Most people looking at Google Ads agencies in the USA already have a clear idea of what they want. Now it is about finding the right partner to bring it to life. Browse our DesignRush agency directory to review vetted providers and find your match.

Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.

United States × Google Ads × Health Care ×Clear Filters
  • Digital Marketing That Helps Small Businesses Get More Leads, Customers and Revenue

    828 Biz Marketing helps small businesses in Hendersonville, Asheville, Western North Carolina, South Carolina and North East Florida to grow with expert web design, SEO, Google Ads, social media marketing and local SEO strategies that generate leads and customers...

    Top Services:

    • SEO
    • WordPress Website Design
    • Digital Marketing
    • PPC
    • Web Design
    • Show more
    Location
    Hendersonville, North Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Your Agency Of Record Growth

    Simplicity Media connects high-reach channels with digital conversion. The Irvine agency plans and manages TV and CTV, radio, podcast, Hispanic media, paid search, paid social, and programmatic campaigns, supported by landing pages, creative production, attribution, and continuous optimization for...

    Top Services:

    • Creative Services
    • Video Production
    • Audio Production
    • CRO
    • Media Buying
    • Show more
    Location
    Irvine, California
    Number of Employees
    Under 49
  • Better paths from search to contact.

    Ads Web Media helps Kansas City and Overland Park businesses improve the path from search to inquiry. We provide SEO, website design and development, Google Ads, paid social, apps, and custom software with clear scope, practical communication, and direct contact with the team doing the work...

    Top Services:

    • Web Design
    • SEO
    • Web Development
    • eCommerce Development
    • WordPress Website Design
    • Show more
    Location
    Overland Park, Kansas
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • Specialist teams for software, AI automation & BPO

    Naqvix is a technology and operations partner for US companies. Rather than one generalist bench, we run dedicated specialist teams — each led by an industry expert — under one roof: custom web and SaaS development; iOS, Android, Flutter and React Native apps; AI agents, chatbots and workflow automation;...

    Top Services:

    • Software Development
    • Web Development
    • Mobile App Development
    • AI Development
    • BPO
    • Show more
    Location
    San Ramon, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $30/hr
    Minimal Budget
    $1,000 - $10,000
  • Practical AI automation for small businesses

    SimplySolvd builds practical AI automation for U.S. small businesses. Each engagement opens with a diagnostic that pinpoints where time and revenue are leaking, then we build the fix: automated workflows, client portals, booking systems, and owner dashboards...

    Top Services:

    • Reputation Management
    • Web Design
    • Digital Marketing
    • AI Development
    • Content Marketing
    • Show more
    Location
    Sheridan, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $500/hr
    Minimal Budget
    $1,000 - $10,000
  • Turn your website into a lead generation machine through its high rankings on Google and AI

    At Lewis SEO Tulsa, we specialize in helping local businesses in the Tulsa area grow their online presence through proven, results-driven SEO strategies. Our expert team works to dramatically improve your websites organic search rankings targeting even the most competitive keywords so you can rise above the...

    Top Services:

    • Digital Marketing
    • AEO
    • SEO
    • Web Design
    • CRO
    • Show more
    Location
    Tulsa, Oklahoma
    Number of Employees
    Under 49
    Average Hourly Rate
    $200/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Softwar Solution Partner.

    By creating top-notch software solutions that are well suited to the client needs, we help our clients overcome obstacles and grow their businesses...

    Top Services:

    • AI Development
    • Mobile App Development
    • Software Development
    • ERP Consulting
    • CRM Consulting
    • Show more
    Location
    Cheyenne, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    2 Projects Listed
  • Real Results For Dallas Business Owners

    GridCrafters SEO is a Dallas-based SEO agency focused on driving real leads, not just rankings. We specialize in local SEO, Google Business Profile optimization, and high-converting websites built for speed and performance. Our approach combines technical SEO, citation building, and conversion-focused design...

    Top Services:

    • SEO
    • Digital Marketing
    • CRO
    • Web Design
    • Web Development
    • Show more
    Location
    Dallas, Texas
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • All-In-One Ecommerce Accelerator

    Helping brands scale on marketplaces. We either operate as your wholesale partner (we buy inventory and take on sales/marketplace ops) or as a services partner (we manage your entire marketplace growth under your own accounts)...

