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.

United States × Health Care × $50,000 & Up ×Clear Filters
  • Find clarity in chaos

    Major Tom builds paid media systems across search, social, programmatic, and retail media, connecting spend directly to revenue through unified cross-channel attribution, GA4 instrumentation, and CRM integration. With 24 years of experience, it has served clients like Teck Resources and Seneca College...

    Top Services:

    • Digital Services
    • Digital Marketing
    • Digital Strategy
    • WordPress Website Design
    • Branding
    • Show more
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    15 Projects Listed

    Major Tom Services

    • Digital Services
    • Digital Marketing
    • Digital Strategy
    • WordPress Website Design
    • Branding
    • PPC
    • eCommerce
    • Social Media Marketing
    • Web Design
    • Creative Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Fairmont Hotels & Resorts
    • 7-Eleven
    • Chubb Insurance
    • MEC
    • HSBC Bank
    • COBS Bread
    • Air France
    • Costco Wholesale
    • Pirelli USA
    • Bulletproof
    Data sourced from the agency's DesignRush profile

    Major Tom Reviews & Testimonials

    • Chris Palliser
      Chris Palliser Community Manager at Shift
      5.0

      Web Design Review from Chris Palliser

      I work with Shift (Solar & Energy Storage Installer) and I had a great experience working with Major Tom on our brand refresh and new website. Their team is knowledgable, thoughtful, supportive, and I feel they personally and genuinely want us to succeed as a business. Shout out to Nathalie! They made me feel like a priority during any request, and delivered a polished functional design and UX that feels both national and locally grounded, exactly what we asked for. Communication was strong throughout, and they were quick to find solutions when challenges came up, as they inevitably do. Thank you, Major Tom! Highly Recommend!

    • Tim Thatcher
      Tim Thatcher Performance Marketing Manager at Petcurean
      5.0

      Digital Advertising Review from Tim Thatcher

      I've worked with Major Tom for just over 10 years in varying capacities across their Paid Media and Social Media teams. I've always enjoyed very positive working relationships, and they have offered great value and strategic guidance to media campaigns. They always add valuable insights into the data and make recommendations to improve overall strategy. It's always felt like a strong strategic partnership and they seem to have a positive working culture. Would highly recommend them as a media partner.

    • Jamie McCalman
      Jamie McCalman Senior Director at Westland Insurance
      5.0

      WordPress Website Design Review from Jamie McCalman

      Major Tom is a strong choice for enterprise organizations that need both strategic thinking and technical reliability. They understand the demands of a national insurance brokerage and bring the right expertise to every phase of a project.Their workflow is structured and efficient, with seamless handoffs between design, development, and launch. Anna provides excellent account leadership. She is responsive, organized, and solutions oriented. From maintaining nearly perfect uptime to rapidly addressing security and technical issues, their team is dependable. The new website components they designed have enhanced how we communicate complex insurance information to our clients.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • 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...

    Top Services:

    • Print Design
    • Graphic Design
    • Digital Marketing
    • Branding
    • PPC
    • Show more
    Location
    Denver, Colorado
    Number of Employees
    Under 49
    Average Hourly Rate
    $200/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    29 Projects Listed

    Big Buzz Services

    • Print Design
    • Graphic Design
    • Digital Marketing
    • Branding
    • PPC
    • SEO
    • Content Marketing
    • Event Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Hall Family Dentistry
    • PreXion
    • Sinceri Senior Living
    Data sourced from the agency's DesignRush profile

    Big Buzz Reviews & Testimonials

    • Oliver Frum
      Oliver Frum Territory Sales Manager at Prexion
      5.0

      Marketing Review from Oliver Frum

      Wendy and her team are thorough, responsive, knowledgeable, professional and experts in their field. Everyone we have worked with at Big Buzz has been top notch. They bring a personal touch, an understanding on an individual level. They are experts in guiding brands to desired levels of recognition through proven marketing methods and tactics.

