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.
Partnering with growth-minded medical practices to provide website design, SEO and digital marketing
Partnering with growth-minded medical practices to provide website design, SEO and digital marketing
We specialize in helping medical practices increase exposure + develop a stronger online presence to attract, convert and retain patients. With bespoke marketing packages that include website design, SEO + digital marketing, we take deliberate moves to scale your practice with consistent new leads...
What separates the Digital Marketing Professionals at BL Digital Enterprises from their competitors is the ability to customize solutions to each individual client. Because no two companies have the same objectives, the team at BL Digital Enterprises works with each customer to come up with a comprehensive...
Bear Fox Marketing gets your phone to ring! Not only do they get your website to the top of Google so can dominate your competition, but they'll convert all search traffic (AI search, organic search, paid search) into inbound customer appointments and calls so that you can scale revenue growth...
Backed by over 20 years of experience marketing products and services online
Backed by over 20 years of experience marketing products and services online
We are a dynamic digital marketing agency based in Boston, MA specializing in social media management, PPC advertising, social media advertising, web design, and Search Engine Optimization. Through strategic agency partnerships, we are able to leverage over 20 years of experience marketing products and...
We Specialize in Brand Strategy, Branding, UX/UI Design, and Web Development.
We Specialize in Brand Strategy, Branding, UX/UI Design, and Web Development.
Pill Creative Studio is a branding agency for startups and growing companies ready to build distinctive, enterprise-ready brands and websites. We partner with clients who value strategic thinking as much as exceptional execution...
Crafting Digital Brilliance where Web Development Meets SEO Mastery.
Crafting Digital Brilliance where Web Development Meets SEO Mastery.
At SEO Quartz, we are not just a company; we are your strategic partner in the digital journey. With a rich legacy of over 6 years, we have been pioneering website development and Search Engine Optimization (SEO) solutions that drive real results for businesses...
eMac Media is a South Florida-based digital marketing and SEO agency with 12+ years of experience helping brands dominate search and now, AI-generated answers. We specialize in Managed SEO, AEO/GEO AI Visibility, Link Building, Digital PR, Local SEO, Technical Audits, Web Design, and CRM Automation...
Strong business partnership with 16 years of experience made PRA Public Relations an top, winning public relation, social marketing agency. If you think there is no the next level, the team of this company will show you that there is...
You've worked hard to grow your business—now it's time to take it to the next level
You've worked hard to grow your business—now it's time to take it to the next level
BrandCraft is specialized marketing agency with a vision for growth and expansion. Our services include a complete suite of branding, design, video, content, and digital marketing services...
Top Paid Media & Performance Marketing Agency. We Develop Measurable Success.
Top Paid Media & Performance Marketing Agency. We Develop Measurable Success.
HK Digital offers paid search, social, video, display, and app promotion campaigns across Google, Meta, TikTok, Snap, and LinkedIn. Every campaign is backed by server-side data feeds, custom KPI dashboards, and real-time Slackbot alerts, with guaranteed KPI improvements...
Since 2008, Eight Oh Two has been at the forefront of digital marketing, combining innovative technology with human insight to deliver measurable results. We partner with brands across retail, e-commerce, legal, healthcare, and finance to overcome complex challenges and achieve sustainable growth...
Leading Digital Media Agency that provides highly qualitative, timely delivered.
Leading Digital Media Agency that provides highly qualitative, timely delivered.
Micropixel, the WordPress development & SEO Company has been serving brands and customers in the digital space through its terrific design, development and branding services...
We possess a distinguished reputation for exceptional customer service and unmatched marketing solutions. This empowers forward-thinking companies to leverage the power of technology in building their brands and boosting their profitability...
At SBO Buzz, we are focused on supporting small business owners. Our goal is to help businesses that don't have big budgets and want to maximize value and impact. We work with small businesses of all sizes and have expertise with franchises and medical/dental/chiro/podiatry practices...
Slake Marketing is a Los Angelesbased digital marketing agency that helps solopreneurs and small to medium-sized businesses grow their brands with clarity and confidence. The agency offers website and branding design, photography, strategy coaching, and integrated design-and-coaching packages, providing a...
Integrated Paid Media Agency | Full-Funnel Media Strategy, Planning, & Buying.
Integrated Paid Media Agency | Full-Funnel Media Strategy, Planning, & Buying.
Dossier Media is a boutique integrated media planning and buying agency specializing in paid media management and developing comprehensive full-funnel strategies to elevate brands. Our core mission is to assist brands in crafting their paid media strategies while laying the groundwork for a scalable...
A Steady Stream Of Move-In-Ready Leads For Teams Serving The Senior Living Industry
A Steady Stream Of Move-In-Ready Leads For Teams Serving The Senior Living Industry
For more than 15 years, Big Buzz has helped senior living marketing and sales teams attract move-in-ready leads to achieve 100% occupancy, grow and scale...
Red Houston SEO offers customized, data-driven strategies to boost online visibility and drive business growth. Specializing in SEO, PPC, and social media marketing, we deliver measurable results that help businesses succeed in the competitive digital landscape...
Launching New Products And Companies Into The Market With Explosive Growth!
Launching New Products And Companies Into The Market With Explosive Growth!
