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. 

United States × Health Care ×
  • We connect the dots between insights and impact, creativity and conversion, people and purpose.

    Kiosk is a full-service marketing agency that connects the dots between insights and impact, creativity and conversion, people and purpose. Headquartered in Novato, California, we drive meaningful results by putting people at the heart of everything we do...

    Top Services:

    • CRO
    • Advertising
    • Branding
    • Content Marketing
    • Social Media Marketing
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    Location
    Novato, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $210/hr
    Minimal Budget
    $25,000 - $50,000
  • Delivering More

    D&GG Marketing Communications and Advertising, Public Relation. As a family-owned and operated business, we pride ourselves on delivering every assignment on time and within budget. We have never missed a deadline or failed to meet a clients objectiveand our standard is simple: were only as good as our most...

    Top Services:

    • Print Design
    • Video Production
    • Design Services
    • Branding
    • Logo Design
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    Location
    Pittsburgh, Pennsylvania
    Number of Employees
    Under 49
  • Your ROI is Our North Star.

    Decoder is a digital marketing agency specializing in driving targeted traffic, increasing conversion rates, and profitably scaling customer acquisition. What makes them unique is their all-senior level team, customer-centric process, and exceptional track record across industries. Noteworthy clients include...

    Top Services:

    • SEO
    • PPC
    • CRO
    • Web Design
    • UI/UX Design
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    Location
    Portland, Oregon
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • Fuel Your Growth

    Roxfire is a performance-driven marketing agency focused on building scalable revenue systems, not just running ads. We help service businesses generate consistent, high-quality leads through Google Ads, Meta Ads, and SEO, all integrated into one optimized acquisition system...

    Top Services:

    • PPC
    • SEO
    • Digital Services
    • Digital Strategy
    • Web Design
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    Location
    Miami, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000
  • Streamlining The eCommerce Shopping Experience!

    Scaledon's team of experts guides clients through the full marketing cycle with 15+ years of experience. From strategic planning to data management and reporting, our services cover every aspect needed for a successful campaign - including PPC, SEO, email initiatives and creative content/designs...

    Top Services:

    • PPC
    • Digital Marketing
    • SEO
    • Content Marketing
    • Email Marketing
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    Location
    Portsmouth, New Hampshire
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • We Know Your Customers.

    BonBonica Digital Marketing Agency specializes in assisting local businesses in discovering and engaging with new customers. While you concentrate on refining your service delivery and products, our team formulates effective strategies to ensure their successful sales. We consistently create impactful...

    Top Services:

    • Digital Services
    • Branding
    • Digital Strategy
    • Web Design
    • Digital Marketing
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    Location
    Swampscott, Massachusetts
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • From Data Chaos To Revenue Clarity In 90 Days

    KR1STNA Media delivers end-to-end marketing, sales, and technology solutions that accelerate growth. We blend strategy with execution, helping businesses streamline processes, strengthen customer journeys, and maximize ROI. From CRM automation to creative campaigns, our team equips leaders with tools and...

    Top Services:

    • CRM Consulting
    • Business Consulting
    • Digital Services
    • WordPress Website Design
    • CRO
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    Location
    Evesham, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $1,000 - $10,000
  • Global Communications And Public Affairs Firm

    Outreach Strategists is an award-winning strategic communications and marketing agency specializing in digital marketing, community outreach, and public affairs for education, workforce development, transportation, infrastructure, and healthcare clients across Texas and the United States...

    Top Services:

    • Advertising
    • Digital Marketing
    • Public Relations
    • Video Production
    • Creative Services
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    Location
    Houston, Texas
    Number of Employees
    Under 49
    Minimal Budget
    $25,000 - $50,000
  • A Force For Change

    Sukle (pronounced soo-kul) is an independent, creatively-led agency built to solve the toughest and most interesting challenges our clients face. For 30 years, Sukle has used unexpected creativity to drive positive change for purpose driven client organizations...

