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
3,008 Companies-Rankings updated: August 22, 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.
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...
Marketing More Affordable Than You May Think Possible
Marketing More Affordable Than You May Think Possible
Our marketing approach is to identify exact opportunities for getting your business more customers, sales, and revenue. We want to give your products and services the right messaging, design, and media channels at the most efficient price possible...
At Webserv, our team of SEO specialists and PPC experts are dedicated to maximizing your business results. With practical design techniques and advanced CRO experiments – we've helped one healthcare company experience an incredible 1300% rise in leads! We make work easier for you, talk to us today!...
Admark is an independent advertising agency. We are fueled with the desire to create, invent and design. We work with top brands in B2B and B2C businesses...
Our roots are in building and shipping demand gen strategies that lead to exponential outcomes. Well leverage our experience to identify the best strategies and tactics, implement testing frameworks for continuous improvement, and partner with sales to ensure sourced deals are actually turning into revenue...
Maxify Marketing specializes in increasing visibility for local businesses.
Maxify Marketing specializes in increasing visibility for local businesses.
True or false? Your business is too small to find new clients online. False! Are you sick of spending money on marketing that doesn't work? Are your employees twiddling their thumbs because their calendars aren't full? If you are you a small to medium-sized local business that provides services to your...
One-Stop Shop to Build Your Brand and Drive Traffic to Your Doors
One-Stop Shop to Build Your Brand and Drive Traffic to Your Doors
We are a non-traditional marketing firm with more than 15 years of experience in the restaurant and hospitality sectors, and we are committed to working only with eateries...
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...
Smart strategy. Bold design. Results you can measure. Ideation Digital blends creative marketing with data-driven performance to grow businesses online. We specialize in driving business growth through strategic digital marketing solutions...
We are strategic growth partners that help you leverage the best platforms and services to solve your biggest challenges and achieve your goals. Outsmart the competition with best-in-class digital marketing services. You'll be in good company...
10X Commerce Co. is an eCommerce growth agency that helps brands scale through data-driven marketing, conversion optimization, and performance strategies. The company focuses on supporting online stores with services such as paid advertising, funnel optimization, and revenue growth strategies tailored for...
A full service team of medical digital marketers. HIPAA-focused business growth partners.
A full service team of medical digital marketers. HIPAA-focused business growth partners.
We develop a personalized strategy and execute it; from code to design, content, analytics, video production, web development, SEO, and anything else your practice may need to grow...
We have years of expertise assisting organizations exactly like yours to expand.
We have years of expertise assisting organizations exactly like yours to expand.
Our team of experts is passionate about seeing our clients succeed, and we have a track record of delivering outstanding results.We provide a wide range of services, including search engine optimization, web design, pay-per-click advertising, email marketing, and many other strategies to help you connect...
We are a Google Partner Certified digital marketing agency that specializes in e-commerce solutions, including conversion rate optimization and product marketing. We have many years of experience working with small businesses and entrepreneurs to develop their brand's identity, establish their e-commerce...
All-in-One Social Media Marketing and Digital Marketing Services
All-in-One Social Media Marketing and Digital Marketing Services
Libra Web and Marketing Solutions is the leading Social Media Marketing and Website Design firm servicing the Kissimmee and Orlando areas. They provide their services to local businesses. We provide services that are the best in their fields, including Search Engine Optimization (SEO), Social Media Marketing...
Spark Solutions is a digital marketing firm and Google Certified Partner. From Spark to Flame, we help service-based businesses get found online and ignite tangible business growth. We do this with Google Ads Management and Search Engine Optimization. Our proactive account management approach supports our...
Geek Dental Marketing is a Miami-based dental marketing agency specializing in growth-focused strategies for modern dental practices. We help dentists attract consistent new patients through Dental SEO, Google Ads marketing, branding, websites, and AI-driven search visibility. Our approach goes beyond design...
Forest City Digital is an eCommerce marketing agency based in Brecksville, Ohio, specializing in helping businesses thrive in the competitive online market...
Deep Rooted Search for the Best Digital Marketing Strategy
Deep Rooted Search for the Best Digital Marketing Strategy
At WrightIMC, our mission is to provide marketing solutions that are second to none. With over a decade of experience combined with cutting-edge resources and project management techniques, we strive to help grow businesses in all aspects of search - from SEO/SEM and content creation through analytics &...
Boost your online presence with MySource Digital Marketing Agency in Kalispell, MT. We offer expert SEO services, web design, social media, and more. Drive growth with our comprehensive digital marketing solutions. Contact us today!...
Overly Social is a Marketing Agency in Los Angeles and Ventura County. Rated a Top Marketing & Media Company in Westlake Village. We strive in building the most engaging and profitable digital marketing strategies for your brand...
