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

84 Companies - Rankings updated: September 06, 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.

United States × Health Care × $10,000 - $25,000 × Clear Filters
  • Transforming Doodles Into Digital Masterpieces

    At DoodleWeb, a creative web design & development agency, we transform your vision into vibrant digital experiences with a tailored approach, exceptional design, and innovative web solutions...

    Top Services:

    • Web Design
    • WordPress Website Design
    • Web Development
    • eCommerce Development
    • UI/UX Design
    • Show more
    Location
    Bellingham, Washington
    Number of Employees
    50 - 99
    Average Hourly Rate
    $80/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    2 Projects Listed
  • Where Ambitious Brands Go To Grow

    Growth marketing agency for ambitious, growth-minded businesses. We turn marketing chaos into consistent leads...

    Top Services:

    • Branding
    • Web Design
    • UI/UX Design
    • Web Development
    • WordPress Website Design
    • Show more
    Location
    Naples, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $160/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    1 Project Listed
  • Built To Save You From Your Agency

    At Lower Cross, we hate marketing agencies so we built a better way. We're a boutique consultancy focused on digital strategy, growth, and paid media. Lower Cross has a limited client roster because every account is handled only by the founder and senior execs. No junior staff, no middle management just...

    Top Services:

    • Digital Strategy
    • Digital Marketing
    • PPC
    • Email Marketing
    • Web Development
    • Show more
    Location
    Greenwich, Connecticut
    Number of Employees
    Under 49
    Average Hourly Rate
    $250/hr
    Minimal Budget
    $10,000 - $25,000
  • Special Sauce

    Verified Verified by the DesignRush team for authenticity and credibility.

    We Help Companies Grow

    Our sweet spot is helping new, rebranding, and growing companies optimize their product, brand, website, and marketing for growth. We plug in like a part of your team. You get our crew of expert strategists, designers, developers, and performance marketers dedicated to achieving your goals...

    Top Services:

    • Branding
    • Package Design
    • Web Design
    • Web Development
    • eCommerce Development
    • Show more
    Location
    Boulder, Colorado
    Number of Employees
    Under 49
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    3 Projects Listed
  • SEO, Web Design and Digital Strategies that Drive Web Traffic & Results

    SEO and digital marketing services in El Paso, TX. Elevate your business and get found faster. Surge ahead online with SEO and high-quality web design...

    Top Services:

    • Web Design
    • SEO
    • WordPress Website Design
    • Social Media Marketing
    • PPC
    • Show more
    Location
    El Paso, Texas
    Number of Employees
    Under 49
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    1 Project Listed
  • Your Go-to Digital Agency

    Higglo is a high end marketing agency that has built websites and performed marketing campaigns for the best companies around the world including Hulu, Blizzard, Bethesda, Richard Branson and more. We create memorable web experiences and get your business the attention it deserves...

    Top Services:

    • SEO
    • CRO
    • Web Development
    • Web Design
    • Graphic Design
    • Show more
    Location
    Cheswick, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $10,000 - $25,000
  • We Care. We Deliver. We Do It Right!

    Estro Digital Communications is an award-winning agency reshaping business growth in the digital age. Led by Chris and Steve Estrellado, we specialize in 360° marketing solutions, combining AI-powered CRM tools and advanced automation techniques. With a proven track record across industries, we craft...

    Top Services:

    • CRM Consulting
    • Web Design
    • Web Development
    • WordPress Website Design
    • eCommerce Development
    • Show more
    Location
    Westwood, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $200/hr
    Minimal Budget
    $10,000 - $25,000
  • We partner with ambitious brands to leverage their competitive advantage.

    GLYPH is a globally-recognized team of strategy-first designers and marketers based out of Michigan. We focus on competitive strategies that put your advantage forward...

    Top Services:

    • Branding
    • Digital Strategy
    • Logo Design
    • Social Media Marketing
    • Web Development
    • Show more
    Location
    Midland, Michigan
    Number of Employees
    Under 49
    Minimal Budget
    $10,000 - $25,000
  • Experience Matters

    Gravitas is an AI and digital experience agency based in Boulder, Colorado, with a distributed team across the US. We build AI systems, custom software, digital experiences, and customer aquistion funnels that drive measurable business outcomes for ambitious brands...