    Top Services:

    • eCommerce Development
    • eCommerce
    • SEO
    • PPC
    • Email Marketing
    • Show more
    Location
    Brandon, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $1,000 - $10,000
  • LindenHurst Seo agency

    MIS Services Inc Long Island digital marketing agency in Lindenhurst, NY since 2013. We deliver SEO, web design, PPC, content marketing, and AI search optimization (AEO/GEO) getting clients cited by ChatGPT, Google AI Overviews, and Perplexity. Specialty: HIPAA-safe healthcare marketing for medical, dental...

    Top Services:

    • Reputation Management
    • Digital Strategy
    • Web Design
    • eCommerce Development
    • Web Development
    • Show more
    Location
    Lindenhurst, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
  • Your Partner For What's Next

    Award-winning marketing agency trusted by 200+ businesses nationwide for web design, SEO, PPC, social media, and automation, backed by responsive service and lasting client relationships...

    Top Services:

    • Web Design
    • AEO
    • SEO
    • Social Media Marketing
    • CRO
    • Show more
    Location
    Hauppauge, New York
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Dominate The Digital SpaceWe Make It Happen!

    K2 Rankings Tech is a premier B2B digital marketing and web design agency based in the USA. We act as your brands ultimate power boost, turning complex digital challenges into measurable success. Specializing in advanced SEO, high-converting PPC campaigns, tailored WordPress/Shopify web design, and...

    Top Services:

    • Design Services
    • Web Design
    • Web Development
    • WordPress Website Design
    • Digital Marketing
    • Show more
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $40/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • PR, digital marketing and AI visibility for stronger discovery, authority and demand.

    Evoke Strategy is a Tampa-based public relations and digital marketing firm that helps companies and organizations turn real-world authority into stronger discovery, consideration and demand. We connect PR, search, AI visibility, content, paid media and measurement so the right audiences can find, t...

    Top Services:

    • Digital Marketing
    • Public Relations
    • PPC
    • Social Media Marketing
    • AEO
    • Show more
    Location
    Tampa, Florida
    Number of Employees
    Under 49
  • Andava Digital: Your Trusted Digital Companion

    We've mastered the art of digital journeys, becoming your ultimate team for online success. Our mission? To stand by you, ensuring your digital dreams not only come true but surpass your expectations...

    Top Services:

    • SEO
    • PPC
    • CRO
    • Email Marketing
    • Social Media Marketing
    • Show more
    Location
    Los Angeles, California
    Number of Employees
    50 - 99
    Minimal Budget
    $1,000 - $10,000
  • Energized By Exceptional Creativity

    RTL Digital Media offers a number of solutions to help you make people adore your brand as much as you do. We understand that excellent branding is a combination of good processes and strong graphic execution. Our designers have designed or reinvented branding packages for both large and small...

    Top Services:

    • SEO
    • Advertising
    • Digital Marketing
    • PPC
    • eCommerce Development
    • Show more
    Location
    Kennesaw, Georgia
    Number of Employees
    Under 49
    Average Hourly Rate
    $175/hr
    Minimal Budget
    $1,000 - $10,000
  • Where Strategy & Creativity Meet

    Lo Media Agency is a creative powerhouse specializing in captivating visual content, branding, and web development. We elevate brands with high-quality video production, innovative branding strategies, and state-of-the-art web design. Our team works closely with clients from concept to final execution...

    Top Services:

    • Digital Marketing
    • SEO
    • PPC
    • Video Marketing
    • Video Production
    • Show more
    Location
    Tappan, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $1,000 - $10,000
  • Elevate Your Braand. Dominate Your Market.

    Unclaimed Digital is a Miami AI SEO agency that gets businesses recommended on ChatGPT, Perplexity and Google AI Overviews, while ranking higher on Google. We also build WordPress and Shopify websites, run Google Ads and Meta Ads, and manage social media and content. Law firms, medical practices and...

