and social | Not published | Not published | Not published | Custom site and SEO for surgeons and dentists |
| Studio 3 Marketing | Large in-house full-service team | Not published | Not published | Ads run from your own ad account; you own the website it builds (per its site) | Multi-location and fast-growing brands |
Questions to ask any provider before you sign
- What's the monthly fee, the setup or website fee, the add-on tools and the ad budget, as separate numbers?
- What's the minimum term and the notice period to cancel?
- Who owns the website, the ad accounts, the photos and the lead data if we part ways?
- How fast are change requests handled, and who makes them?
- Which numbers will you report? Sign-ups, booked visits or attended visits?
- Can I see a result from a clinic like mine?
For a wider comparison, see our guide to the best medspa marketing agencies.
Frequently asked questions
Is Etna Interactive legit?
Everything I checked says yes. Etna Interactive has marketed elective medical practices since 2002, lists Google Partner status, and its founder and CEO Ryan Miller says he has given more than 300 invited talks to groups such as The Aesthetic Society, ASPS and AmSpa, per its fact sheet. Its Google profile shows 4.5 from 25 reviews, with 21 five-star, 2 three-star and 2 one-star ratings.
How much does Etna Interactive cost?
Etna doesn't publish retainer prices. It prices a plan after a strategy call of about an hour and sends a proposal within a week. The one public price is Core Lead Management at $60 a month with install fees not included. Etna says the tool is standard in every plan, so ask whether the $60 is on top of your retainer.
Does Etna Interactive work with medspas?
Yes. Medical spas are one of five specialties Etna lists, next to plastic surgery, facial plastic surgery, dermatology and ophthalmology. For medspas its medspa page lists strategy, SEO, reputation management, content, web design, local search, email and staff training.
Do I own my website if I leave Etna Interactive?
Etna says yes. Its what-to-expect page says that if you part ways you own all your assets and it will help you move. Its company fact sheet says practices own the website they pay for and are free to change agencies. One Google reviewer says Etna shut off their site during a move over invoices Etna says were unpaid, so confirm the exit and payment terms in your proposal.
Is there a contract with Etna Interactive?
Etna starts work after a signed proposal and a deposit. It doesn't publish a minimum term or notice period, so ask for both in writing before you sign.
What is a smaller-scope alternative to Etna Interactive?
If you want to test paid patient acquisition before a long-term retainer, our First Visit Test covers one Meta campaign on one treatment. It's $299 for the first month, then $1,000 a month, cancel anytime. Your ad budget is paid to Meta separately.
Test one treatment before a long-term retainer
If you're not ready for a multi-year partnership, start with one treatment. We build one Meta campaign, write your front desk's follow-up and report what it costs per sign-up. It's $299 for the first month, then $1,000 a month until you cancel, and your ad budget goes to Meta directly.
Rather ask first? Message Lorea and I'll reply in writing within 24 hours.