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 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.
Enhance your brand's exposure and visibility with a creative blend of radio.
Enhance your brand's exposure and visibility with a creative blend of radio.
We are a twenty-first-century media company that combines radio, advertising and digital marketing campaigns to communicate your brand's message to a highly-targeted audience...
We offer digital marketing services to medical professionals, allowing them to expand their practices and acquire new patients. We offer customized and comprehensive digital marketing services to clinicians, medical practitioners, and hospitals for the purpose of reaching their target audience...
A full-service digital agency, 21st Century Web Design is committed to helping local contractors and small companies grow through creative web design and internet marketing...
Medcore Digital is a healthcare marketing agency helping medical practices grow through data-driven digital strategies. From SEO and social media management to paid ads and reputation building, we create campaigns that engage and retain patients. Our mission is simple to connect healthcare providers with the...
Reaction Concepts is all about helping companies get more out of their websites. We work with new businesses and established businesses alike, showing them how to improve the effectiveness of their websites and get more out of their marketing dollars...
AMZN Consultants is your dedicated Amazon consulting expert, specializing in comprehensive Amazon PPC Management and Amazon Sponsored Ads services. Navigating the complexities of Amazon's dynamic PPC platform requires expert guidance to avoid costly mistakes. With our specialized knowledge and hands-on...
Propel Your Business Forward with Expert Branding Solutions
Propel Your Business Forward with Expert Branding Solutions
Enhance your digital presence and amplify conversions through KNB's tailored branding, web design, and advertising services, designed to unlock your business's true potential and achieve remarkable success across diverse sectors...
Since 1998, Rocket Web Designer, a web design and marketing company, has provided businesses with the means to achieve success. Boost your revenue with a professional website design & marketing plan developed by an experienced team with over 20 years experience...
At Theoddcoders Technologies, we are a future-focused AI development company dedicated to delivering intelligent, scalable, and business-centric solutions...
Semgeeks is a digital agency that uses artificial and behavioral intelligence to optimize engagement through layered strategies. They create personalized solutions by understanding clients' digital structure, framework, operational practices, and monetization strategies. Their team stays up-to-date with the...
Boost your New Jersey business with our expert digital marketing services. We specialize in SEO, PPC, and web design to deliver measurable growth. Contact us today for a free consultation!...
BuzzShift is a digital strategy agency based in Dallas, collaborating with brands and agencies to create and manage effective strategies that drive online growth. They focus on helping businesses succeed by optimizing their digital presence and fostering measurable results...
Stormrage Digital achieve higher search engine rankings for business in New York, and maintain those rankings against the competitions . Using several key elements paired with our search engine optimizations services we rank your site higher...
We are a strategic design consultancy that assesses, designs, and develops digital products and services that address genuine needs and issues within any organization. We bring innovation by working collaboratively and dynamically as an active part of our clients' internal team...
As a multimedia marketing agency that has been serving independent jewelry stores since 1993, our mission is to assist you in refining your brand and establishing a market-dominant digital strategy that is both affordable and effective...
Honest Digital is revolutionizing the automotive industry's digital landscape. Frustrated by stories of dealerships being let down by SEO and digital marketing agencies, Honest Digital is committed to a different approach...
Los Angeles Web Design is a boutique agency that specializes in web design, internet marketing, and social media planning. With expert knowledge and decades of experience, we are committed to providing customized services and outstanding customer service to clients worldwide...
Opus Media LLC is a boutique agency renowned for its digital marketing expertise since 2008. Our core strength lies in crafting strategic marketing solutions that are meticulously planned and researched...
Performance Marketing Agency | $40M in Revenue | Trusted by the Fastest Growing Companies in America
Performance Marketing Agency | $40M in Revenue | Trusted by the Fastest Growing Companies in America
A performance marketing agency helping eCommerce brands scale faster through ROI-driven email, SMS, and paid ads. Over $40M generated for clients. Trusted by INC 5000 brands nationwide, and 3X Inc Power Partner Award Winner...
At The Idea Center, we are a full-service advertising agency based in Richmond, VA. With a focus on branding, website design, SEO & SEM management, video production, social media, TV and radio, presentations, trade show booth design and print collateral, we help businesses grow locally, nationally, and...
We're an experienced award-winning web design and digital marketing agency located in Miami, Florida. In the digital age, having an agency that can give your business a competitive edge is essential. The Business Theory's team of creative designers and skilled writers come together to craft dynamic designs...
Cutting-Edge Digital Marketing Solutions to Grow Up Your Business
Cutting-Edge Digital Marketing Solutions to Grow Up Your Business
Sabrina Hart founded S3 Marketing Solutions LLC located in Broward County, Florida. With her extensive knowledge in customer Relations, Strategic Sales, Business Development, and Marketing Planning, she decided to use her skills to solve her clients problems in the Digital field...
Web Design & Marketing Solutions for Small Businesses
Web Design & Marketing Solutions for Small Businesses
SpredX is a web design and digital marketing agency that exclusively caters to small businesses. Offering services ranging from web design and development to SEO, social media advertising, and analytics, SpredX helps clients enhance their online presence and achieve their marketing goals efficiently. The...
