Comparison
Growth99 is a platform-plus-agency hybrid built specifically for aesthetics practices. It combines a CRM, marketing automation, online booking and patient communication with marketing services, all in one dashboard.
Growth99 is a real product with a genuine focus on this category, and for an operator who needs software and marketing from one place it is a sensible choice. We do not do practice management, booking, or website hosting, and we are not trying to.
Scope
Growth99
Reported from around $1,500/month for the combined platform and services, with a lower-cost platform-only tier.
First Five
Published at firstfivehq.com/pricing.
Straight answer
Line by line
Not a criticism of SEO — it still matters. These are simply different jobs, and most operators are only buying one of them.
| Traditional agency work | First Five | |
|---|---|---|
| Engines covered | ChatGPT, Gemini, Perplexity, Copilot | |
| Where the work happens | Almost entirely on your website | Roughly four fifths off it, where citations come from |
| What success looks like | A position on page one | Being named in a list of five |
| Primary data source | Google Search Console | Business Profile, Bing Places, Foursquare, Yelp, review platforms |
| How reviews are treated | Reputation management | A primary input to whether you get named |
| Monthly deliverable | A traffic report | A score, a per-engine breakdown, and a citation source map |
| When you are not cited | No visibility into why | The exact source that produced a competitor mention instead |
| What compounds | Rankings reset with each core update | Presence in the sources engines read |
Every row above is checkable. If your current agency covers a row we have marked, tell us and we will correct it.
3 questions
Frequently, yes. Growth99 runs your platform and general marketing; we measure and build AI visibility across the four engines. The overlap is small — theirs is largely on-site and in-platform, ours is largely off-site in directories, reviews, community and editorial. If we think you are paying twice for the same work, we will say so.
Not necessarily, and price is the wrong comparison — the services do different jobs. Our pricing is published so you can rule it in or out without a call. If your budget only covers one, and you have no CRM or booking system, start with the platform rather than with us.
Run the free audit tools first. If AI engines already name you consistently, you do not need us and we would rather you knew that. If they name your competitors instead, that gap is what we work on.
A full-service growth marketing agency working across beauty, ecommerce, healthcare and med spas, SaaS, dental…
Compare →Cardinal is an Atlanta-based healthcare marketing agency with an established SEO and paid media practice. Aest…
Compare →What an SEO retainer covers, and what it structurally cannot.
Compare →Before switching anything, get the number. If your current agency has this covered, the audit will show it.
Prefer to message? WhatsApp +91 92174 40013