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
4,104 Companies-Rankings updated: September 08, 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.
Stay Modern, Stay Ahead. Outsmart Your Competitors With Best-in-Class Marketing.
Stay Modern, Stay Ahead. Outsmart Your Competitors With Best-in-Class Marketing.
Looking for a One-StopModern Marketing is a full-service digital marketing agency for B2B, B2C & eCommerce companies. Call (855) 222-7076 and stay ahead of your competition. Modern Marketing gets results and saves you time. We provide everything you need under one roof to effectively market your business...
People will never know your great work as a doctor if they can't find you online, or worse, if they quickly abandon your website. Our web design and marketing experts do the heavy lifting so you can focus on doing what you know better than anyone else serving your patients...
We Can Help Transform Your Business With a Free SEO Audit.
We Can Help Transform Your Business With a Free SEO Audit.
Founded in 1987, On the Horizon Communications is a full-service digital marketing and Advertising firm skilled in helping your business make a meaningful and measurable impact. From social media marketing to public relations, our expert team can assist in strategizing the most efficient way to spend your...
Decibel Blue exists to help companies of all sizes and stages grow their business, using public relations & marketing to connect them with their target customers...
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...
Digital marketing for aesthetics and wellness practices.
Digital marketing for aesthetics and wellness practices.
At Margott, we use digital marketing and clever automations to assist accounting, bookkeeping, and CFO organizations meet their revenue targets. Margott uses digital marketing and clever sales automation to help accounting, bookkeeping, and tax organizations flourish. We were a collection of problem solvers...
TOP RATED TALENT AT YOUR FINGERTIPSCombining the top 1% of Google Certified Marketing strategists to drive organic growth. Our proven strategies outrank the competition...
Building Long-Term Lead-Flow Solutions Through SEO
Building Long-Term Lead-Flow Solutions Through SEO
We partner with small business owners to determine the best possible method to maximize ROI through lead generation and search engine optimization services. Our goal is to team up with businesses we believe in and help them achieve their goals. We begin with an SEO analysis to determine exactly what need to...
GBP Pilot is unique in that we have focussed all our efforts on a single marketing channel - your Google Business Profile (formerly known as Google My Business). We know more about how to get the maximum performance out of this dynamic and labor intensive channel than anyone. When you need the very best...
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...
At Specter, we're not just technologists - we are problem solvers. As a boutique agency with a team of highly specialized pros, we can give your business the dedicated attention it deserves and manage all the tech your business could ever need...
Silverback Strategies covers paid search, social, CTV, and display for financial services, healthcare, legal, and higher education brands. It pairs media buying with in-house performance creative and incrementality testing, executing thousands of media tests annually, managing 500+ million in ad spend...
Gridwork is an Asheville SEO Agency dedicated to helping home service contractors and other service pros get more calls and leads from customers they love working with...
Masters of Dental PPC, Branding & Digital Strategy
Masters of Dental PPC, Branding & Digital Strategy
Ruka Dental Marketing offers 30 years of specialization, a dedicated approach, and a results-driven strategy. We prioritize dental PPC in capturing leads, converting customers, and cultivating your brand, setting you apart in the dental industry...
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...
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...
We deliver a personal, passionate & tailored marketing service to each and every one of our clients, big or small, based in Fayetteville NC or anywhere in the world. We strongly believe that theres no merit in a one-size-fits-all approach...
A place where those best in their fields, find a home to benefit and grow everyone around them.
A place where those best in their fields, find a home to benefit and grow everyone around them.
Traffick Media was founded on transparency and execution. From a data-driven approach to innovative strategies, our focus is delivering for our clients - every single time. We pride ourselves on providing value in everything we do, creating lasting relationships with the incredible brands we work with...
Scale to new heights with our professional SEO services in USA
Scale to new heights with our professional SEO services in USA
Are You Worried that Your Marketing Plan Is Not Good? Feel Free to Talk to Our Experts. We guarantee higher SERPs Rankings, Traffic, Sales, and Revenue...
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...
Mindset Web Agency provides expert, local, SEO services designed to help your business grow. We partner with our clients to find solutions for their biggest bottlenecks and increase their client base, reach, and bottom line. We offer Local SEO, Google Business Profile Optimization, and Professional Ad...
We Are a Creative Agency with a Passion for DesignIts simple, Were here to help your business grow!Division Web Design is dedicated to helping businesses grow their web presence. We specializing in web design, search engine optimization, digital design & digital marketing. We provide all the tools you...
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...
Getting You MORE Business Through Digital Marketing
Getting You MORE Business Through Digital Marketing
We are NOT a super creative, cutting edge, fancy pants marketing agency. We focus on tried and true strategies proven to get our client partners results in their local market. We stick to what works. We only care about getting our partners an ROI. If that's what you want, you know what to do...
Your Dream and Our Team, Imagine the Possibilities.
Your Dream and Our Team, Imagine the Possibilities.
Our marketing geeks develop highly effective content strategies for forward thinking businesses. We have a proven track record in increasing leads and sales that expands back over a decade...
Webbing Stone is an innovative Digital Marketing Agency, Web Development with a regional outreach delivering services in MENA region through our sales representatives in KSA and UAE beside USA and Canada.We strive ourselves to high level of professionalism and transparency...
Converset Design is a boutique web design and digital marketing agency. We have set ourselves apart from other agencies by servicing small to mid-size businesses and focusing on building long term partnerships with people. You don't have to outsource your web design, branding and marketing to an agency that...
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...
Born from Automotive, Relevant Dealer makes the technical and the visual effective to maximize both Search position and Customer interaction. We can provide visitor information so you know whois on your site (name, address, email and phone number) rather than just number of visits. No one makes you more...
We empower salon and spa owners to use data-supported strategies to scale their business with digital marketing & effective web design for numbers-backed results...
Web Development & Online Marketing We Make Your Life Easy
Web Development & Online Marketing We Make Your Life Easy
What is your company looking for? More work, more clients, more exposure and more business. Fotex offers top-notch online marketing solutions for every aspect of your company's operations. we provide expert website design, and development, social media management, custom software development, customized data...
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...
Fortis Media is a digital marketing agency offering various services, including SEO, paid media, eCommerce PPC, content management, and digital development projects...
BuildIt Digital Marketing is a Fort Lauderdale, Floridabased agency that empowers small businesses through data-driven SEO, PPC, web design, and social advertising. With roots stretching back to 1998, the agency delivers smart strategies and measurable results, guiding clients toward long-term success with...
As an SEO Agency from Poznań - iCEA Group represents a business approach to website marketing. We are a SEO agency that has been defining standards in the SEO/SEM industry since 2007. We have the largest technical department in Poland, which is composed of the top SEO specialists with years of experience...
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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