    Top Services:

    • Advertising
    • Branding
    • Creative Services
    • Logo Design
    • Package Design
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    Location
    Denver, Colorado
    Number of Employees
    Under 49
  • Revolution In Internet Marketing

    BROagency is a USA-based digital marketing and lead generation agency that helps businesses accelerate growth through innovative internet marketing strategies and performance-driven campaigns. With a focus on advertising, lead generation, and digital business development, the agency combines strategic...

    Top Services:

    • Digital Services
    • Product Design
    • Logo Design
    • Web Design
    • Web Development
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    Location
    Florida, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $49/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Vision Our Code

    American Koders is a USA-based software development company delivering innovative and customized digital solutions for startups and established businesses...

    Top Services:

    • Web Design
    • UI/UX Design
    • WordPress Website Design
    • eCommerce Development
    • Mobile App Development
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    Location
    Kalispell, Montana
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
  • WHERE SCIENCE BECOMES STORY AND BRANDS SCALE

    Jadi is a strategic brand agency built for science-forward consumer brands health, wellness, beauty, nutrition, and technology. We translate product truth, ingredient science, and real innovation into stories that build belief and systems that scale it.Strategy. Story. Systems. Scale...

    Top Services:

    • Branding
    • Digital Strategy
    • Content Marketing
    • Video Production
    • Advertising
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    Location
    Laguna Beach, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $10,000 - $25,000
  • Improving the performance, consistency, and reach of your marketing campaigns

    Media Place Partners delivers handcrafted traditional and digital media, advertisement services that target local audiences at regional and national scales...

    Top Services:

    • Advertising
    Location
    Grand Rapids, Michigan
    Number of Employees
    100 - 249
  • Bespoke Media & Marketing Strategies

    Harmelin Media is a strategic, data-driven media agency dedicated to maximizing measurable business outcomes for clients. With over 40 years of experience, the agency offers in-depth consumer insights, advanced targeting technologies, and a commitment to operational excellence. Its service-driven culture...

    Top Services:

    • Media Buying
    Location
    Bala Cynwyd, Pennsylvania
    Number of Employees
    500 - 999
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $50,000 & Up
  • Scaling Success for Global Impact

    Rainmaker Ad Ventures leverages extensive media buying experience, cutting-edge artificial intelligence (AI) technology, and robust industry partnerships to propel leading digital advertisers and publishers to new heights. Specializing in high-performance email, video, native, and display advertising, the...

    Top Services:

    • Media Buying
    Location
    Los Angeles, California
    Number of Employees
    Under 49
    Minimal Budget
    $10,000 - $25,000
  • Amplifying Your Media Impact

    As a leading, independent, woman-owned media agency with offices in Pittsburgh, Cleveland, and Rochester, Hoffmann Murtaugh delivers exceptional media solutions. Our team boasts extensive experience across industries and media channels, enabling us to craft targeted strategies for both national and local...

    Top Services:

    • Media Buying
    Location
    Pittsburgh, Pennsylvania
    Number of Employees
    Under 49
    Minimal Budget
    $50,000 & Up
  • Your Winning Play

    Mean Joe Advertising is more than a full-service agency; we're your dedicated marketing team. From strategy and media buying to creative development and execution, we handle every aspect of your campaign. Our focus is on uncovering your unique challenges and crafting tailored solutions that deliver a...

    Top Services:

    • Media Buying
    • Advertising
    Location
    Chagrin Falls, Ohio
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Amplifying Your Brand's Reach

    Berk Marketing specializes in radio and TV advertising, leveraging direct-response strategies to generate qualified leads quickly and cost-effectively. Its unique approach to remnant radio advertising allows businesses to target specific demographics and achieve fast results without breaking the budget. With...

    Top Services:

    • Media Buying
    • Advertising
    Location
    Los Angeles, California
    Number of Employees
    Under 49
  • Drive Attention, Educate Audiences, Achieve Results.

