Choosing a PPC agency comes down to four things: which platforms they run, how they charge, whether they have worked in your industry, and what their clients actually say. Every PPC company below is US-based, verified by our team, and ranked by client reviews rather than by what they pay us. Compare over 4,000 PPC agencies and management companies by platform, industry, budget, and hourly rate — then shortlist three and brief them all. For pay per click management services outside the US, use the global directory.

Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.

United States × Health Care × Under $1,000 ×Clear Filters
  • SEO Designed For How Search Works Now

    Orangory is an Orange County based SEO company specializing in AI-aligned search optimization for modern, evolving search results...

    Top Services:

    • SEO
    • Reputation Management
    • PPC
    • Digital Marketing
    • Web Development
    • Show more
    Location
    Orange County, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    Under $1,000
  • Your Trusted Digital Growth Partner

    Creatives Goal is a digital marketing and web agency dedicated to helping businesses transform and grow through customized, results-driven solutions. With over six years of experience, the agency supports companies of all sizes by delivering tailored strategies that align with their unique goals and...

    Top Services:

    • WordPress Website Design
    • Web Development
    • Web Design
    • eCommerce Development
    • Digital Services
    • Show more
    Location
    Kalispell, Montana
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • SEO Strategies to Elevate Your Brand

    We are top SEO Company in New Jersey, USA. We provide top-notch SEO service to our clients and help them to grow their business on Internet...

    Top Services:

    • Digital Marketing
    • SEO
    • Social Media Marketing
    • PPC
    • Show more
    Location
    Jersey City, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
    Minimal Budget
    Under $1,000
  • For Businesses That Mean Business

    Spartan SEM is a specialized digital marketing agency based in South Carolina that focuses on helping healthcare providers grow their online visibility and attract more patients through strategic search marketing. The agency provides services such as SEO, PPC advertising, and website optimization designed...

    Top Services:

    • SEO
    • Digital Marketing
    • Web Design
    • PPC
    • Show more
    Location
    Spartanburg, South Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Designs That Speak, Brands That Lead

    Empowering brands with cutting-edge software, strategic project management, dynamic digital marketing, and custom merchandise. Your all-in-one partner for digital success...

    Top Services:

    • Web Design
    • UI/UX Design
    • Mobile App Development
    • Logo Design
    • Web Development
    • Show more
    Location
    Round Rock, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    1 Project Listed
  • Traditional & Digital Marketing Pioneers

    PostcardMania’s purpose is to help people — business owners, company and corporate executives and entrepreneurs — succeed in business by providing them the ultimate in marketing. Our marketing solutions put business owners in the driver’s seat of their own expansion through direct mail marketing...

    Top Services:

    • Direct Marketing
    • Advertising
    • PPC
    • Digital Marketing
    • SEO
    • Show more
    Location
    Tampa, Florida
    Number of Employees
    250 - 499
    Minimal Budget
    Under $1,000
  • El Paso marketing and AI that turns searches into booked customers.

    Dead River Management helps El Paso service businesses get found and get booked. We combine local SEO, social media management, Google Ads, web design, and AI-powered lead follow-up into one system that captures every call, click, and message, then follows up automatically. Based in El Paso and serving the...

    Top Services:

    • Social Media Marketing
    • SEO
    • PPC
    • Digital Marketing
    • Web Design
    • Show more
    Location
    El Paso, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • More Plumbing Leads. More Booked Jobs. Less Marketing Stress.

    You're not in the marketing business. You're in the plumbing business. We make sure you never have to become a marketing expert just to keep your schedule full. Our team builds complete plumbing lead generation systems using SEO, paid ads, AI automation, websites, CRM, email marketing, and review generation...

    Top Services:

    • SEO
    • Digital Marketing
    • PPC
    • CRM Consulting
    • Reputation Management
    • Show more
    Location
    Albuquerque, New Mexico
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • Digital Experiences Built for Business Growth

    HelloProVision is a digital agency specializing in web design, SEO, local search, and performance marketing. We help businesses improve their online visibility, attract qualified customers, and build digital experiences that support long-term growth. By combining creative design, technical expertise, and...

    Top Services:

    • Web Design
    • SEO
    • PPC
    • Content Marketing
    • Social Media Marketing
    • Show more
    Location
    Fort Myers, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $65/hr
    Minimal Budget
    Under $1,000
  • Utah Marketing Agency For Local Businesses

    Bechieve is a digital marketing agency in Orem, Utah that helps small and local businesses get found on Google and turn that visibility into phone calls and booked jobs. We handle local SEO, Google Ads management, website design, social media, email and CRM automation for companies across Utah County, Salt...