    Top Services:

    • AEO
    • SEO
    • Web Design
    • Digital Strategy
    • PPC
    • Show more
    Location
    Miami, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • Marketing for the 21st Century

    We make digital marketing easy so you don't have to manage all the pieces. Todays digital landscape is complicated, fragmented and requires an array of skills. BootstrapVT blends old school marketing with new school technology. We know all the acronyms and the underlying tech services. Marketing has changed...

    Top Services:

    • Digital Marketing
    • Email Marketing
    • Content Marketing
    • SEO
    • PPC
    • Show more
    Location
    Burlington, Vermont
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • Connecting You to Customers, The Easy Way

    Easy Street Social provides the latest in Social Media Management and online marketing skills for small to large businesses. We stay up to date with the latest techniques and best practices to ensure the highest level of results and trustworthiness for all of our clients. A.I. is the latest tool in our...

    Top Services:

    • Social Media Marketing
    • Content Marketing
    • SEO
    • Advertising
    • PPC
    • Show more
    Location
    Toledo, Ohio
    Number of Employees
    Under 49
    Average Hourly Rate
    $120/hr
    Minimal Budget
    Under $1,000
  • Leading Digital Marketing Agency in Houston, TX

    4P Wisdom is a professional digital marketing agency dedicated to helping businesses grow, increase visibility, and generate quality leads online. We offer expert services in SEO (Search Engine Optimization), Google Ads management, social media marketing, website design and development, and Google Business...

    Top Services:

    • SEO
    • Digital Marketing
    • Content Marketing
    • Web Design
    • Web Development
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
  • Cincinnati-Based Digital Advertising

    Good Pup Digital is a Cincinnati & Northern Kentucky-based digital advertising agency specializing in Google Ads, Meta Ads, YouTube Advertising, and local SEO. We help small and mid-size businesses grow with paid advertising without the long-term contracts, hidden data, or revolving-door agency teams...

    Top Services:

    • PPC
    • SEO
    • CRO
    • Web Development
    • WordPress Website Design
    • Show more
    Location
    Union, Kentucky
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $1,000 - $10,000
  • Ex-Googlers running five growth pillars: strategy, web & CRO, SEO & AEO, paid media, social.

    MyLeadsFactory is a boutique performance marketing agency led by ex-Google strategists. We manage Google Ads, Meta and YouTube, SEO & AEO, landing-page CRO, and conversion tracking for B2B and local service brands. Senior-led, month-to-month, and you always own your accounts. Free audit on request...

    Top Services:

    • Digital Marketing
    • SEO
    • PPC
    • Social Media Marketing
    • Affiliate Marketing
    • Show more
    Location
    Chantilly, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000
  • Global Remote Staffing & Managed Services Partner

    Elite Virtual Employee (EVE Hire LLC) is a Global Remote Staffing Company Offering IT Staffing, Web & app development, digital marketing, payroll and vendor management services...

    Top Services:

    • HR Outsourcing
    • Staff Augmentation
    • IT Services
    • Cybersecurity
    • Managed Services
    • Show more
    Location
    Wilmington, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $35/hr
    Minimal Budget
    $1,000 - $10,000
  • Were Passionate About All Things Digital

    Custom WordPress website design and data-driven digital marketing. Combining beautiful design, intentional user experience, and clean code, we architect high-performance digital experiences optimized for search engines, modern AI visibility, and measurable business growth...

    Top Services:

    • Web Design
    • Digital Services
    • Digital Marketing
    • Graphic Design
    • Content Marketing
    • Show more
    Location
    Wichita, Kansas
    Number of Employees
    Under 49
    Minimal Budget
    $10,000 - $25,000
  • Marketing Generates Actions.

    CrowdBoost Marketing is a full-service agency in Burbank, CA, building marketing that moves people to act since 2006. One 17-person team handles websites, SEO (including AEO and GEO for AI search), paid ads, email, social, photo, video, branding and AI consulting, so clients get the personal attention of a...

    Top Services:

    • Digital Marketing
    • SEO
    • Web Design
    • AEO
    • Social Media Marketing
    • Show more
    Location
    Burbank, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $295/hr
    Minimal Budget
    $1,000 - $10,000
  • Full-service marketing agency. We build systems that make your company more money.