    Top Services:

    • AI Development
    • UI/UX Design
    • Web Development
    • SEO
    • PPC
    • Show more
    Location
    Boulder, Colorado
    Number of Employees
    50 - 99
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $10,000 - $25,000
  • Websites that rank and marketing that profits

    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...

    Top Services:

    • Digital Marketing
    • PPC
    • Content Marketing
    • SEO
    • Advertising
    • Show more
    Location
    Marysville, Washington
    Number of Employees
    Under 49
    Average Hourly Rate
    $300/hr
    Minimal Budget
    $10,000 - $25,000
  • Focus on growth, not the grind.

    We get it you need results, not excuses. We handle all the complexities, so you can focus on scaling your business...

    Top Services:

    • SEO
    • PPC
    • Social Media Marketing
    • Branding
    • eCommerce Development
    • Show more
    Location
    Kaysville, Utah
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $10,000 - $25,000
  • HubSpot Marketing And Operations Consulting

    Wild Rover is a HubSpot Marketing and Operations Consulting group that provides tailored solutions for advertising, marketing, and lead generation...

    Top Services:

    • CRM Consulting
    • Web Design
    • Email Marketing
    • SEO
    • PPC
    • Show more
    Location
    Charleston, South Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $10,000 - $25,000
  • We link your data together. Then we make marketing magic happen.

    We've managed over $30million in ad spend and analyzed over $300 million in revenue. Work with a team that gets you the results you want. No bull$%&#. Just month-to-month contracts. Paid ads can be a powerful source to drive leads through your sales funnel … when you do it correctly. At Crunchy Links, we...

    Top Services:

    • Digital Marketing
    • Content Marketing
    • PPC
    • SEO
    • Show more
    Location
    Chicago, Illinois
    Number of Employees
    Under 49
    Average Hourly Rate
    $250/hr
    Minimal Budget
    $10,000 - $25,000
  • Your Marketing Powerhouse.

    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...

    Top Services:

    • Digital Marketing
    • Social Media Marketing
    • PPC
    • Web Development
    • Web Design
    • Show more
    Location
    Cincinnati, Ohio
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $10,000 - $25,000
  • Custom Exclusive Websites for Doctors.

    Optimized360 stands as a leading internet marketing firm specializing in serving dentists, physicians, and other healthcare professionals across the U.S. and Canada. Through our unique formula, we deliver effective and efficient web presence solutions tailored to the diverse needs of doctors across all...

    Top Services:

    • Web Design
    • SEO
    • PPC
    • Social Media Marketing
    • Reputation Management
    • Show more
    Location
    Santa Ana, California
    Number of Employees
    Under 49
    Minimal Budget
    $10,000 - $25,000
  • AI Enabled Digital Marketing Partner

    EZ Rankings is an award-winning digital & social media marketing company based in India with other branches based in USA, UK, Canada, Austrailia, UAE. Our goal is to keep you ahead of the competition by offering simple, customized yet effective solutions...

    Top Services:

    • Digital Marketing
    • Branding
    • SEO
    • PPC
    • Social Media Marketing
    • Show more
    Location
    Philadelphia, Pennsylvania
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    5 Projects Listed
  • We Create Extraordinary Digital Experiences That Grow Businesses and Brands.

    Blue Laser Digital is a Ohio based digital marketing and web development agency founded in 2000. With a lean team of 1150 professionals, the firm specializes in integrated services web design, development, SEO/SEM, PPC, content marketing, social media, branding, and email designed to turn digital channels...

    Top Services:

    • Digital Marketing
    • Social Media Marketing
    • PPC
    • Advertising
    • SEO
    • Show more
    Location
    Westerville, Ohio
    Number of Employees
    Under 49
    Average Hourly Rate
    $130/hr
    Minimal Budget
    $10,000 - $25,000
  • Design & Internet Marketing Agency

    Plaudit Design is a web design and Internet marketing agency. But more than that, were a close group of dreamers and do-ers with a passion for seeing you succeed. Were driven to help each and every client reach their greatest potential, and have fun doing it. Take a look and get to know us were excited to...

