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
4,100 Companies-Rankings updated: September 07, 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.
Enjoy a hands-off approach when it comes to your PPC account and let us do the work so that you can focus on the parts of your business that require your on-going attention...
We Help All Types of Businesses With Digital Marketing
We Help All Types of Businesses With Digital Marketing
Marketing by Data is a digital marketing agency specializing in data-driven strategies to help businesses achieve their marketing goals. They offer services such as SEO, PPC, email marketing, social media advertising, website development, and analytics. With a focus on transparency and measurable results...
Specializing in nonprofit SEO, NewSunSEO focuses on maximizing organic reach, with 82% of search clicks coming from organic listings. While businesses often spend 80% on display ads, our expertise redirects resources for a greater online impact...
PX Media is a full-service digital marketing and creative agency based in Pasadena, California. With 24 years of experience, the agency delivers tailored solutions across web design, SEO, PPC, branding, content marketing, and managed hosting. Known for its emphasis on transparency and results, PX Media...
Looking for an all in one Digital Marketing Company near Philadelphia? Boomtown Internet Group is a premier Digital Marketing Company, specialized in web design and SEO services located near Philadelphia provides web solutions that help you Grow BIG Online.As a reputed web site design company we incorporate a...
A web design & marketing agency focused on driving sales & leads for clients through custom web design, SEO and digital advertising across multiple platforms...
You excel at your businesswhether its creating, selling, or helping people. We excel at marketing. Through digital advertising, SEO, social media, media buying, and reputation management, we connect businesses with the people who matter most: their customers...
B2B Branding and Marketing Agency for Search, Social, and Web
B2B Branding and Marketing Agency for Search, Social, and Web
// Fueling Growth for Established B2B Brands //
Your Marketing Agency Partner in Brand, Search, and Web.
VisualFizz is a B2B focused Marketing and Branding Agency in chicago that acts as an extension of your existing team. We take established brands from invisible to indispensable...
Touchline Marketing partners with busy owners & executives at small & medium-sized companies to establish a professional digital marketing foundation that helps build a brand, generate leads, shorten sales cycles, and increase customer loyalty...
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...
We’re Break the Web, the search marketing experts who demystify organic growth so you can focus on what to do with your new followers, leads, clients & shoppers. We're a beauty and cosmetics marketing agency that helps bring your beauty, skincare, and cosmetics products to high-intent shoppers...
DoctorsInternet.com is a company founded by doctors James Gelfand and Joshua Gindea, who realized that there was a need for specialized online marketing, website design, and reputation management for health professionals...
We have a proprietary formula for all marketing materials we produce. We also approach every project with results in mind. There is no better way to design a website but from the ground up and with the client’s brand in focus while considering the target market...
Were a digital marketing company on a mission:
To bring out the best parts of your business with a creative, fun, and results-driven approach to web design, SEO, content marketing, and PPC management...
Anderson Advertising & Public Relations was established in 2005 as a full service creative and communications agency dedicated to providing strategic marketing services to its clients...
As a highly qualified SEO expert in Bellevue Greater Seattle Area, I work with my clients on both local and national levels. Thus, no matter whether you are based in Seattle or not, my sole goal is to put your business website on the first page of Google search, because of that you will get the most profit...
At Engenius, we design websites with a specific goal in mind. We are not a group of independent contractors nor are we your typical web design firm. We are the beautifully flawed folks creating stunning, strategy-driven websites for companies just like yours...
Let us know your design and marketing goals and we will take care of the rest. With over 20 years in the industry we specialize in all areas of website design, development and digital marketing. We create all of our custom websites to work exactly the way you need them to...
WebTek is the partner you need to transform your online presence. Well design & market your website to convert internet traffic effectively & drive more leads to you...
Marketing For B2B Manufacturers That Actually Works
Marketing For B2B Manufacturers That Actually Works
LeadStorm Marketing isn't a "typical" agency. We don't just "run ads" or "write blogs." We partner with you to build a comprehensive demand-generation system that attracts, nurtures, and converts high-value B2B clients...
