Our directory of media buying agencies in the US is evaluated using five core ranking criteria and reviewed by a team of 12 industry experts, backed by more than 480 verified client reviews. This methodology provides a clear, credible way to identify the right media buying partner.
Discover the Best Media Buying Agencies Across the United States
2 Companies-Rankings updated: September 08, 2026
DesignRush vets each media buying agency based on professional qualifications and verified customer feedback to help you choose confidently. Some positions may be sponsored.
An award-winning, social-first agency fluent in trends, culture, and the art of stopping the scroll
Socialfly is a social-first digital agency built for brands across every stage of growth. We build connected ecosystems where insights from influencer campaigns inform paid targeting, organic content sparks community conversations, and every channel makes the others smarter...
Top Services:
Social Media Marketing
Creative Services
Graphic Design
Video Production
Digital Strategy
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Location
New York City, New York
Number of Employees
50 - 99
Socialfly Services
Social Media Marketing
Creative Services
Graphic Design
Video Production
Digital Strategy
Digital Marketing
Media Buying
Advertising
eCommerce
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Mediacom Cable
Conair
Warner Bros. Discovery
Breast Cancer Research Foundation
Angi
Museum of Ice Cream
Huntington Learning Center
Girl Scouts
Vera Bradley
Aspen Dental
Data sourced from the agency's DesignRush profile
Socialfly Reviews & Testimonials
Courtney S Review from Google
5.0★
Courtney S's Review Sourced from Google
I love working at Socialfly and getting to interact with the talented team and incredible clients. Digital marketing moves so fast and I am honored to work with amazing people.
Anna Sayre Review from Google
5.0★
Anna Sayre's Review Sourced from Google
We are so grateful to have found a partner who is a true extension of our team. Working with Socialfly was the best choice we made when we began our rebranding efforts. They are seasoned experts, and kind, real people who inspire us to step up our game every time we interact.
colleen difonzo Review from Google
5.0★
colleen difonzo's Review Sourced from Google
I’ve worked with the ladies of Socialfly on a few projects over the years. Highly recommend! Smart and savvy.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Ketamine Marketing and Ketamine Lead Generation Experts
Ketamine Lead Gen is a boutique marketing agency that works with Ketamine Clinics and Wellness Clinics to attract new patients for services such as Ketamine IV, IM Ketamine, Sublingual Ketamine, Esketamine (Spravato), TMS Therapy, MeRT for Autism, NAD Infusion Therapy, Nutritional IV, and more...
Top Services:
PPC
Web Design
WordPress Website Design
Digital Marketing
SEO
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Location
Ramona, California
Number of Employees
Under 49
Average Hourly Rate
$100/hr
Minimal Budget
$1,000 - $10,000
Ketamine Lead Gen Services
PPC
Web Design
WordPress Website Design
Digital Marketing
SEO
Social Media Marketing
Media Buying
Content Marketing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Marketing Industry
Advertising Industry
Small Business Idustry
Data sourced from the agency's DesignRush profile
Ketamine Lead Gen Reviews & Testimonials
Jon Kraus Review from Google
5.0★
Jon Kraus's Review Sourced from Google
Ketamine Lead Gen has been a phenomenal asset to helping manage the digital marketing components of our business. From running ads to their mastery of SEO, having a team that is knowledgeable about the ketamine/TMS space is a tremendous help and a great group to partner with.
Steve Suntala Review from Google
5.0★
Steve Suntala's Review Sourced from Google
We have been using Ketamine Lead Gen for 8 months with our clinic- New Pathways Clinic. Right away we were impressed with their knowledge and expertise in the Ketamine/Spravato space. They have helped us navigate this complex marketing/advertising space and have fantastic ad copy for those who need it. Really appreciate what the owners Jake and Steve have done for our practice!
Robert Miller Review from Google
5.0★
Robert Miller's Review Sourced from Google
We have tried several marketing agencies and these guys are hands down the best. Their communication, suggestions, and professionalism is unlike any other company. Jake and Steve are great to work with! They have nearly doubled our conversion rate.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
What services do media buying agencies in the United States provide?