Launch Studios is a leading digital marketing agency based in Austin, Texas. We help businesses grow with search, social media, and email campaigns that generate interest, sales, and leads through our proven custom marketing solutions, refined over 25 years of helping brands, merchants, entrepreneurs and...
Digital Marketing That Turns Heads, Clicks, And Converts
Digital Marketing That Turns Heads, Clicks, And Converts
We are the digital partners for small businesses in the US, Canada, Europe, and Australia. Specializing in expert SEO, AI-powered marketing, and performance optimization, we help you achieve real, measurable growth...
With 12+ years of experience in the SEO industry, RankScience has developed a unique approach to SEO that combines AI-powered technology with proven strategies to deliver results that are both effective and measurable...
With the use of Facebook Ads, Instagram Ads, Google Ads, and Search Engine Optimization (SEO), the digital marketing firm known as AdsManaged.co has assisted over 500 different company owners in increasing their sales and meeting tough projections. The year 2010 marked the beginning of operations for our...
InterActive Circle is a dynamic digital marketing agency that will take your business to the next level. Our unique approach combines web development, SEO optimization, social media campaigning and PPC strategies – all working in tandem towards strengthening your online presence and achieving tangible...
We help brands attract, acquire & retain customers... profitably
We help brands attract, acquire & retain customers... profitably
The Peachy Company is not your average marketing agency. We are a growth partner that holds ourselves accountable to your profit.To accomplish this we use top-to-bottom strategy, meaningful growth metrics and a powerful selection of full-funnel marketing services to help you achieve profitable and...
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...
SERPCOM projects are built to drive traffic, leads and conversions.
SERPCOM projects are built to drive traffic, leads and conversions.
SERPCOM is a full service Boston marketing agency focused on improving online visibility, increasing traffic, raising revenue, sport marketing solutions, and providing SEO services...
DMR Media is a performance-focused real estate marketing agency built for agents, teams, and brokerages that want consistent listings, not random leads or empty metrics...
We specialize in Web Design and Development, Search Engine Optimization (SEO), Graphic Design, Website Re-designs, Modernize your old HTML site converting to WordPress CMS, Website Maintenance, Cost Efficient Consulting & Independent Contracting Services...
Innovative Digital Agency Crafting Impactful Experiences
Innovative Digital Agency Crafting Impactful Experiences
Mad Mind Studios, based in Los Angeles, is your go-to for comprehensive branding, web design, and SEO solutions. From custom websites to logo and packaging design, animation, pitch decks, and both on-site and off-site SEO, we're dedicated to positioning your brand for success...
NOVA Brandworks combines SEO and story-driven media to help SMBs punch above their weight. Your hands-on growth partner in digital and marketing. We design search-driven web systems that help customers find you wherever they are searching...
From SEO and PPC to Content and Social Media, OptZoom Digital Agency will help you create an effective online marketing strategy that drives results. Get started today and grow your business!...
Orange Web Group: Elevating your digital presence! We're a one-stop shop for small and medium businesses in Orange County, CA. From mobile app and web development to digital marketing and graphic design, we'll help you stand out in today's digital landscape. Let us be your partner in success!...
Relevance Advisors is an interactive agency that ensures your web presence stands out. Our search marketing services help boost visibility on major search engines and increase conversion rates, while our cutting-edge expertise in online marketing keeps you winning...
Firefly Marketing is a creative and digital marketing agency that provides effective solutions cultivated from over 20 years of experience serving Louisiana businesses...
Blac Flag is a full-service creative, development, and growth partner for brands that need more than pretty pictures. We design and build high-performing sites, apps, and automations, then back them with SEO, email, and paid media that actually drive revenue...
Silverback Web Design & Digital Marketing Agency is based in St. Louis, MO and specializes in Web Design and Complete SEO services for contractor businesses and home service companies. At Silverback Web Design & Contractor Marketing we take a no monkey business approach to get gorilla results for contractors...
Grow Leads, Sales, and Revenue with a Results Driven Digital Marketing Agency
Grow Leads, Sales, and Revenue with a Results Driven Digital Marketing Agency
Manta is one of the largest online resources dedicated to helping small businesses grow. Our mission is to empower small businesses to achieve their full potential and reach new customers by claiming their business online, implementing effective SEO, and building and strengthening their brand...
R2 Creative group is a boutique digital agency specializing in conversion-based website design. We use psychology in our fully custom designs to drive users' behavior to a certain action. This means more conversions, views and longer time spent on your website...
MassImpact is a dynamic and inventive firm committed to positively impacting companies and communities. We specialize in offering cutting-edge solutions and strategies to unleash the full potential of businesses, with a passion for driving growth and establishing meaningful relationships...
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.