    • Janet Breed
      Janet Breed Executive Director at Winnprairie
      5.0

      Marketing Review from Janet Breed

      Wendy and her team are wonderful! Very helpful and willing to do whatever needed for success. They are very organized and on top of things, and Wendy has a good pulse on the industry. Big Buzz is a company with a mission to get you noticed. Thank you for all your help! We get a lot of support from Big Buzz, whereas the people over our account prior did not provide as much support.

    • Kristen Reyes-Tarsiuk
      Kristen Reyes-Tarsiuk Senior Director of Creative and Marketing at Crista Senior Living
      5.0

      Growth Marketing Review from Kristen Reyes-Tarsiuk

      Big Buzz helps us lift our head and look long term. Thanks to them, we have a written 3- to 5-year growth strategy now on which our executive team is aligned. This brings a lot of peace of mind and keeps us on track. In the first 9-month period following Big Buzz’s growth plan, we increased new leads 170% and increased new lead move-ins 171%.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Experts in Healthcare Software marketing

    Spot On is a Healthcare Software digital marketing agency. Healthcare is our Second Language! We understand your buyers and their behaviors, current market dynamics and the nuances of marketing to those in highly regulated environments. We help healthcare tec companies level up and sell more faster...

    Top Services:

    • Digital Services
    • Digital Marketing
    • Branding
    • Web Design
    • Content Marketing
    • Show more
    Location
    Montevallo, Alabama
    Number of Employees
    Under 49
    Average Hourly Rate
    $180/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    22 Projects Listed

    Spot On Services

    • Digital Services
    • Digital Marketing
    • Branding
    • Web Design
    • Content Marketing
    • Web Development
    • SEO
    • PPC
    • UI/UX Design
    • Social Media Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Warren Averett
    • Alden Systems
    • Cureatr
    • Surgical Information Systems
    Data sourced from the agency's DesignRush profile

    Spot On Reviews & Testimonials

    • Daniel Tashnek
      Daniel Tashnek Founder at Prevounce Health
      5.0

      Direct Marketing Review from Daniel Tashnek

      We hired Spot On just as we were starting to pivot to a direct-to-market sales model in a crowded field. Our software was much more comprehensive and feature-rich than the competition, but we were still worried that we would get drowned out by established products. As Spot On has helped us become more prominent in our niche, we have seen significantly more organic customer leads coming into our website.

    • Jake Behnke
      Jake Behnke Director of Marketing at Cureatr
      5.0

      Digital Marketing Review from Jake Behnke

      I never felt like our company wasn’t a priority when I worked with Spot On in the past. And now at Cureatr, I was a marketing team of one until October 2018. So, from the beginning I knew I wanted to work with an agency that felt like an extension of the company and worked more as a partner than simply as a vendor. I needed a team I knew would be attentive, available, and dependable; and above all else, a team that I could count on to move quickly and deliver results. People who don't work in marketing often expect that you can bring in a marketing manager and agency and immediately see overnight results, which is never the case. Spot On did a great job of executing on strategy, and we're now seeing those results: increased traffic, conversion rates, and sales qualified leads.

    • Elise Paul
      Elise Paul Director of Marketing at Core Solutions
      5.0

      Direct Marketing Review from Elise Paul

      Spot On's insight, ideas, and dedication to helping our business grow have really made a difference. They have especially helped produce exceptional content that resonates with our target audience, which is notable as finding good, niche healthcare writers is difficult.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Driven by data. Informed by insight. Trademarked by craft.

    At Fusion92, we live for the stuff that nobody else can solve. With an eye toward true innovation, we give answers to the unanswerable. That means first of its kind media, creative, data and technology. Ideas that are data fueled and insight driven...