    Top Services:

    • SEO
    • Digital Marketing
    • PPC
    • Web Design
    • Web Development
    • Show more
    Location
    Orem, Utah
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Your Website Should Be Working For You

    Hattiesburg Web Designer is a South Mississippi digital marketing agency specializing in custom website design, local SEO, and Google Ads management for local service businesses. Based in Hattiesburg, MS, we serve businesses across the Pine Belt region including Petal, Oak Grove, Laurel, Purvis, Columbia, and...

    Top Services:

    • Digital Strategy
    • Web Design
    • UI/UX Design
    • eCommerce Development
    • WordPress Website Design
    • Show more
    Location
    Hattiesburg, Mississippi
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    1 Project Listed
  • Highly-Optimized Senior Care Websites.

    Senior Care Websites is a trusted partner for senior care businesses, offering comprehensive digital marketing solutions tailored to their needs, including Local SEO strategies and expert website design services. With a focus on enhancing online visibility and improving user experience, we empower senior care...

    Top Services:

    • Digital Services
    • Web Design
    • SEO
    • PPC
    • Email Marketing
    • Show more
    Location
    Gilbert, Arizona
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Digital Marketing Agency

    Trueba Media is a Digital Marketing and Video Production Company in Miami serving local and national clients. One of our main focus is helping Urgent Cares and Medical clients. We design websites, PPC Management, Social Media Management, and grow your brand...

    Top Services:

    • Video Marketing
    • Digital Marketing
    • SEO
    • PPC
    • Branding
    • Show more
    Location
    Miami, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
    Minimal Budget
    Under $1,000
  • Grow Smarter with Data-Driven Marketing

    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...

    Top Services:

    • Branding
    • Web Development
    • Social Media Marketing
    • PPC
    • Email Marketing
    • Show more
    Location
    Bayonne, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $120/hr
    Minimal Budget
    Under $1,000
  • Think Beyond Possibilities

    CVAWorld Digital Marketing is committed to aiding businesses of all sizes in flourishing within the digital landscape. Our aspiration is to forge a future wherein every business and individual can access outstanding visual communication, design, and website development services that facilitate the achievement...

    Top Services:

    • Digital Marketing
    • Social Media Marketing
    • SEO
    • PPC
    • Web Design
    • Show more
    Location
    Sheridan, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $12/hr
    Minimal Budget
    Under $1,000
  • Proven AI-Powered Marketing Solutions

    Eagles Media is a U.S.-based digital marketing and SEO agency offering comprehensive SEO, AI-driven search optimization, and results-focused marketing solutions. The company supports businesses across all 50 states and international markets, helping both local and global brands enhance their online presence...

    Top Services:

    • Web Design
    • eCommerce Development
    • SEO
    • PPC
    • Social Media Marketing
    • Show more
    Location
    Orland Park, Illinois
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    Under $1,000
  • Put your Google My Business Profile on Autopilot!

    GBP Pilot is unique in that we have focussed all our efforts on a single marketing channel - your Google Business Profile (formerly known as Google My Business). We know more about how to get the maximum performance out of this dynamic and labor intensive channel than anyone. When you need the very best...

    Top Services:

    • Content Marketing
    • Digital Marketing
    • SEO
    • Reputation Management
    • PPC
    • Show more
    Location
    East Palatka, Florida
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Empowering You To Dominate Your Local Market

    46% of all searches result in no click at all. That traffic to your website doesn't disappear, it gets rerouted. Are you there? At Market Boss, we make sure your brand is recommended as the BEST Answer...

    Top Services:

    • Digital Marketing
    • AI Development
    • SEO
    • PPC
    • Web Design
    • Show more
    Location
    Cottleville, Missouri
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Built for Your Biz

    828 Biz Marketing helps small businesses in Hendersonville, Asheville, Western North Carolina, South Carolina and North East Florida to grow with expert web design, SEO, Google Ads, social media marketing and local SEO strategies that generate leads and customers...

    Top Services:

    • SEO
    • WordPress Website Design
    • Digital Marketing
    • PPC
    • Web Design
    • Show more
    Location
    Hendersonville, North Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Turning Online Searches Into Patient Appointments

    Get Patients Flow helps doctors, clinics, and healthcare practices attract more patients through proven digital marketing strategies...

