A poorly managed ad account can burn through your budget fast, with little to show for it. Explore vetted PPC agencies in the US on DesignRush and compare providers by platform expertise, campaign results, and pricing to find the right fit for your business.
List of the Best PPC Agencies in the US
4,076 Companies-Rankings updated: August 21, 2026
DesignRush vets every pay per click agency based on professional qualifications and verified client feedback to help you choose confidently. Some listings may include paid placements.
Omega High-Impact Print Solutions delivers professional print and digital marketing services with precision and creativity. From large format signage and direct mail to web design and marketing strategy, we help businesses stand out, connect with customers, and make a lasting impact. Omega helps...
BMG360 is a performance marketing and lead generation agency built for smarter, faster growth. Brands partner with us as their full-service AOR, tap specific services like SEO, Paid Social, or Radio or plug directly into our On-Demand Lead Gen engine. Backed by 20+ years of proven performance, proprietary...
Collective Measures is an employee-owned media agency specializing in comprehensive connection strategies and advanced analytics. With a foundation in search and a deep understanding of consumer intent, the agency brings together media strategists, brand engagement experts, and data scientists...
Ignite your healthcare growth with Cardinal Digital's customized marketing solutions.
Ignite your healthcare growth with Cardinal Digital's customized marketing solutions.
Cardinal Digital is a leading healthcare SEO firm that specializes in delivering customized marketing solutions to increase leads, conversions, and authority for healthcare clients. With a focus on search engine optimization, pay-per-click advertising, Facebook Ads, web design, and more, we have partnered...
Boost Me Locally is a full-service digital growth marketing agency helping businesses increase visibility, generate qualified leads, and accelerate revenue through data-driven strategies. Our expertise includes SEO, local SEO, PPC management, social media marketing, web design and development, branding, and...
Lemonade Stand is a full-service digital marketing agency that excels in providing clients around the world with tangible, measurable results for their online business and presence. We specialize in Website Development, Web design, SEO, PPC, Social Media Marketing, Analytics, and Video Production...
USIM is a full-service, integrated, media planning and buying agency. We are media agnostic - aligning the most successful and efficient media strategies with the goals of our clients, regardless of channel. We combine advanced technology with the human touch to deliver results for clients in a wide range of...
We help brands grow online by turning potential customers' indecision into confident purchases
We help brands grow online by turning potential customers' indecision into confident purchases
At The AJ Center helps businesses achieve transformative growth by creating digital strategies that turn hesitation into action. We help your customers say Yes without second-guessing, by crafting marketing solutions that resonate with audiences and drive confident decisions...
We specialize in building websites, logos and brands for physicians, surgery centres, hospitals and healthcare organizations. Our talented designers collaborate with our technical group to create a personalized site that is graphically superior and functionally sound...
Apiary Digital is a consultancy specializing in tailored digital marketing solutions for high-growth companies. With expertise in SEO, paid media, data analytics, creative design, and advanced capabilities like GA4 configuration and website optimization, Apiary partners with tech, SaaS, and e-commerce leaders...
Nakatomi is more then a marketing agency, our experience is backed by over a hundred clinent recommendation and 55 industry awards, such as best agency, the family business of the year by CitiBank. We run comprehensive marketing campaigns in 50 countries. We have more than 240 specjalist in 6 office spread...
iQuinceSoft is a technology company specializing in web domains, mobile platforms, SEO and design. Our team consists of designers and programmers with expertise in mobile application development for iOs, Android, open source (PHP, Joomla, Zencart, OsCommerce) and Framework (CakePHP)...
SEOFAT is a full-service digital agency offering SEO, web development, and marketing solutions. We help brands grow visibility, leads, and revenue through smart, data-driven strategies...
Search Berg is a reputable enterprise SEO and digital marketing agency that offers various services, including SEO, Paid Marketing, Content Marketing, Website Design and development, Social Media Management, and Reputation Management...
Your Trusted Web Design Company & All Digital Marketing Solutions Under One Roof
Your Trusted Web Design Company & All Digital Marketing Solutions Under One Roof
At Varun Digital Media, we dont just design websites or run campaigns we craft digital ecosystems that grow with your business. Headquartered in New Jersey, USA, and powered by a 200+ member team, we are a results-driven digital marketing, web design, and branding agency trusted by 2,000+ clients...
At Agency Elevation, our team of experts is passionate about helping agency owners reach their highest goals. Our specialists include SEO specialists, Google and Facebook Ads professionals, strategists for full-scale campaigns, creative thinkers and conversion rate masters!...
CloudMellow, a Dallas-based digital marketing agency, thrives on empowering businesses with creative, data-driven strategies. From SEO and PPC management to website design and branding, CloudMellow offers comprehensive solutions that drive results in the dynamic digital marketing industry...
Better practice growth starts with marketing built around how patients search and choose. MediaNV is a specialized Dental Marketing Agency serving dental clinics, podiatry clinics, and MedSpas across Canada and the United States. Since 2014, our expertise in Digital Marketing for Dentists has helped practices...