    Top Services:

    • Digital Marketing
    • Social Media Marketing
    • Advertising
    • Video Marketing
    • PPC
    • Show more
    Location
    Chicago, Illinois
    Number of Employees
    250 - 499
    Average Hourly Rate
    $160/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    8 Projects Listed

    Fusion92 Services

    • Digital Marketing
    • Social Media Marketing
    • Advertising
    • Video Marketing
    • PPC
    • Content Marketing
    • Branding
    • Software Development
    • Print Design
    • Web Design
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • H&R Block
    • Carl Buddig & CO.
    • Fiserv
    • AJ Gallagher
    • Cboe
    • Pathway Vet Alliance
    • Navistar
    • FTSE Russell
    • OIC
    • Zurich
    Data sourced from the agency's DesignRush profile

    Fusion92 Reviews & Testimonials

    • Eric Storck
      Eric Storck Review from Google
      1.0

      Eric Storck's Review Sourced from Google

      My company Weed Man of Vienna used this company for mailing services this past spring. We received terrible service that was riddled with errors. To make matters worse they lost my payment. When I sent another they cashed both payments and are now refusing to send me back what is owed to me.

    • Mikki Sharp
      Mikki Sharp Review from Google
      5.0

      Mikki Sharp's Review Sourced from Google

      A technology and client-focused business transformation partner with an award-winning culture known for innovation and excellence.

    • Ariel Dubov
      Ariel Dubov Review from Google
      1.0

      Ariel Dubov's Review Sourced from Google

      I highly recommend avoiding this company. Fusion92 recently absorbed the company I contracted, Conversion Fanatics. CF was hired to increase our conversion rate. After many months of "testing", and a lot of $$ later, they actually decreased our CVR substantially. I'm deeply unsatisfied with how they left my website -- it was teeming with glitches and errors that are considered low hanging fruit for a typical UX company. Go with a different company!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Creative that scales growth

    inBeat Agency is a creator-led marketing agency that helps brands to achieve critical business goals. Whether its breaking into a new market, increasing conversion rates, or building brand authority, the agencys tried-and-tested formula for creator partnerships leads businesses to leverage social me...

    Top Services:

    • Social Media Marketing
    • Digital Marketing
    • Advertising
    • PPC
    • CRO
    • Show more
    Location
    New York City, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    5 Projects Listed

    inBeat Agency Services

    • Social Media Marketing
    • Digital Marketing
    • Advertising
    • PPC
    • CRO
    • Video Marketing
    • eCommerce
    • Media Buying
    • Creative Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • #Gotmilk
    • Nordstrom
    • Soylent
    • Wildfang
    • Dormani Nissan
    Data sourced from the agency's DesignRush profile

    inBeat Agency Reviews & Testimonials

    • Jenny R
      Jenny R Review from Google
      5.0

      Jenny R's Review Sourced from Google

      I had a great experience working with this agency. The campaigns they connected me with were not only aligned with my brand values but also engaged their audiences authentically, resulting in fantastic engagement and conversions. Their expertise and dedication truly set them apart!

    • Taylor Green
      Taylor Green Review from Google
      5.0

      Taylor Green's Review Sourced from Google

      Love working with inBeat marketing agency! As a smaller creator I often need help negotiating on collaborations. They make the process so smooth for me! They are very professional and communicate so effectively. I highly recommend them

    • Mikayla Schnepf
      Mikayla Schnepf Review from Google
      5.0

      Mikayla Schnepf's Review Sourced from Google

      Working with inBeat has been an outstanding experience. Their expertise in digital marketing is truly unmatched. The team is professional, innovative, and always goes the extra mile to deliver results. They’ve helped us achieve measurable growth and navigate the ever-changing marketing landscape with ease. I highly recommend inBeat to anyone looking to elevate their brand through effective digital strategies.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Helping people grow!

    For twenty years and counting, our team of professionals have been assisting businesses from all sizes with their website design needs. From the bustling Anna Maria Island Chamber to the idyllic South Florida Museum and many organizations in-between - we've helped them craft a tailored online marketing...