    Top Services:

    • Digital Services
    • AEO
    • SEO
    • PPC
    • Digital Marketing
    • Show more
    Location
    Los Angeles, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $45/hr
    Minimal Budget
    Under $1,000
  • Innovative Marketing Solutions, Tailored to your Budget

    Mac B. Marketing is your strategic partner in achieving digital excellence. We offer tailored marketing solutions, from captivating social media campaigns to cutting-edge website design, all aimed at driving your business forward...

    Top Services:

    • Web Design
    • Social Media Marketing
    • Digital Marketing
    • Logo Design
    • PPC
    • Show more
    Location
    Jacksonville, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $40/hr
    Minimal Budget
    Under $1,000
  • Your Website Exists. The Visibility System Does Not.

    Ivan Jimenez (DIGITAL IVAN) is a revenue website architect who builds authority assets for service businesses engineered to be found, trusted, and chosen...

    Top Services:

    • Web Development
    • Web Design
    • Content Marketing
    • Digital Strategy
    • PPC
    • Show more
    Location
    Miami, Florida
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Connecting You to Customers, The Easy Way

    Easy Street Social provides the latest in Social Media Management and online marketing skills for small to large businesses. We stay up to date with the latest techniques and best practices to ensure the highest level of results and trustworthiness for all of our clients. A.I. is the latest tool in our...

    Top Services:

    • Social Media Marketing
    • Content Marketing
    • SEO
    • Advertising
    • PPC
    • Show more
    Location
    Toledo, Ohio
    Number of Employees
    Under 49
    Average Hourly Rate
    $120/hr
    Minimal Budget
    Under $1,000
  • From Operations To Management Visibility

    TekScrum is a technology and digital solutions company focused on building reliable, scalable software that helps businesses transform operations and drive digital growth. By connecting operational data with management dashboards, TekScrum enables organizations to monitor performance, generate insights, and...

    Top Services:

    • Web Design
    • eCommerce Development
    • Web Development
    • SEO
    • PPC
    • Show more
    Location
    Sheridan, Wyoming
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Achieve Page One Results With Our Digital Marketing Services.

    Page One Digital acts as collaborative experts for all of your digital marketing needs. We're your digital marketing, SEO, and social media marketing agency all rolled into one. Our services are centered around these tools to help your business thrive in today's market...

    Top Services:

    • Web Design
    • Web Development
    • Social Media Marketing
    • SEO
    • Digital Marketing
    • Show more
    Location
    Fort Lauderdale, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    Under $1,000
  • Everything Nerdy!

    NerdPlace delivers innovative digital marketing and development solutions to help businesses thrive. We specialize in SEO optimization, social media marketing, paid advertising, email marketing, and content creation, alongside web development, app development, and video game development...

    Top Services:

    • Reputation Management
    • Web Design
    • WordPress Website Design
    • Web Development
    • SEO
    • Show more
    Location
    Clinton Township, Michigan
    Number of Employees
    50 - 99
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • The Key To Your Marketing Campaign

    Jared's Leads is a data-driven marketing and lead generation company that helps businesses identify, target, and acquire new customers. For more than 15 years, the company has provided sales leads, mailing lists, email lists, data solutions, and direct marketing services designed to increase revenue and...

    Top Services:

    • Digital Services
    • Branding
    • Digital Strategy
    • SEO
    • PPC
    • Show more
    Location
    Malibu, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Websites and marketing built for local businesses.

    Hometown Marketing Agency helps Kansas City businesses look better online, get found locally, and turn more visitors into leads. We build clean, conversion-focused websites, improve local SEO, manage paid ads, and create marketing systems that help small businesses grow without feeling overwhelmed...

    Top Services:

    • Web Design
    • Web Development
    • SEO
    • Advertising
    • PPC
    • Show more
    Location
    Overland Park, Kansas
    Number of Employees
    Under 49
    Average Hourly Rate
    $30/hr
    Minimal Budget
    Under $1,000
  • Websites And Digital Marketing For Small Business

    askotter builds your website and runs SEO, AI search visibility (AEO/GEO) and ads for owner-run businesses — every change by text, human-reviewed before it publishes...

    Top Services:

    • Web Design
    • Web Development
    • SEO
    • AEO
    • PPC
    • Show more
    Location
    Dover, Delaware
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Leading Web Design Agency in California | Expert Services Across The USA

    IWM specializes in bringing your digital vision to life! Our team of expert designers, developers, and branding professionals is dedicated to unique solutions that look stunning and perform flawlessly. From responsive website design and robust backend development to eye-catching logos and brand identity, we...