    Top Services:

    • Web Design
    • Digital Marketing
    • PPC
    • SEO
    • UI/UX Design
    • Show more
    Location
    St. Paul, Minnesota
    Number of Employees
    Under 49
    Average Hourly Rate
    $160/hr
    Minimal Budget
    $10,000 - $25,000
  • 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)...

    Top Services:

    • Email Marketing
    • Digital Marketing
    • PPC
    • SEO
    • Social Media Marketing
    • Show more
    Location
    McLean, Virginia
    Number of Employees
    100 - 249
    Average Hourly Rate
    $170/hr
    Minimal Budget
    $10,000 - $25,000
  • Connecting the Dots Between AI & Search

    The Gray Dot Company Inc., also known as Gray Dot Co, is a woman-owned SEO, PPC, and AI consulting firm helping brands navigate a fast-changing search landscape. Senior-led, flexible engagements from technical SEO and site migrations to AI audits and digital market intelligence...

    Top Services:

    • SEO
    • Content Marketing
    • Digital Marketing
    • PPC
    • Market Research
    • Show more
    Location
    Dover, Delaware
    Number of Employees
    Under 49
    Average Hourly Rate
    $300/hr
    Minimal Budget
    $10,000 - $25,000
  • Your digital success code.

    Founded in 2004, aqaba digital is a tech-driven agency that brings consumers and brands together through high-impact, personalized online experiences...

    Top Services:

    • Digital Marketing
    • AI Development
    • SEO
    • PPC
    • Web Development
    • Show more
    Location
    City of the Village of Clarkston, Michigan
    Number of Employees
    Under 49
    Average Hourly Rate
    $165/hr
    Minimal Budget
    $10,000 - $25,000
  • Built to Generate Leads. Designed to Drive Revenue.

    Revenue systems for local service businesses and real estate teams that turn inquiries into appointments...

    Top Services:

    • Web Development
    • CRM Consulting
    • AI Development
    • Digital Marketing
    • SEO
    • Show more
    Location
    St. Petersburg, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $95/hr
    Minimal Budget
    $10,000 - $25,000
  • Digital Marketing That Turns Visitors Into Customers

    At Fins Up Marketing, we don't just build websites we craft digital experiences that make waves! Based in sunny Port Orange, Florida, our team of creative pros dive deep into Website Design, SEO, Social Media Advertising, and Google Ads. With 27+ years of combined experience, we specialize in making brands...

    Top Services:

    • WordPress Website Design
    • Digital Marketing
    • Web Development
    • Social Media Marketing
    • SEO
    • Show more
    Location
    Port Orange, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $10,000 - $25,000
  • Boost Your Business Digitally with Our Expert Support

    Established in 2018, Mysearch Global Rewards evolved into MSGR, an innovative IT solutions firm boasting a strong presence in India, Dubai, and the United States. Under the guidance of a dedicated team of IT experts, each with over twenty years of experience in the field across more than a dozen countries...

    Top Services:

    • Logo Design
    • Branding
    • Web Design
    • eCommerce Development
    • Web Development
    • Show more
    Location
    Oklahoma City, Oklahoma
    Number of Employees
    50 - 99
    Average Hourly Rate
    $30/hr
    Minimal Budget
    $10,000 - $25,000
  • Your Digital Growth Partner

    Reinforce Lab a full-service digital marketing agency that assists entrepreneurs, startups, and organizations to achieve market authority and digital potential by building Brands...

    Top Services:

    • SEO
    • Content Marketing
    • WordPress Website Design
    • Web Design
    • Web Development
    • Show more
    Location
    Texas, Georgia
    Number of Employees
    Under 49
    Average Hourly Rate
    $120/hr
    Minimal Budget
    $10,000 - $25,000
  • MarketDing specializes in delivering enterprise-grade web solutions and digital marketing services to established organizations. We combine technical expertise with strategic insight to create websites and marketing systems that drive consistent results. Our clients rely on us for professional, scalable...