    Digital AIM Media is a full-service digital advertising agency, blending locally focused expertise with a global perspective. The agency specializes in creating impactful marketing campaigns that capture attention, educate audiences, and drive measurable results...

    Top Services:

    • Advertising
    • Media Buying
    • Digital Marketing
    Location
    McAllen, Texas
    Number of Employees
    100 - 249
  • Informed, compelling creative that drives people to action.

    Steel Advertising is a purpose-driven, full-service agency that uncovers a deep understanding of audiences and moves them to action within these building blocks of daily life...

    Top Services:

    • Digital Services
    • Advertising
    • Branding
    • Market Research
    • Media Buying
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    Location
    Austin, Texas
    Number of Employees
    Under 49
  • We plan and manage advertising campaigns for you.

    Float Media House is a dynamic advertising agency specializing in precision media planning and programmatic buying that helps brands and agencies scale their operations with enterprise-level impact, even on startup budgets. By leveraging cutting-edge cloud technologies, real-time data, and advanced analytics...

    Top Services:

    • Media Buying
    Location
    Downey, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • Your media buying partner - for everychannel

    MBuy, a division of Mediaocean, combines everychannel media expertise and the best advertising technology in the industry - providing advertisers with superior media buying and planning services that reach and engage the right audience, in the right channels...

    Top Services:

    • Media Buying
    • Advertising
    Location
    Chicago, Illinois
    Number of Employees
    Under 49
  • Marketing and Advertising Seattle, Washington

    Copacino+Fujikado agency excels in providing full-service advertising solutions, emphasizing a blend of strategic insight and creative innovation infused with a human touch. They maintain lasting client relationships through a partnership approach that values empathy and collaboration, catering to local...

    Top Services:

    • Advertising
    • Digital Marketing
    • Media Buying
    Location
    Seattle, Washington
    Number of Employees
    100 - 249
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $10,000 - $25,000
  • Full-service advertising agency

    This dynamic agency offers a comprehensive range of services, combining creativity with expertise to deliver optimal results. Specializing in strategic media placement across various platforms, the company ensures each campaign is built on thorough and accurate research to benefit its clients effectively...

    Top Services:

    • Advertising
    • Media Buying
    Location
    Woodbury, New Jersey
    Number of Employees
    Under 49
  • Removing the guesswork from growth.

    Unlock Health is a tech and services growth agency that integrates managed care and marketing to address immediate growth challenges for healthcare providers. The agency offers a comprehensive range of products and technology to support both full-service agency operations and managed care consultancy needs...

    Top Services:

    • Digital Marketing
    • Social Media Marketing
    • SEO
    • UI/UX Design
    • Media Buying
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    Location
    Nashville, Tennessee
    Number of Employees
    100 - 249
  • We Know Media Buying Inside and Out

    Sloane Media, established in 2012, leverages over 20 years of experience in media sales to deliver value-driven campaigns and strategic market share growth. The agency emphasizes accountability and integrity while negotiating the best media investments and building revenue-focused advertising strategies...

    Top Services:

    • Advertising
    • Media Buying
    Location
    Hollywood, Florida
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Power Your Growth With Performance Marketing

    OpenMoves pairs media buying with its own OM3 email marketing platform, so paid acquisition and lifecycle campaigns run off shared customer data. The same media buying team also runs Amazon and ecommerce PPC for retail clients...

    Top Services:

    • Digital Marketing
    • PPC
    • SEO
    • Email Marketing
    • Social Media Marketing
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    Location
    Huntington, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    8 Projects Listed

Media Buying Agency FAQs

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 $3,000Tracking, 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 $500,00012 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 days30 to 45 days 
Google Search 3 to 10 days (with volume) 8 to 12 weeks
YouTube 5 to 10 days3 to 4 weeks 
CTV/Programmatic4 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 SizePlanning & SetupBuild & QAOptimization CadenceTotal Timeline
Small-scale1 to 2 weeks3 to 5 daysWeekly 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 Daily12 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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