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 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 × Wellness & Fitness × $50,000 & Up × Clear Filters
  • 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
  • Love Growth. Hate Waste.

    Tinuiti is the largest independent fullfunnel performance marketing agency in the U.S., managing over $4billion in media spend across search, social, commerce, TV/audio, and affiliate channels. With 1,200+ employees and locations across North America, the agency blends media expertise, data science, and...

    Top Services:

    • Media Buying
    • Digital Marketing
    • eCommerce
    • Video Marketing
    • PPC
    • Show more
    Location
    New York City, New York
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $50,000 & Up

    Tinuiti Services

    • Media Buying
    • Digital Marketing
    • eCommerce
    • Video Marketing
    • PPC
    • Social Media Marketing
    • SEO
    • Creative Services
    • Email Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • E.L.F. Beauty
    • Spanx
    • Poppi
    • Liquid I.V.
    • Culligan
    • TruGreen
    • The Honest Company
    • Away
    • Sony
    • Corepower Yoga
    Data sourced from the agency's DesignRush profile
  • 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
  • Paid search and paid social advertising agency.

    Growth Pilots is a digital marketing agency based in San Francisco that specializes in paid search and paid social advertising...

    Top Services:

    • Advertising
    • Social Media Marketing
    • PPC
    • Digital Marketing
    • SEO
    • Show more
    Location
    San Francisco, California
    Number of Employees
    Under 49
    Minimal Budget
    $50,000 & Up

    Growth Pilots Services

    • Advertising
    • Social Media Marketing
    • PPC
    • Digital Marketing
    • SEO
    • Content Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Instacart
    • Gusto
    • Glowforge
    • Betterment
    • HomeLight
    • WordPress.com
    • Kabbage
    • SeatGeek
    • Tubi
    • Glassdoor
    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 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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