    Top Services:

    • Branding
    • Logo Design
    • Web Design
    • Digital Marketing
    • SEO
    • Show more
    Location
    Irvine, California
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Where Creativity Connects Your Brand to Success

    Connection Website Designs, located in Clayton, NC, is a results-driven web design agency dedicated to elevating your online presence. With a focus on innovative design and strategic marketing expertise, we help businesses and nonprofit organizations build confident and trustworthy brands. Our mission is to...

    Top Services:

    • Web Design
    • eCommerce Development
    • Branding
    • Digital Marketing
    • SEO
    • Show more
    Location
    Clayton, North Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
    Minimal Budget
    Under $1,000
  • Capture Your Customers Attention.

    At Buddy Mail, we excel in developing marketing strategies that resonate with audiences and drive significant impact. Our seasoned team is dedicated to elevating your brand's visibility across various platforms, ensuring meaningful connections with customers and delivering outstanding results through...

    Top Services:

    • Digital Services
    • Graphic Design
    • Digital Strategy
    • Web Design
    • SEO
    • Show more
    Location
    Layton, Utah
    Number of Employees
    Under 49
    Average Hourly Rate
    $85/hr
    Minimal Budget
    Under $1,000
  • Smart Growth. Simple Solutions.

    Marmon & Co. Solutions is Minnesotas go-to digital growth partner. We help small businesses thrive with stunning websites, smart automation, and local-first marketing strategieswithout agency bloat or overpriced fluff...

    Top Services:

    • Social Media Marketing
    • Branding
    • SEO
    • Business Consulting
    • Web Design
    • Show more
    Location
    Champlin, Minnesota
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Lets Elevate Your Brand To New Heights

    Fortitude Creative is a Charlotte-based branding and marketing agency specializing in home service businesses, helping them grow through strategic design, SEO, and digital marketing. With over 20 years of experience, the agency delivers integrated solutionsfrom branding and print to PPC and videothat boost...

    Top Services:

    • Creative Services
    • Design Services
    • Print Design
    • Web Design
    • SEO
    • Show more
    Location
    Charlotte, North Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $200/hr
    Minimal Budget
    Under $1,000
  • Real People. Real Marketing. Real Results.

    Real Digital Marketing is a web design and digital marketing service that specializes in assisting small and medium-sized companies around the country. We provide site design, graphic design, social media management, pay-per-click marketing, and SEO software, among other services!...

    Top Services:

    • Email Marketing
    • Content Marketing
    • Digital Marketing
    • Web Development
    • Web Design
    • Show more
    Location
    Mt. Juliet, Tennessee
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Get Found, Get Engaged, and Get Results with Our Digital Marketing Services.

    Boost Beam Marketing transcends the conventional role of a digital marketing agency; we serve as your strategic partner in navigating the dynamic digital landscape. Join forces with us to embark on a journey aimed at enhancing your brand's visibility, engagement, and overall success...

    Top Services:

    • Digital Marketing
    • Content Marketing
    • eCommerce Development
    • Social Media Marketing
    • SEO
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • Innovative Web Solutions for a Global Impact.

    We offer services such as corporate branding, custom video animations, and domain and hosting solutions, tailored to meet the unique needs of businesses...

    Top Services:

    • Branding
    • Digital Strategy
    • Web Development
    • eCommerce Development
    • SEO
    • Show more
    Location
    Jackson, Michigan
    Number of Employees
    Under 49
    Average Hourly Rate
    $30/hr
    Minimal Budget
    Under $1,000
  • We help your business scale to new heights with innovative AI-driven strategies.

    We deliver results-driven solutions as a leading AI Optimization Agency in the USA. Our expertise covers every aspect of digital marketing, ensuring your business stays ahead in a competitive market...

    Top Services:

    • Web Development
    • eCommerce Development
    • Social Media Marketing
    • Email Marketing
    • SEO
    • Show more
    Location
    Miami, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • Code That Ranks.

    Stop settling for traffic that doesn't convert. RankRite Labs helps ambitious US service based businesses build their business websites, apps, and growth systems that generate real revenue, not just vanity metrics...

    Top Services:

    • Digital Services
    • UI/UX Design
    • Web Development
    • SEO
    • Digital Marketing
    • Show more
    Location
    Sheridan, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • Your Vision Our Drive

    Digitabe leads the way in digital marketing within Nashville, TN, pushing boundaries to elevate your business by enhancing traffic, generating leads, and increasing revenue. Positioned at the forefront, we are dedicated to delivering impactful results for your business's digital growth...