These types of agencies help brands with:
Performance-focused digital campaigns: High-demand campaigns across Meta, TikTok, YouTube, Search, and CTV, prioritizing short-form video and measurable, creative-led performance.
Full-funnel paid media tied to creative-led campaigns: Roughly 60% to 70% of clients bundle creative and media for faster cycles, fewer handoffs, and performance-built creative.
Programmatic and CTV packages: Growing rapidly, with challenger brands investing $15K to $150K per month for scalable reach, automated targeting, and measurable lift.
Paid social advertising: Cross-platform campaigns delivering 1% to 2% average conversion rates, with top performers exceeding 3% on Meta and TikTok.
Audience & competitive analysis: Audience research and competitor benchmarking to guide budget allocation and identify the highest-ROI channels.
Analytics & performance reporting: Real-time KPI tracking, A/B testing, and optimization across impressions, CPM, CTR, conversions, ROAS, and attribution paths.
How much do media buying services in the US cost?
Most media buying agencies charge between $100 and $150 per hour. They rely on a mix of retainers, spend-based fees, and setup costs, depending on scope and complexity.
These numbers are based on industry research and expert insights from Colormatics:
Fee Type
Typical Cost Range
Notes
Monthly retainer
$1,500 to $10,000
Based on complexity and channel mix
% of media spend
10% to 20%
Scales with spend and performance scope
One-time setup fee
$1,500 to $3,000
Tracking, pixels, dashboards, QA
Hourly rate
$100 to $150+
Specialized strategy or audits
Beyond agency fees, overall campaign budgets vary significantly based on scale, channels, and timelines. The table below outlines common budget ranges for different types of media buying engagements.
Campaign Type
Budget Range
Typical Scope
Pilot campaigns
~$25,000
1 to 2 platforms, short run
Integrated campaigns
$50,000 to $300,000
Multi-channel, performance tracking
Large/national campaigns
Up to $500,000
12 to 24 weeks, heavy media mix
When can clients expect ROI from paid media campaigns?
ROI timelines vary by channel based on learning cycles, inventory dynamics, and optimization requirements. This table outlines when early performance signals usually appear and when results tend to stabilize.
Channel
Early Signals
Stable Performance
Paid social
7 to 21 days
30 to 45 days
Google Search
3 to 10 days (with volume)
8 to 12 weeks
YouTube
5 to 10 days
3 to 4 weeks
CTV/Programmatic
4 to 8 weeks
10 to 12 weeks
What are the typical timelines for media buying projects from planning to launch?
Project timelines depend on campaign scale, creative complexity, and channel mix. These are typical expectations from strategy and setup through launch and ongoing optimization.
Campaign Size
Planning & Setup
Build & QA
Optimization Cadence
Total Timeline
Small-scale
1 to 2 weeks
3 to 5 days
Weekly
4 to 8 weeks
Mid-size
2 to 3 weeks
1 week
2-3× weekly
8 to 12 weeks
Large/Multi-channel
3 to 5 weeks
1 to 2 weeks
Daily
12 weeks to 6 months
What KPIs should your business track when working with these agencies?
When working with a media buying agency in the US, KPIs should be selected to reflect both media efficiency and business impact, ensuring performance is measured beyond surface-level engagement.
Key KPIs to monitor include:
Impressions, reach, frequency, and CPM to assess delivery efficiency and audience exposure
Click-through rate (CTR), cost per click (CPC), engagement rate, and video completion rate to evaluate creative and audience relevance
Conversion rate, cost per acquisition (CPA), return on ad spend (ROAS), and customer acquisition cost (CAC) to measure profitability and scalability
Attribution coverage, assisted conversions, and incrementality to understand paid media’s true contribution across channels
Budget pacing, spend utilization, and testing velocity to gauge operational discipline and optimization effectiveness
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