Real Time Marketing is a full-service, in-house agency serving home service businesses across the U.S., including plumbers, electricians, HVAC contractors, and more. With 100+ years of combined experience, our team is highly specialized in every aspect of marketing...
In this digital era where technology is creating new opportunities Uptime Web Solution stands out to provide affordable Digital Marketing Services in the USA...
Based in Texas, United States Of Amreica, PyroBytes is an international firm at its core. We have successfully completed more than 150 projects thanks to our dedicated team of expert software developers, web designers, and online marketers...
Mindstream Media is a full-service media agency. They give national brands the results that matter most to them with end-to-end advertising strategies. Mindstream Media delivers effective campaigns across all types of media, including PPC, SEO, & more...
Innovative tech solutions for businesses across domain
Innovative tech solutions for businesses across domain
Atiba is a leading technology consulting and services company that specializes in delivering innovative solutions to businesses across various industries, specializing in SharePoint consulting...
ClickFirst SMM is a digital marketing agency dedicated to providing top-tier services with an unwavering commitment to its core values. With the ever-evolving digital landscape, ClickFirst SMM embraces change, adapting its campaigns and strategies to stay ahead of the curve...
At BizIQ, we believe success is measured in the growth and vitality of our client’s businesses. We craft results-focused strategies tailored to each unique business need—from website design & development, to search engine optimization & pay-per-click advertising and more. Our budget-friendly solutions are...
Medium Giant is a marketing consultancy of divergent thinkers who devise strategies that deepen connections, expand influence, and scale success. We can help your brand break from the status quo...
Metric Theory is a performance digital marketing powerhouse with offices in five major cities throughout the United States. From San Francisco to Salt Lake City and everywhere else in between, we're ready to help clients maximize their online presence across all platforms...
Torchbox is an employee-owned digital agency. We support the NGOs of the future as they quickly restructure their organisations and produce digital goods and services. We are Wagtail's original developers and are in charge of the open-source initiative. Additionally, we offer bespoke, data-driven programmes...
Get noticed by customers that are actively searching for your product or service on Google.
Get noticed by customers that are actively searching for your product or service on Google.
We are a digital marketing business that offers a comprehensive range of services, we are able to manage everything in-house. We assist companies in the development of their marketing strategy, the construction of websites that are innovative and engaging, the development of marketing campaigns to attract the...
Fannit guides businesses towards success with our extensive SEO expertise. Our customized solutions help maximize sales and marketing potential, unlocking new horizons of growth...
We provide full-service digital marketing solutions for medium-sized and large businesses, advising on attracting new customers and increasing sales...
Strategies 360 is the go-to firm when it comes to navigating tricky political waters. We have a wide range of services around public policy, marketing, and communications for clients across 10 western states and Washington DC - from research polling, lobbying at both federal and state levels, content crafting...
Butler, Shine, Stern & Partners (BSSP) is an independent creative agency headquartered in Sausalito, California, with additional offices in New York City. Founded in 1993, the agency is renowned for blending bold creative with strategic insight, offering full-service advertising, digital marketing, brand...
Blurbpoint has been helping businesses grow their online presence for over a decade now. We've helped 1000+ businesses to enhance their reach across their target audience with our digital marketing services such as PPC, SEO, Content Marketing and Affiliate Marketing. We're located in the USA, India and...
TechShu unlocks the power of digital marketing for businesses of every size, giving them an unbeatable return on investment. By combining structured SEO tactics with strategic Facebook ads campaigns, we deliver success in record time – and our strategies are tailored to each customer's unique needs. Simply...
Rocket55 is a full-service digital agency, serving as a guide for our clients as they wade through today’s murky marketing landscape. We have built the know-how and team of experts to not just offer digital services, but to be the best at each that we do...
The digital marketing and media agency for rising star brands.
The digital marketing and media agency for rising star brands.
Stella Rising is the agency for rising stars. We're the leading marketing and media agency for spirited, high-growth companies; we understand how to build foundationally strong and admired brands.we have extensive experience in beauty, food, health, and retail...
At Add3, we work with our clients to create unforgettable marketing campaigns that reach their goals. Our Seattle-based digital agency offers interactive and immersive ads designed for the modern customer through search engine, SEO, social media, and display advertising. We're here to ensure your business is...
Being a Dentist Is Your Job — Dental Marketing Is Ours.
Being a Dentist Is Your Job — Dental Marketing Is Ours.
In a digital world, you need a digital partner. At ProSites, we tailor comprehensive digital marketing strategies targeted to your practice goals to help you find patients and build long-lasting relationships. Trusted by over 7,500 doctors and endorsed by 15 state dental associations...
Jumppace, a powerhouse agency with locations in Dallas, Texas and Karachi, Pakistan, offers top-of-the-line expertise in growth optimization and software development. Their talented team is dedicated to helping businesses thrive and reach their full potential...
With almost two decades in the game, Location3 is a digital partner for franchises everywhere. Our forward-thinking marketing strategies and cutting-edge technology provide brands with an unrivaled opportunity to tell their story. Located at the heart of Denver, we bring global solutions that put each...