    Top Services:

    • Web Design
    • SEO
    • Content Marketing
    • Branding
    • Logo Design
    • Show more
    Location
    Miami, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $500/hr
    Minimal Budget
    $10,000 - $25,000
  • eCommerce & Digital Marketing Success Since 1997

    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...

    Top Services:

    • Digital Services
    • eCommerce Development
    • eCommerce
    • Video Production
    • UI/UX Design
    • Show more
    Location
    Austin, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $175/hr
    Minimal Budget
    $10,000 - $25,000
  • Taking brands to heights never believed possible.

    Test Pilot is a full-service, creative advertising agency that believes in the power of a brand. The way it makes you feel. Its ability to shape consciousness. The stories it tells. Because when a brand resonates in the heart of the target, you have more than a customer - you have a brand advocate...

    Top Services:

    • Branding
    • Advertising
    • Digital Services
    • Web Development
    • Digital Marketing
    • Show more
    Location
    Newnan, Georgia
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $10,000 - $25,000
  • A 360° Creative & Marketing Agency.

    Crux is a dynamic, woman-owned Creative and Marketing Agency, dedicated to sculpting brand identities and crafting engaging strategies. Specializing in interactive experiences, digital communications, and immersive environments, Crux ensures clients forge lasting connections with their target audiences...

    Top Services:

    • Digital Services
    • Design Services
    • Branding
    • Logo Design
    • WordPress Website Design
    • Show more
    Location
    Milwaukee, Wisconsin
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $10,000 - $25,000
  • Marketing for sustainability-minded companies and organizational.

    Xponent21 is a premier digital marketing agency in Richmond, VA, focused on driving growth through tailored, results-oriented strategies. We specialize in brand strategy, SEO, SEM, video production, UX design, generative AI, and sustainability marketing. Our goal is to create impactful digital experiences...

    Top Services:

    • Digital Services
    • Video Production
    • Branding
    • Digital Strategy
    • Web Design
    • Show more
    Location
    Richmond, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $225/hr
    Minimal Budget
    $10,000 - $25,000
  • Your Vision Our Code

    American Koders is a USA-based software development company delivering innovative and customized digital solutions for startups and established businesses...

    Top Services:

    • Web Design
    • UI/UX Design
    • WordPress Website Design
    • eCommerce Development
    • Mobile App Development
    • Show more
    Location
    Kalispell, Montana
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
  • Digital Marketing: Innovate. Empower. Succeed.

    CloudMellow, a Dallas-based digital marketing agency, thrives on empowering businesses with creative, data-driven strategies. From SEO and PPC management to website design and branding, CloudMellow offers comprehensive solutions that drive results in the dynamic digital marketing industry...

    Top Services:

    • Web Design
    • Digital Strategy
    • PPC
    • SEO
    • UI/UX Design
    • Show more
    Location
    Frisco, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $10,000 - $25,000
  • Tech That Adds Value

    At Quantumz, we take you to realms of possibilities by crafting groundbreaking solutions powered by disruptive technology and sophisticated tools. Explore the world beyond reality with our out-of-the-box ideas backed by data-driven analysis. All our solutions culminate in an enchanting experience called The...

    Top Services:

    • Software Development
    • VR/AR
    • Blockchain
    • Mobile App Development
    • AI Development
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $49/hr
    Minimal Budget
    $10,000 - $25,000
  • We Build Success Stories

    For over 2 decades, starting in 1998, we have been serving a global clientele with web design, web development, mobile app development & digital marketing services. Our expertise spans SEO, Google Ads, Alibaba minisites & ranking optimization & the ongoing maintenance of apps and websites across more than 75...

    Top Services:

    • Web Design
    • eCommerce Development
    • Web Development
    • WordPress Website Design
    • Digital Marketing
    • Show more
    Location
    Dublin, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000

7 FAQs About PPC Agencies in the US

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 management to 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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