    Social Seed is a full-service marketing agency based in the Toronto area. We run Google, Meta, TikTok and LinkedIn ads, social media, websites, sales funnels, email and SEO as one connected system. Our in-house team makes the ad creative, builds the pages and tracks each lead and sale back to the campaign...

    Top Services:

    • Digital Marketing
    • PPC
    • Social Media Marketing
    • Media Buying
    • Advertising
    • Show more
    Location
    Fort Myers, Florida
    Number of Employees
    Under 49
  • We help advertisers reach the right audience, in the right place, at the right time.

    Thumbvista, since 2012, uses programmatic advertising tools such as geofencing and audience data to allow advertisers to reach the right audience based on location, time and interest...

    Top Services:

    • Design Services
    • Digital Strategy
    • Digital Services
    • Digital Marketing
    • Video Marketing
    • Show more
    Location
    Charlotte, North Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • Helping SMBs Achieve Goals with Strategic Planning and Execution.

    We help small and medium-sized businesses achieve top-line sales growth and capture more qualified leads by providing customized digital marketing strategies, tactics, and tools. Our digital solutions are tailored to meet your unique needs and drive results...

    Top Services:

    • Digital Strategy
    • Digital Marketing
    • AI Development
    • SEO
    • PPC
    • Show more
    Location
    Lake Geneva, Wisconsin
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
  • Performance-based Meta ads for wellness brands.

    We generate qualified buyer leads for $25,000 to $100,000+ wellness devices , equipment & technology...

    Top Services:

    • Media Buying
    • PPC
    • Advertising
    • Digital Strategy
    • Reputation Management
    • Show more
    Location
    Miami, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $300/hr
    Minimal Budget
    $1,000 - $10,000
  • Trusted By Healthcare Leaders

    JT Blue Marketing is a medical marketing agency that helps aesthetic medical practices, including plastic surgeons, dermatologists, cosmetic dentists, and medical spas, grow their business with proven patient acquisition strategies. We help practices attract high quality leads and consultations using paid...

    Top Services:

    • Digital Marketing
    • Email Marketing
    • PPC
    • SEO
    • Show more
    Location
    Las Vegas, Nevada
    Number of Employees
    Under 49
    Average Hourly Rate
    $200/hr
    Minimal Budget
    $1,000 - $10,000
  • Websites that work as hard as you do

    Beetle & Frog builds strategy-first websites for Inland Empire service businesses. We are based in Riverside and work exclusively with contractors, trades, medical practices, and local operators who need a site that actually generates calls and leads.Every project starts with your customer's decision...

    Top Services:

    • Web Design
    • Web Development
    • UI/UX Design
    • SEO
    • CRO
    • Show more
    Location
    Riverside, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $152/hr
    Minimal Budget
    $1,000 - $10,000
  • Marketing that advances your social impact and the common good.

    HelpGood is a full-service marketing and communications agency focused on social impact. Our clients are nonprofits, foundations, universities, government agencies, and purpose-driven organizations. HelpGood's offices are in Los Angeles and NYC. We are a certified B Corp...

    Top Services:

    • Web Design
    • Digital Marketing
    • Web Development
    • Branding
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $175/hr
    Minimal Budget
    $50,000 & Up
  • Design & Internet Marketing Agency

    Plaudit Design is a web design and Internet marketing agency. But more than that, were a close group of dreamers and do-ers with a passion for seeing you succeed. Were driven to help each and every client reach their greatest potential, and have fun doing it. Take a look and get to know us were excited to...

    Top Services:

    • Web Design
    • Digital Marketing
    • PPC
    • SEO
    • UI/UX Design
    • Show more
    Location
    St. Paul, Minnesota
    Number of Employees
    Under 49
    Average Hourly Rate
    $160/hr
    Minimal Budget
    $10,000 - $25,000
  • Best of Business Strategy, Creative Strategy, and New Technologies

    Elevate your marketing success with FabCom, the top Phoenix Integrated Marketing Agency. Our dynamic team goes beyond the ordinary, delivering exceptional ROI and empowering brands to reach new heights. With passionate creatives and strategic thinkers, we craft engaging advertising campaigns, leveraging...