The LaunchPad Agency helps innovative brands launch, validate and scale through go-to-market strategy, brand positioning, PR, paid media and growth marketing. We specialize in product launches, soft launches and building sales growth engines that turn market potential into measurable revenue...
Octiv Digital is a performance-driven digital marketing agency that delivers professional SEO strategies, and ROI-positive paid advertising solutions...
Tenet is a top UI/UX design, web development, and growth marketing company helping brands achieve digital transformation. With over 450 projects completed across 15+ industries, including healthcare, retail, and tech, Tenet delivers innovative solutions that drive measurable results...
The Secret Ingredient of the Worlds Most Captivating Hospitality Brands.
The Secret Ingredient of the Worlds Most Captivating Hospitality Brands.
Gourmet Marketing is a full-service agency dedicated to elevating brands in the hotel, travel, and tourism industries. With a comprehensive suite of services including website design, SEO, and targeted advertising. The agency is built to address the complex, evolving needs of hospitality businesses in a...
We're a boutique digital marketing agency that gets straight to the point. We work with any budget, big or small, to deliver results. No fluff, no unnecessary jargon, just effective and tailored strategies to enhance your brands digital presence. Whether you're a small startup or a growing enterprise, we're...
We Prioritize People and Process To Build Relationships Between Brands and Communities.
We Prioritize People and Process To Build Relationships Between Brands and Communities.
As a diversity-driven, woman-owned marketing agency, we believe in putting people first. Our team of artists, content creators, data nerds and marketing unicorns dream up and execute engaging campaigns that meet clients goals and audiences needs. We're ready for you. Are you ready for us?...
Be the answer AI gives — Senior-led SEO, AI Search & Web Design for Legal, Health & B2B Teams
Be the answer AI gives — Senior-led SEO, AI Search & Web Design for Legal, Health & B2B Teams
Single Origin is a senior, design-led marketing team building for the AI-search era. SEO, AI visibility, paid media, and web design under one roof and one accountable partner, tested over the last decade...
Founded in 2023, Red Gecko Agency is a digital marketing firm headquartered in Columbus, Ohio, with an additional office in Houston, Texas. The agency specializes in creating tailored digital solutions that empower brands to achieve their unique goals...
At webFEAT Complete we provide websites, website management, hosting, and digital marketing all in one place. We drive leads and sales for businesses, make updates to websites, fix hacks, and can take the digital side of things off of your plate entirely...
Intrepy Healthcare Marketing is an award-winning healthcare digital marketing agency offering industry-leading digital marketing solutions to help healthcare organizations reach new patients...
Code Lineup Technologies is a premier digital solutions provider specializing in custom website design, multimedia design, precision Google Ads, and impactful SEO strategies. As changemakers, we transform brands by crafting high-performance, user-focused solutions that drive measurable growth...
VerifiedVerified by the DesignRush team for authenticity and credibility.
Marketing That Makes Up Minds
Marketing That Makes Up Minds
The Deciding Factor is a digital marketing agency working with B2B companies throughout the US. We providing marketing strategy and branding, PPC, SEO, branding, email marketing, website development, social media marketing, content and sales collateral...
Where Technology Meets Marketing for Accelerated Business Growth
Where Technology Meets Marketing for Accelerated Business Growth
e intelligence is a leading Digital Marketing and Web Development Agency that helps businesses build their brands across the globe. Our tailor-made digital solutions help companies increase revenue through our Digital Marketing, SEO, PPC and Website Development Services...
Exactly what you hoped your creative agency would be. We create meaningful content for challenger brands that keeps people coming back for more. Our team consists of creatives who understand that a strategy is ever evolving, content creation never ends, and analytics tell us all we need to know...
Iqsive is a full service digital marketing agency founded in 2023, offering SEO, PPC, social media marketing, CRO, and web development. Serving clients in the USA, UK, and UAE, Iqsive helps startups and SMEs in healthcare, ecommerce, and tech grow through data driven, ROI focused strategies...
Max DiNatale Digital Marketing provides a range of digital marketing solutions to build brands and customer bases. His services include management of both paid and organic social media, content creation, social advertisements and Google Ads. Max provides expert advice to ensure clients reach their target...
Janszen Media builds partnerships with companies that want effective web and digital solutions. We develop custom strategies and solutions around client goals and business objectives. From day one we have been focused on results, building websites that deliver more online traffic, conversions, better user...
Page.One is a full-service Amazon agency focusing on conversion rate optimization and intelligent advertising to drive brand growth. Whether you need to update your images accross your catalog or a full team to manage your brand getting to the next level...we are here to help...
Professional Digital Marketing Services for Small Businesses.
Professional Digital Marketing Services for Small Businesses.
Correct Digital, Inc is a website design and marketing agency based in South Florida. Our list of clients includes many successful startups and well established companies. Get to know us better by reaching out online. We provide inquiring leads with comprehensive keyword research, SEO audits, and competitor...
WEBITMD is a Growth Marketing + Sales Development Agency with extensive expertise in tech-driven solutions, aiming to help businesses achieve their growth ambitions through our amazing combination of marketing strategy and web engineering. For over 12 years now, we've been striving towards this goal from our...
A stale design, clunky backend, and poor user experience are merely symptoms of the real problem––your website isn't meeting the dynamic needs of your sales and marketing initiatives...
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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