Spas with upscale

Austin, Texas

Medical spa on Rainey Street in downtown Austin offering Botox, fillers, laser, facials and semaglutide weight-loss care by appointment only.

Chicago, Illinois

Hotel spa on the lower level of the Fairmont Chicago, open to guests for massages, facials and a couples suite with an infinity-edge soaking tub.

Scottsdale, Arizona

Day spa in South Scottsdale offering massage, facials and body treatments, with walk-ins and couples appointments by reservation.

Austin, Texas

Hotel spa at Omni Barton Creek with steam room, sauna, cold plunge and a rooftop pool overlooking Hill Country, open daily 9am-7pm.

Miami, Florida

An upscale day spa on Miracle Mile in Coral Gables with sauna, steam room and cold plunge, known for a $200 signature treatment and couples packages.

Atlanta, Georgia

Day spa and med spa in Brookhaven Village offering massages, facials and injectables like Botox and filler, open daily 9am-9pm by reservation.

San Francisco, California

Neighborhood day spa in Noe Valley with a private outdoor hot tub, offering massage and a combined soak-and-massage package for two.

New York City, New York

Boutique massage-focused day spa on 5th Avenue in Manhattan, with 36 treatments and a signature Nuansa Classic for $180.

Denver, Colorado

A Littleton day spa centered on private suites with beer and wine baths, infrared sauna, zero-gravity massage and a self-pour taproom.

Santa Fe, New Mexico

A 77-acre hot springs resort outside Santa Fe with spring-fed thermal pools, day-pass soaking packages from $175, and overnight lodging.

Washington, D.C., District of Columbia

Facial and skincare studio in Dupont Circle, D.C., operating since 1994, focused on facials, peels and face mapping; reservation only.

Shibu Onsen, Nagano

Reservation-only private hot spring and sauna suites at a Nagano brewery complex, built around a craft beer bathing plan for two to four guests.

Park City, Utah

A 14-room hotel spa at Westgate Park City Resort with a waterfall, sauna, steam room and thermal pools, open daily 9:30am-6:30pm.

Denver, Colorado

A 14,000-square-foot hotel spa inside Gaylord Rockies in Aurora, offering massages, facials, body treatments and a couples room, adults only.

Boston, Massachusetts

A Seaport social wellness club in Boston offering saunas, ice baths, IV therapy, red light and HBOT sessions, with reservations required and no membership

Philadelphia, Pennsylvania

A head spa in Queen Village, Philadelphia, focused on scalp and hair treatments, with private suites and a $300 signature service.

Nashville, Tennessee

A Midtown Nashville wellness studio built around cryotherapy, infrared sauna, red light therapy, IV drips and recovery treatments, run mostly through monthly

Napa Valley, California

Hotel day spa atop the Archer in downtown Napa with a water deck, fitness studio access and treatment rooms; reservations required.

Colombo, Western Province

A hotel spa inside The Kingsbury Colombo offering Balinese and Thai-style massages, facials and body treatments, with couples packages.

Lake Tahoe, California

A massage-and-facial day spa in South Lake Tahoe's Heavenly Village, open daily 10am-9pm, with couples treatments and a signature package at $320.

Las Vegas, Nevada

Adults-only hotel spa inside Westgate Las Vegas offering massages, facials, salon services, sauna, steam room and a thermal pool, open daily 9am-6pm.

Asheville, North Carolina

A Japanese-inspired destination spa on a mountainside outside downtown Asheville, built around private outdoor salt hydrotherapy tubs and massage.

Carmel-by-the-Sea, California

Upscale day spa in Carmel-by-the-Sea's Golden Rectangle with sauna, steam, cold plunge and thermal pools, open daily from 6:30am.

Boston, Massachusetts

A Newbury Street medical spa for injectables, laser hair removal, microneedling and facials, with massage also on the menu, by appointment only.