    Top Services:

    • Branding
    • Digital Strategy
    • Design Services
    • Digital Marketing
    • Web Design
    • Show more
    Location
    Phoenix, Arizona
    Number of Employees
    Under 49
  • GET A MARKETING AGENCY THAT GETS IT. Get The Agency.

    We create brands not just logos and ads.We bring new ideas to the table.We provide guidance on innovative ad tech.WE KNOW YOU JUST WANT TO SEE RESULTS...

    Top Services:

    • Digital Marketing
    • Web Design
    • eCommerce
    • Social Media Marketing
    • Branding
    • Show more
    Location
    Charlotte, North Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $10,000 - $25,000
  • More visibility. Higher results

    Site Ascension is a Digital Marketing Agency that can help businesses of all sizes. In todays world, your customers and potential customers are all online. As well as all of your competitors. You need to break through all the online clutter to reach your market. This is where Site Ascension comes into the...

    Top Services:

    • SEO
    • PPC
    • Social Media Marketing
    • Email Marketing
    • Content Marketing
    • Show more
    Location
    Galveston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $95/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
    • Show more
    Location
    Swampscott, Massachusetts
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Your Solution to Digital Marketing Challenges!

    An agency that truly understands the value of marketing in business, we are a leading digital marketing company dedicated to becoming a strong pillar for your business, propelling it to new heights with exponentially high profits. We are well aware of the boundaries of marketing and advertising, but we are...

    Top Services:

    • Digital Marketing
    • Graphic Design
    • Branding
    • Logo Design
    • Web Development
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000
  • Unified Digital

    Perrill is a full-service digital marketing agency that powers businesses to win online through fully custom marketing, design, and development solutions. We are a Minneapolis-based, woman-owned agency with three decades of experience in the digital space. Our team of in-house experts uses a unified...

    Top Services:

    • Digital Services
    • Digital Strategy
    • Web Design
    • UI/UX Design
    • Email Marketing
    • Show more
    Location
    Minnetonka, Minnesota
    Number of Employees
    Under 49
    Average Hourly Rate
    $200/hr
  • Digital Marketing That Turns Visitors Into Customers

    At Fins Up Marketing, we don't just build websites we craft digital experiences that make waves! Based in sunny Port Orange, Florida, our team of creative pros dive deep into Website Design, SEO, Social Media Advertising, and Google Ads. With 27+ years of combined experience, we specialize in making brands...

    Top Services:

    • WordPress Website Design
    • Digital Marketing
    • Web Development
    • Social Media Marketing
    • SEO
    • Show more
    Location
    Port Orange, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $10,000 - $25,000
  • Grow With Confidence.

    Drofire is a results-driven marketing agency based in the Greater Seattle Area. We specialize in Web Design, PPC Management, SEO, Email & SMS Marketing, and Consulting. Our team combines high-quality execution with smart strategy to help businesses grow and scale efficiently. From small businesses to big...

    Top Services:

    • Web Design
    • PPC
    • SEO
    • Branding
    • Email Marketing
    • Show more
    Location
    Seattle, Washington
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
  • We help you help more people.

    BMA is a full-service digital agency that focuses on website design, search optimization, local visibility, content strategy, and social media management to help businesses strengthen their brand and achieve measurable growth...

    Top Services:

    • Advertising
    • SEO
    • PPC
    • CRO
    • Digital Marketing
    • Show more
    Location
    Las Vegas, Nevada
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $1,000 - $10,000
  • Reputation = Revenue

    WhizCrow is a technology-driven Online Reputation Intelligence and Management and Trust and Safety agency built for companies of all sizes, where reputation isn't a cost centre-it's a strategic imperative protecting and catalysing revenue...

    Top Services:

    • Reputation Management
    • Digital Marketing
    • Customer Support
    • SEO
    • Social Media Marketing
    • Show more
    Location
    Newark, Delaware
    Number of Employees
    Under 49
    Average Hourly Rate
    $60/hr
    Minimal Budget
    $1,000 - $10,000
  • Growth Marketing For Small Businesses

    Moorpark Marketing helps small businesses turn scattered marketing into a clear growth system. We support restaurants, salons, service businesses, ecommerce brands, and local companies with strategy, Google Ads, SEO, website optimization, analytics, and conversion tracking. Our work is built for owners who...