ValueHits is a Digital Marketing Agency specializing in providing online marketing solutions to businesses worldwide. With a team of experienced professionals with AI-driven expertise, ValueHits offers a range of services, including SEO, PPC, social media marketing, content marketing, GBP optimizati...
What services does a pay per click agency in the US provide?
Pay per click agencies in the US offer a full spectrum of specialized services that integrate paid media into the broader marketing and revenue strategy and enable businesses to acquire more customers and grow demand on targeted channels.
Guided by data to make spend decisions, eliminate waste, and maximize return on investment (ROI), the role of these specialists is to make each advertising dollar accountable.
As part of its portfolio, a PPC agency provides campaign planning, keyword research, ad creation, copywriting, bid management, budget allocation, A/B testing, and performance tracking.
Professional PPC services are greatly sought after, as the majority of companies (60%) outsource PPC managementto agencies, while 20% work with freelancers, and only one in five businesses maintains an in-house paid media team.
How much does a pay-per-click agency charge in the US?
PPC companies in the US typically charge from $100 to $150 per hour. In addition to hourly-based models, these agencies operate on the following pricing models:
Fixed monthly fee or a subscription: Ranges from $1,500 to $10,000, depending on the campaign size and scope
Percentage of ad spend: Typically falls between 10-30%, with the percentage often decreasing as ad spend increases
Performance-based pricing: Payment is tied to results, such as the number of leads or conversions generated
Project-based pricing: Entails a one-time fee for a specific project, unaffected by ad spend
Predominantly, agencies price their services based on a % of monthly ad spend, with over 50% of PPC companies using this model as their primary. Following closely at 33%-35% are agencies charging a flat monthly fee.
What do US pay-per-click agencies charge that most buyers don't expect?
Setup fees, creative production, tracking implementation, and tool costs rarely appear in the proposal. Here’s what to expect:
Add-on
Typical range
One-time setup fee
$500 – $2,500
Conversion tracking setup
$300 – $1,500
Ad creative production
$300 – $1,500/month
Tool subscriptions
$100 – $500/month
Early termination fee
1 - 3 months retainer
Before signing, ask for a sample first invoice from a client at your scope level.
How do I know if I'm hiring the right pay per click company in the US for my budget?
Most PPC agencies have an effective minimum. Below roughly $3,000 in monthly ad spend, there is not enough data volume for the bidding algorithm to optimize, and not enough margin for the agency to staff the account with anyone senior. If an agency is willing to take any budget without flagging this, that is worth noting.
Budget fit also affects how you should think about pricing. An agency charging a percentage of ad spend earns more when you spend more. Considering that, at lower budgets, misalignment is manageable, but above $20,000 a month, it becomes a real incentive problem.
Before signing, ask directly how their fee structure changes as your spend scales.
What is a realistic timeline to see results from a PPC agency, and what should I expect week by week?
A well-run PPC engagement should show directional movement in cost-per-conversion within three months.
Here is what the agency should be delivering at each stage:
Days 1 to 30: Conversion tracking confirmed, campaign structure built, baseline CPA or ROAS established, and a documented hypothesis about what will move performance and why.
Days 30 to 60: Active testing underway with ad copy variants, audience segments, and match type adjustments. You should be able to see what is being tested and what the agency expects to learn from it.
Days 60 to 90: Early performance data available. The agency should be able to tell you what did/didn’t work and what changes are planned for the strategy going forward.
How can I tell if my current PPC strategy is underperforming before I hire anyone?
Check these five things before you brief a single agency:
Conversion tracking is recording the wrong events. If your campaigns are optimizing toward page views or session starts instead of form fills, calls, or purchases, every performance number in your account is built on a bad signal.
Your search terms report is full of irrelevant queries. If you are paying for clicks from searches that have nothing to do with what you sell, your negative keyword strategy is either absent or neglected.
Cost per conversion has been climbing with no change in targeting. Gradual CPA increases without a plausible explanation usually mean the account has not been actively managed; automated bidding running on its own is not optimization.
Your best-performing campaigns have never been tested. If ad copy, landing pages, and audience segments have been static for more than 90 days, the performance is not being optimized; it is merely running.
You have no visibility into which campaigns are driving revenue. If your reporting stops at leads or clicks and does not connect to closed business, you cannot tell what is working.
What are the red flags when evaluating PPC agencies in the US?
Here are some common warning signs to watch out for PPC agencies in the US:
They guarantee specific results. PPC runs on an auction. No one controls what competitors bid, how the algorithm weights signals, or how your landing page converts.
Their reporting lives in a proprietary dashboard you cannot export. If your performance data only exists inside their platform, you own nothing when the relationship ends.
They have never worked in your vertical. Industry context affects keyword intent, competitor behavior, and conversion patterns. An agency learning your space on your budget is a real cost.
They push to increase the budget before the current spending is profitable. Scaling an unprofitable account spends more money at the same losing rate.