FOLIO B · 2026 Benchmarks
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11 segments · 4 primary sources · All dated

2026 no-show rate benchmarks by industry.

The current 2026 no-show rate band for 11 industries. Every number cites a primary source with the year the data was collected. No vendor-blog round-trips. Where a number is estimated by triangulation, we say so explicitly.

FOLIO · The full ladder

The full 11-segment ladder

Methodology note: rates are 12-month rolling averages where the source supports that interpretation. Where the source is a point-in-time survey (OpenTable, Phorest, Mindbody) the number reflects the year of publication. STR hotel data uses booking-to-arrival no-show plus same-day cancel inside a 24-hour window.

FOLIO · Year-on-year trend

2018 to 2026 trend lines

Most industries are running slightly lower no-show rates in 2026 than in 2018, but the gap between top-quartile and bottom-quartile within each industry is widening. The aggregate trend masks a polarization. Healthcare primary care moved from 21 percent (MGMA 2018) to 19 percent (MGMA 2024), driven by text-first reminders becoming standard. Behavioral health saw a sharper drop because of the telehealth shift, from 38 percent in-person median in 2018 to 35 percent blended in 2024, with the telehealth sub-segment running 15 percent.

Restaurants moved in the opposite direction. OpenTable 2019 reported a 16 percent no-show rate; OpenTable 2023 reported 20 percent. The post-pandemic shift to abundant booking platforms made multi-restaurant booking easier and the social cost of no-showing lower. Salons and fitness held roughly flat. Hotel no-shows are slowly improving as deposit-based booking spreads. The polarization message holds across most categories: the median has moved a few points, the variance has widened.

FOLIO · Methodology

How these numbers are gathered and verified

Each row in the table above links to a primary source. We do not republish a vendor blog post that itself republishes a 2014 article that referenced a 2012 conference paper. Where we have to triangulate (because no single primary source publishes the exact number), we describe the method.

For healthcare segments, MGMA DataDive is the canonical source for US private practice data. JAMA Network Open publishes the largest peer-reviewed meta-analyses. HRSA UDS publishes FQHC-specific data. SAMHSA NSDUH covers behavioral health utilization at the national level.

For non-healthcare segments, OpenTable, Resy, Tock, Phorest, Mindbody, and Solv each publish their own industry reports using anonymized data from their platforms. Each report has known limitations (sample skews toward higher-end establishments using the platform, geographic concentration, etc.). The figures we cite are the median rates reported, not the upper bound. STR provides hotel industry no-show and cancellation data through paid subscription; we cite their annually published top-line summaries.

FOLIO · Margin notes

Frequently asked questions

What are the 2026 no-show rate benchmarks by industry?+
Healthcare overall 23 percent (JAMA 2022 meta-analysis), primary care 19 percent (MGMA 2024), specialist 11 percent (MGMA 2024), behavioral health 35 percent (Kruse et al 2018), dental 18 percent (JADA 2023), FQHC 32 percent (HRSA UDS), urgent care 12 percent scheduled (Solv 2024), restaurants 20 percent (OpenTable 2023), salons and spas 30 percent (Phorest 2023), fitness 25 percent (Mindbody 2023), hotel bookings 18 percent (STR 2024).
Are no-show rates getting better or worse over time?+
Mixed by industry. Healthcare primary care has improved slightly (21 percent in 2018 to 19 percent in 2024 per MGMA) driven by text-first reminders. Behavioral health rates dropped sharply with the telehealth shift. Restaurant no-shows rose post-pandemic (industry sources) and have not fully recovered. Salon and spa rates are stable. Hotel no-shows are slowly declining as deposit-based booking spreads. The bottom-quartile of practices in most categories is doing worse than the median, widening the gap.
Which industry has the highest no-show rate?+
Behavioral health and mental health practices at 30 to 40 percent for in-person visits per Kruse et al 2018 systematic review. Substance use treatment runs higher at 35 to 45 percent. FQHCs serving Medicaid populations run 28 to 35 percent on medical and 35 to 45 percent on behavioral visits. The telehealth-delivered version of these visits drops the rate sharply, often by half.
Which industry has the lowest no-show rate?+
Surgery at the surgical-date booking level runs 2 to 4 percent because the patient has already invested in pre-op work. Cosmetic procedures with deposits (Resy and Tock prepaid restaurant models for fine dining, deposit-based hotel bookings) run 5 to 8 percent. Dermatology cosmetic visits with card-on-file run 7 to 10 percent. The lowest rates are reliably found where the patient has financial commitment or substantial pre-visit time investment.

Register entries verified 2026-04-28