    Top Services:

    • Digital Marketing
    • PPC
    • SEO
    • CRO
    • Web Design
    • Show more
    Location
    Los Angeles, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $85/hr
    Minimal Budget
    Under $1,000
  • El Paso marketing and AI that turns searches into booked customers.

    Dead River Management helps El Paso service businesses get found and get booked. We combine local SEO, social media management, Google Ads, web design, and AI-powered lead follow-up into one system that captures every call, click, and message, then follows up automatically. Based in El Paso and serving the...

    Top Services:

    • Social Media Marketing
    • SEO
    • PPC
    • Digital Marketing
    • Web Design
    • Show more
    Location
    El Paso, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Your Competitive Edge

    Over The Top (OTT) is the premier marketing agency scaling health and wellness franchises through integrated tech and performance media. We specialize in creative strategy, performance media, and lead capture across national, regional, and hyperlocal levels. Seamlessly integrating OTT's proprietary lead...

    Top Services:

    • Digital Marketing
    • Creative Services
    • Social Media Marketing
    • Content Marketing
    • Advertising
    • Show more
    Location
    Mission Viejo, California
    Number of Employees
    Under 49
  • IT support and marketing under one roof. Est. 2018.

    We're a managed IT and marketing shop with real offices in Sarasota, Clearwater, and St. Charles, Illinois. Most of our clients came to us after getting burned by a provider who was slow to answer the phone. So that's the thing we obsess over: picking up fast, fixing it right, and knowing your setup well...

    Top Services:

    • IT Services
    • Managed Services
    • Cybersecurity
    • Digital Marketing
    • Advertising
    • Show more
    Location
    St. Charles, Illinois
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Turning strategies into outcomes that matter.

    We built the agency we would have wanted to hire. Our Mission: OSLA exists to close the gap between the marketing small and mid-sized businesses receive and the marketing they deserve. We deliver the strategy, creativity, and accountability that transform marketing from a cost center into a growth engine...

    Top Services:

    • Digital Marketing
    • Digital Strategy
    • SEO
    • AEO
    • Web Development
    • Show more
    Location
    Summerville, South Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • Revenue Growth In An AI-Driven Market

    KeenView is a search agency focused on revenue growth for ecommerce, DTC, and service-based brands. It helps clients get found on AI platforms like ChatGPT, Claude, Google AI Overviews, Perplexity, and Grok, along with Google search. Clients work one-on-one with a senior executive who has 20+ years in the...

    Top Services:

    • AEO
    • SEO
    • eCommerce
    • Digital Marketing
    • Digital Services
    • Show more
    Location
    San Diego, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $95/hr
    Minimal Budget
    $1,000 - $10,000
  • Digital Marketing | Design | Content | Web Development | 18+ Yrs

    Astha Technology Solutions is a digital marketing agency founded in 2008 with 18+ years of experience and 1,200+ clients served. Our 30+ experts deliver SEO, PPC, Social Media, Content, Lead Generation, CRO, Email Marketing, Automation, & Web Development, focused on measurable growth...

    Top Services:

    • SEO
    • PPC
    • Social Media Marketing
    • Branding
    • Graphic Design
    • Show more
    Location
    Tempe, Arizona
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    1 Project Listed

Why companies trust DesignRush

Every agency is independently vetted before it can be listed or ranked

1

Identity Check

We verify businesses and reviewer LinkedIn profiles for integrity.

Agencies vetted
130,512+
2

Portfolio Review

We review agency work, case studies, and results to confirm skill.

Applicants rejected
47%
3

Ongoing Audit

We monitor listings regularly; outdated agencies are removed.

Agencies verified
1,076

Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.

See how rankings and monetization work.

7 FAQs About Google Ads Agencies in the USA

How much do Google Ads services in the US cost?

When hiring Google Ads services in the US, most businesses pay between $1,500 and $5,000 per month in agency management fees, separate from the ad budget paid directly to Google, while percentage-based pricing commonly ranges between 10% and 20% of ad spend. 