    Top Services:

    • Logo Design
    • Web Design
    • eCommerce Development
    • Web Development
    • WordPress Website Design
    • Show more
    Location
    Nashville, Tennessee
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Professional Web Design For Jackson Businesses

    A Jackson, Mississippi-based digital marketing agency working exclusively with small businesses across the Jackson metro. We deliver custom web design, local SEO, and Google Ads management three services built to reinforce each other under one coordinated strategy...

    Top Services:

    • Web Design
    • Web Development
    • WordPress Website Design
    • CRO
    • Digital Marketing
    • Show more
    Location
    Jackson, Mississippi
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Lets Flourish Your Online Presence

    Web SAB Technologies LLC is a digital marketing and technology company based in Cheyenne, Wyoming, USA. The company helps businesses improve their online visibility, attract qualified leads, and increase conversions through digital marketing, website development, and technology solutions. It serves businesses...

    Top Services:

    • Branding
    • Logo Design
    • Creative Services
    • Web Design
    • eCommerce Development
    • Show more
    Location
    Cheyenne, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
    Minimal Budget
    Under $1,000
  • Your Brand Your Way

    Surgncy is a web design, branding, marketing, and technology company based in Las Vegas, Nevada, offering businesses an integrated approach to building their online presence and acquiring customers. Its model combines custom website development, branding, digital advertising, local search visibility...

    Top Services:

    • Branding
    • Logo Design
    • Web Design
    • Web Development
    • Digital Marketing
    • Show more
    Location
    Las Vegas, Nevada
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Nettyfy Global Digital Solutions, Tailored for Your Growth.

    Website, Mobile App and Custom Ecommerce Website Development Company in USAShowcase your Business in Digital Market with leading Website, Mobile App, Custom Ecommerce Development and Internet Marketing Company for more traffic, leads & sales...

    Top Services:

    • eCommerce Development
    • UI/UX Design
    • Web Development
    • Mobile App Development
    • Digital Marketing
    • Show more
    Location
    Redmond, Washington
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • BonBonica Digital Marketing Agency specializes in assisting local businesses in discovering and engaging with new customers. While you concentrate on refining your service delivery and products, our team formulates effective strategies to ensure their successful sales. We consistently create impactful...

    Top Services:

    • Digital Services
    • Branding
    • Digital Strategy
    • Web Design
    • Digital Marketing
    • Show more
    Location
    Swampscott, Massachusetts
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • We Make It Happen!

    Helppli is your 360° Marketing & Development Team. From Marketing Strategy to Web & App Development, we deliver it all. Have a vision? Contact us today!...

    Top Services:

    • Graphic Design
    • Video Production
    • Web Design
    • Web Development
    • WordPress Website Design
    • Show more
    Location
    Austin, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Wisconsins One-stop-shop For Everything Digital

    We're more than marketers were your growth partners. Madison Media Services helps businesses of all sizes stand out online with personalized marketing strategies that work for your goals, your brand, and your budget...

    Top Services:

    • Web Development
    • Digital Marketing
    • Managed Services
    • eCommerce Development
    • SEO
    • Show more
    Location
    Madison, Wisconsin
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Setting the Southwest Standard.

    Zia Media Group is the marketing department for any small, and up to enterprise level businesses...

    Top Services:

    • Digital Marketing
    • Social Media Marketing
    • SEO
    • Web Design
    • Branding
    • Show more
    Location
    Farmington, New Mexico
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    Under $1,000
  • Transform Digital Strategy Into Scalable Business

    Zynergetix Hub is an integrated digital agency that bridges creative vision with technical execution. We specialize in building high-performance websites, developing AI-powered automation solutions, and executing data-driven marketing strategies that generate measurable ROI. From SaaS platforms and e-commerce...

    Top Services:

    • Web Development
    • Web Design
    • eCommerce Development
    • Software Development
    • AI Development
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000

Why companies trust DesignRush

Every agency is independently vetted before it can be listed or ranked

1

Identity Check

We verify businesses and reviewer LinkedIn profiles for integrity.

Agencies vetted
132,647+
2

Portfolio Review

We review agency work, case studies, and results to confirm skill.

Applicants rejected
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3

Ongoing Audit

We monitor listings regularly; outdated agencies are removed.

Agencies verified
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See how rankings and monetization work.

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 in 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. Specialized sectors often require tailored approaches, such as dedicated PPC strategies for law firms. 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.