MedForward specializes in creating cutting-edge, professional websites designed to enhance your online presence. We offer comprehensive services including SEO, online advertising, content management, and HIPAA-compliant online forms to improve patient experience. Our solutions simplify healthcare processes...
Our mission is to make our clients' lives better by supporting their professional success
Our mission is to make our clients' lives better by supporting their professional success
MyAdvice is a pioneer in digital marketing and publishing. Our team, which includes authors, editors, programmers, graphic designers, search engine visibility professionals, experts in digital marketing, and support staff, collaborates to produce the most complete solutions currently offered. We give...
Agency for the CliquePrize iOS Mobile App - Small Business Lead Generation
Agency for the CliquePrize iOS Mobile App - Small Business Lead Generation
Digital Media Nashville offers the Best Nashville SEO for arts and entertainment companies, schools, and studios around Nashville. This professional team performs thorough keyword research, developing a strategy built to boost your brand online...
SEO Services KC studied, observed, and learned through trial and error the best methods for search engine optimization, especially at a local level for Kansas City businesses, making them the most affordable choice for professional SEM In KC...
California SEO Professionals specializes in offering scalable SEO solutions for startups and SMB in the areas of San Francisco, San Diego, and Los Angeles...
MAB builds creative brand strategies rooted in analytics and optimized through years of experience. Their core services include search, development, social and brand which translates to web design, UI/UX, creative development, digital strategy & more...
Magik Digital believes in creating amazing things and giving back to the community. Thanks to decades-worth of experience, skilled team members and a passion for success, they can create a web presence or marketing campaign that drives results...
12 Steps Marketing is an ROI-focused and results-driven digital marketing agency built to deliver tangible results in just 100-days. They specialize in marketing drug rehabs, addiction treatment centers, healthcare businesses & more...
We Turn Building Materials Brands Into Growth Engines.
We Turn Building Materials Brands Into Growth Engines.
Point To Point unleashes the power of digital marketing to turn indifference into engagement for B2B businesses. They take the right people and the right process to make every interaction purposeful by combining analytics and creativity...
Digital Experience Consultancy That Helps You Crush Your Goals
Digital Experience Consultancy That Helps You Crush Your Goals
Whereoware is a digital agency specializing in email marketing, website design and development, mobile app design and development, search engine optimization (SEO) and pay-per-click (PPC)...
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...
Expert Services to Elevate Your Digital Presence.
From AI search optimization and PPC to high-performing websites and eCommerce platforms, we provide complete digital growth solutions for businesses of all sizes...
Pork Pixel is a collaborative group of highly creative professionals specializing in Branding, Creative, Production, Strategy, Planning and Culture Driven success stories...
Big Rock Marketing is a digital marketing agency that specializes in SEO, local search, email marketing, web design web strategy, and digital advertising for small and medium local businesses. These experts drive growth and increase digital revenue...
Webconsuls is a full-service website design, branding, and digital marketing agency. They're small by design, taking the guesswork out of your marketing and SEO strategy with a personalized approach so your budget is spent on qualified leads...
Woodsmall Marketing Group listens and works with you to make sure your brand resonates with your customer through every touchpoint. Their clients depend on them to understand their business goals and bring them measurable results that drive growth...
We Are the Marketing Team You Always Wanted to Build.
We Are the Marketing Team You Always Wanted to Build.
Jive PR + Digital is an award-winning collective of public relations and social media marketing collaborators who shape stories and ignite conversations. They create custom communication, PR and digital marketing strategies to elevate brands...
From the Digital Space to Your Waiting Room Since 1995
From the Digital Space to Your Waiting Room Since 1995
Einstein Medical is the preeminent online marketing company for elective healthcare professionals in the nation. They've developed more successful internet strategies for the healthcare industry than most of their competitors combined...
Solution Agency is a Cincinnati, Ohio based creative powerhouse with over 20 years of experience in web development, design, marketing, photography, video, animation, hosting and support. The full-service firm helps businesses and organizations solve digital challenges with intention and impact, delivering...
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.
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