Cost is usually driven by: 

  • Number of campaigns  
  • Geographic targeting complexity  
  • Conversion tracking requirements  
  • Landing page involvement  
  • Volume of creative testing  

How do I know if I'm hiring the right Google Ads agency in the USA for my budget?

The right agency for your budget is the one that can explain exactly how it will allocate resources before it talks about results. 

To evaluate the fit, ask your prospects:  

  1. Who will manage your account daily?  
  2. How many accounts do they personally handle?  
  3. What optimization happens weekly vs monthly?  
  4. How is performance tied to revenue, not clicks?  
  5. What will they not do with your budget?  

As a rule of thumb, when comparing Google Ads agencies in the US, clarity of process is often a stronger predictor of success than portfolio size. 

What is a realistic timeline to see results from my Google Ads engagement?

Most Google Ads campaigns begin producing reliable optimization signals within 30 to 90 days, depending on conversion volume and tracking quality. 

Google explicitly notes that Smart Bidding strategies require a learning period before performance stabilizes as the system adapts to conversion signals and auction dynamics. 

What this means in practice: 

Week 1-2
  • Tracking validation and fixes  
  • Campaign restructuring  
  • Initial keyword and audience setup 
Week 3–4 
  • Early search term refinement  
  • Negative keyword expansion  
  • Baseline performance formation
 Month 2
  • First meaningful optimization cycle  
  • Ad variation testing begins producing directional data 
Month 3
  • Stable performance trends emerge  
  • Budget allocation becomes more efficient

What do Google Ads agencies in the US charge that most buyers don't expect?

Most buyers don't expect to pay extra for conversion tracking, CRM integrations, landing page optimization, and creative production, as these are often excluded from a US Google Ads agency's base management fee. 

Hidden or additional costs often include: 

  • Conversion tracking setup (GA4, GTM)  
  • Enhanced conversion implementation  
  • CRM integration for lead quality tracking  
  • Landing page design or CRO work  
  • Creative production for ads  
  • Call tracking software subscriptions  

What's the difference between a good agency and an average one in this space?

Good Google Ads agencies in the United States optimize for revenue and qualified pipeline, while average agencies optimize for vanity metrics like clicks and impressions. 

This difference is structural and shows up immediately in reporting and decision-making. 

The distinction looks like this: 

Good Agency Focus Average Agency Focus 
Revenue and pipelineClick-through rate
Lead qualityTraffic volume
Conversion valueCPC reduction
Attribution clarity Platform metrics
Business impact Campaign activity

Most underperforming Google Ads agencies in the US are not failing at execution, per se. Their common denominator is that they are optimizing the wrong layer of the funnel. 

What does a bad engagement look like with a Google Ads agency in the USA, and how do I avoid it?

A bad Google Ads engagement is usually defined by a lack of clarity, rather than an immediate performance decline. 

Warning signs include: 

  • Reporting becomes less actionable over time  
  • Meetings focus on explaining instead of improving  
  • No clear documentation of what changed in the account  
  • Metrics shift toward vanity indicators (clicks, impressions)  
  • Optimization cadence becomes inconsistent  
  • Strategic recommendations stop evolving  

To avoid poor engagements with Google Ads agencies in the US, require a recurring structure that answers: 

  1. What changed this month?  
  2. Why did it change? 
  3. What will be tested next?

How much involvement will I need to have once the agency is hired?

You’ll have low day-to-day involvement, but you must stay involved in strategy, priorities, and performance decisions. 

After onboarding, your role with Google Ads agencies in the US typically falls into three areas: 

Business input (required, ongoing) 
  • Define priority products/services  
  • Clarify lead quality standards  
  • Share margin, pricing, and capacity changes 
Performance decisions (monthly) 
  • Review results at the revenue/lead-quality level  
  • Approve budget shifts and scaling decisions  
  • Align on what is working vs not working 
Occasional approvals (as needed)
  • Landing pages or creative direction  
  • Offer changes or funnel updates  
  • Tracking or major campaign changes 

 The bottom line is that execution will be handled by the agency, but outcomes will ultimately depend on your input on business context and lead quality feedback.