SharedTEAMS offers coordinated marketing solutions for your mid-size business. We offer all the flexibility and cost effectiveness of freelancers, with the coordination and specialization that marketing agencies are known for. Remote since our inception, we have more than a decade of experience marketing for...
Los Angeles' Premier Medical & Dental Marketing Agency
Los Angeles' Premier Medical & Dental Marketing Agency
LA's premier medical & dental marketing agency. We work exclusively with doctors and dentists in Beverly Hills and Southern California. HIPAA-compliant SEO, AI patient acquisition, and our proprietary Z-PAP system. Real results, verified...
We are a full-service digital agency based in Las Vegas, busy designing and building iconic websites, mobile applications, brands, and digital experiences. We partner with businesses of all sizes and help them grow, innovate, and increase their efficiencies online...
The Complete Website System That Runs Your Farms Online Business
The Complete Website System That Runs Your Farms Online Business
HomeGrown Hosting is a full-service design and hosting agency serving small farms, offering custom farm-focused websites, local SEO, e-commerce setup (including subscription boxes and custom product options), and ongoing site management and marketing tools...
Peak Media Consulting helps businesses grow online through custom website development, SEO, digital marketing, and business planning services, delivering smart solutions tailored for real results. We build websites, boost SEO, and create digital strategies that grow your business across the US...
Partner with a team of web design and digital marketing experts based in Lakeland, FL, and unlock the potential of your business. With our extensive knowledge and experience, we are committed to helping you achieve growth and success...
Simplify Complexity with Elegance with Ruby Shore Software.
Simplify Complexity with Elegance with Ruby Shore Software.
Experience the elegance of simplified technology with Ruby Shore Software. We offer custom software development, captivating website design and expert digital media management. Simplify complexity with sophisticated software solutions...
We are a digital marketing agency helping health brands, nonprofits, and socially responsible companies grow their online presence and get results that make an impact. We specialize in health and wellness marketing, supplement marketing and nonprofit marketing...
Our team of experts, with advanced degrees in electronic engineering, is dedicated to providing top-notch assistance. We excel in pinpointing your ideal customers, understanding their needs, and boosting your business through a meticulously crafted digital approach...
Driving Growth Through Data, Creativity, and Strategy
Driving Growth Through Data, Creativity, and Strategy
At Readiness Media, were more than just a digital marketing agency were your growth partners. From SEO and Google Ads to social media and branding, we build customized strategies that elevate your business, boost visibility, and convert clicks into loyal customers...
Shecking is a digital marketing consultancy specializing in paid media strategy, search engine optimization (SEO), and analytics. Led by Sean Hecking, the agency offers expert-level services in Google Ads, Google Shopping, and Google Tag Manager, catering to industries such as e-commerce, legal, healthcare...
Grindstone Design is a digital marketing and website design firm located in Florida. We provide creative B2B solutions that assist companies in expanding their online presence. Custom WordPress website design, smart digital marketing, and complete social media management are all part of our offerings. We...
Left and right brains connecting to provide creative strategy.
Left and right brains connecting to provide creative strategy.
We are a tightly knit team of designers, developers, project managers and systems administrators. With more than 30 years of experience in the field, we have what it takes to champion a project from whiteboard to finished project, while delivering it on time and within scope. Each member of the Pivot Mode...
Welcome to our Design and Development Firm, where creativity and innovation collide! We are a dynamic group of specialists committed to creating one-of-a-kind and appealing digital experiences for our customers. With a love of design and a dedication to cutting-edge technology...
Harnessing brilliant strategies so you can achieve your objectives and aspirations.
Harnessing brilliant strategies so you can achieve your objectives and aspirations.
At Drift Media, we are enthusiastic about leveraging the power of digital and traditional advertising to expand the reach of any business. We are at the forefront of web design and advertising best practices. Our team is committed and knowledgeable for all of your digital and advertising requirements. Drift...
EX Studio: Where Digital Brilliance Comes to Life. Our forte lies in propelling brands to new heights through adept digital marketing, strategic branding, and innovative web development. Let our tailored solutions unlock the full potential of your business...
Elite Legal Marketing offers law firms and attorneys superior web design and digital marketing services. We employ some of the finest individuals in web design and internet marketing and have collaborated with a number of outstanding attorneys...
Located in Portland, Oregon, Fish Marketing is an advertising and marketing agency that provides comprehensive services, specializing in automotive branding, aimed at driving tangible results for our clients...
POP Creative is a Miami, FL based digital marketing agency that partners with small businesses, home service providers, medical organizations and national franchises to create innovative digital experiences, smart websites and aggressive digital marketing campaigns...
We Help Businesses Rize Up & Accomplish Their Dreams.
We Help Businesses Rize Up & Accomplish Their Dreams.
At RizeUP Marketing, our mantra is empowering businesses to "RIZE UP and accomplish their dreams." Our passionate and experienced team is dedicated to delivering design and marketing services that drive powerful results. We deeply care about your success and the profound impact you aspire to make, ensuring...
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.