    Top Services:

    • Advertising
    • Digital Marketing
    • SEO
    • PPC
    • Branding
    • Show more
    Location
    New York City, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $50,000 & Up

    Greater Than One Services

    • Advertising
    • Digital Marketing
    • SEO
    • PPC
    • Branding
    • Web Design
    • Digital Strategy
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Novant Health
    • Blue Shield of California
    • Novo Nordisk
    • Johnson & Johnson
    • Medtronic
    Data sourced from the agency's DesignRush profile

    Greater Than One Reviews & Testimonials

    • Nathaniel Jacobson
      Nathaniel Jacobson Review from Google
      1.0

      Nathaniel Jacobson's Review Sourced from Google

      Management does not value the work and time of its people. They are quick to criticize but never take a moment to appreciate or recognize achievement. Outcomes are measured as wins or loses rather than the quality put into work and the circumstances of doing it.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Driving Growth Through Consumer-Centric Strategies

    PriceWeber is a results-focused marketing agency specializing in creating consumer-centric strategies that measurably impact sales, margins, and shareholder value. Their integrated approach delivers real business outcomes across traditional and digital platforms...

    Top Services:

    • Advertising
    • SEO
    • Web Design
    • UI/UX Design
    • PPC
    • Show more
    Location
    Louisville, Kentucky
    Number of Employees
    50 - 99
    Minimal Budget
    $50,000 & Up

    PriceWeber Services

    • Advertising
    • SEO
    • Web Design
    • UI/UX Design
    • PPC
    • Branding
    • Graphic Design
    • Design Services
    • Public Relations
    • Creative Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Hershey's
    • Hilliard Lyons
    • Cummins
    • Louisville Zoo
    • BrightSpring Health
    • Meritor
    • Korbel
    • Greater Louisville, Inc.
    • Finlandia
    • Early Times
    Data sourced from the agency's DesignRush profile

    PriceWeber Reviews & Testimonials

    • Momin Bhatti
      Momin Bhatti Review from Google
      5.0

      Momin Bhatti's Review Sourced from Google

      The PriceWeber team are true professionals. I greatly appreciated their partnership in strategic trade media and event initiatives. Their deep industry knowledge and proactive approach make them a valuable trade media partner. I highly recommend them to any company seeking a strong, responsive team that delivers meaningful insights for business growth.

    • Ksenija Dallas
      Ksenija Dallas Review from Google
      5.0

      Ksenija Dallas's Review Sourced from Google

      It is always a pleasure to work with such a highly professional and ethical team. Their expertise has consistently exceeded our expectations, and their dedication to understanding our brand has made a real difference. We appreciate their creativity, attention to detail, and timely delivery. Highly recommended!

    • Elizabeth Grizzle
      Elizabeth Grizzle Review from Google
      5.0

      Elizabeth Grizzle's Review Sourced from Google

      "Price Weber has been an absolute game-changer for Blessings in a Backpack! From the moment we engaged their services, their team demonstrated unparalleled professionalism, creativity, and strategic thinking.Their PR and marketing expertise have helped us reach new heights, whether it's through innovative campaigns, media outreach, or digital strategies. They have a knack for understanding and translating our brand identity into compelling narratives that resonate with our audience.What sets Price Weber apart is its dedication to excellence and genuine commitment to our success. It doesn't just meet expectations; it exceeds them. Working with them feels like having a true partner invested in our growth and prosperity.If you're looking for a PR/marketing firm that delivers results and truly cares about your business, look no further than Price Weber. Highly recommend!"

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Digital Agency for Higher Education

    For almost 20 years, OHO Interactive has been crafting engaging digital experiences that combine stunning visuals with data-driven insights. Our team pushes the boundaries to deliver remarkable results for our clients every day.At OHO we believe in creating a positive work environment and actively...

    Top Services:

    • UI/UX Design
    • Digital Marketing
    • Web Design
    • Web Development
    • SEO
    • Show more
    Location
    Somerville, Massachusetts
    Number of Employees
    100 - 249
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $50,000 & Up

    OHO Interactive Services

    • UI/UX Design
    • Digital Marketing
    • Web Design
    • Web Development
    • SEO
    • PPC
    • Digital Strategy
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Dartmouth College
    • Alfred University
    • University of Southern California (USC)
    • Hardin-Simmons University
    • Saint Martin's University (Seattle)
    Data sourced from the agency's DesignRush profile

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 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 fee1 - 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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