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
2,638 Companies-Rankings updated: August 22, 2026
DesignRush vets every pay per click agency based on professional qualifications and verified client feedback to help you choose confidently. Some listings may include paid placements.
Louisville Web Lab is a family-owned healthcare marketing agency that generates new patients for dental, vision, and pain practices nationwide. Instead of selling one-off services, we prescribe one of two outcome-focused programs the Growth Package or the Scale Package after a free diagnostic call...
We are an SEO & marketing agency that helps brands thrive in the digital age.
Search engine optimization (SEO), advertising, web design, marketing campaigns, and analytics form the backbone of our marketing toolbox. With more than a decade of experience in online marketing, we've created our own unique strategies to build SEO campaigns that have helped many brands achieve their goals...
Already running paid media? Feel like your account has become stale or stagnant? We will provide a free audit to uncover areas of inefficiency, opportunity, and new initiatives. Our complimentary audits have saved our clients hundreds of thousands of dollars...
A full service marketing agency, based in Roanoke, Virginia, our digital marketing agency started out as a small company helping other small businesses in the area get a leg up on the competition. Today, we continue helping businesses grow organically with our range of online marketing services. Our...
Boost Me Locally is a full-service digital growth marketing agency helping businesses increase visibility, generate qualified leads, and accelerate revenue through data-driven strategies. Our expertise includes SEO, local SEO, PPC management, social media marketing, web design and development, branding, and...
We are strategic growth partners that help you leverage the best platforms and services to solve your biggest challenges and achieve your goals. Outsmart the competition with best-in-class digital marketing services. You'll be in good company...
Sick of working with marketing companies and not knowing what’s happening? That is why we offer veterinary marketing with awesome results. We’ve built a kickass culture with an in-house team of veterinary marketing experts that loves what we do & we provide a transparent dashboard where all leadflow is...
Are you an Amazon or Walmart Seller looking to boost your sales? Look no more! Our agency's experts have a proven history of success in helping e-commerce businesses in elevating their accounts and brands to new heights...
22 Local Marketing builds websites, SEO, and paid campaigns for home service businesses. We measure the work against booked jobs, not clicks, and you own everything we build...
Effective, results-driven digital marketing. Whether you’re a global enterprise or a local shop, we have custom digital marketing strategies such as SEO that produce results...
PPC That Helps Real Estate Investors Close More Deals
Lead Farmers PPC provides Google Ads management services to real estate investors. Our unique approach to ROI for our clients makes us a standout service for real estate professionals looking for a professionally managed marketing channel that can be dialled in and scaled...
Ads By Justin specializes in providing comprehensive PPC advertising solutions tailored to meet the specific needs of small and medium-sized enterprises. With a proven track record of delivering results-driven campaigns, we empower businesses to maximize their online visibility and drive sustainable growth...
AI-driven Amazon Ad Agency with expert PPC manager.
PPCCenter.com operates within a sophisticated Amazon Ad Agency ecosystem that expertly combines the power of advanced AI technology oversight, and control by an experienced human PPC manager professional...
Scalable Digital Marketing Solutions For Maximized Growth
Advertyzed is a digital marketing company founded in 2019. The company operates on a subscription-based model and provides on-demand marketing services through predefined packages...
Ad Loft helps businesses grow with performance-driven Google Ads management, smart remarketing, and high-converting landing page design. We specialize in scaling leads and revenue through fully customized PPC campaigns, built to deliver measurable ROI. Whether you're a law firm, medspa, or ecommerce brand...
Adverio offers an ROI guarantee that helps 7 & 8-figure brands with Large Catalogs on Amazon, Target, and Walmart simplify complexity and scale profitably across marketplaces - handling Ads, CRO, Ops and more. With proven systems, we deliver measurable results you can trust, or you don't pay...
Ranger MediaLab builds data-driven display ad campaigns that reach the right audience and convert. It merges creative ad design with strategic targeting and ongoing optimisation to maximise return on ad spend...
Roxfire is a performance-driven marketing agency focused on building scalable revenue systems, not just running ads. We help service businesses generate consistent, high-quality leads through Google Ads, Meta Ads, and SEO, all integrated into one optimized acquisition system...
Speedwork is a LinkedIn B2B marketing agency. We support companies with LinkedIn demand generation through a mix of services that help start conversations with the right buyers. Depending on the clients goals, this can include LinkedIn outreach, organic content strategy, or LinkedIn Ads management. Our team...
RocarAds is a Google Ads Agency focused on B2B companies and professional services in Spain, LATAM & United States. We help businesses generate qualified leads through Strategic Search, Display and Perfomance Max campaigns designed to fill the sales pipeline with prospects that have real purchase intent. Your...
Better practice growth starts with marketing built around how patients search and choose. MediaNV is a specialized Dental Marketing Agency serving dental clinics, podiatry clinics, and MedSpas across Canada and the United States. Since 2014, our expertise in Digital Marketing for Dentists has helped practices...
At Les Creatifs Studio, we craft websites and online stores that dont just sit therethey work. As a certified Google Ads Partner, we design sleek, responsive sites and ROI-focused ad campaigns that turn clicks into customers. Whether you need a bold digital presence or a strategic marketing boost, we blend...
We're the marketing team that actually gives a damn. No gimmicks, no fluffjust proven strategies, transparent results, and a team that treats your success like our own...
Disartmedia is a multi-service digital marketing agency that works in a variety of industries including Medical, Hospitality, Real Estate, and Automobile among others...
Our expert team offers online marketing services to increase your web presence. We have 35+ years of experience in marketing and advertising! Our personalized approach sets us apart from many other agencies. We offer a free online marketing analysis. Contact us today!...
Grounds for Promotion is a performance agency that specializes producing qualified leads and new customers through proven digital strategies that produce real results and profitable outcomes. We employ SEM, social media advertising, and SEO to drive results...
USIM is a full-service, integrated, media planning and buying agency. We are media agnostic - aligning the most successful and efficient media strategies with the goals of our clients, regardless of channel. We combine advanced technology with the human touch to deliver results for clients in a wide range of...
Code Brew Labs is a leading AI and mobile app company in Dubai. Our highly trained developers make the best out of your ideas to build a brand of great heights...
Techna Digital Marketing is much more than your typical digital marketing firm. We specialize in providing custom-tailored digital marketing. Businesses get to experience the strategies that were used to run multi-million dollar corporate divisions along with a team of experienced individuals...
Campfire Digital is a full-service digital marketing agency that can manage your complete digital marketing campaign from beginning to end. We coordinate everything into one cohesive system that will help you cement a strong and recognizable brand, form stronger ties to your target market and convert web...
A Full-Service Agency Built on Experience: At Blume, its not just about custom websites, PPC and SEO; its about solving real challenges for your business with strategies that work and results you can see...
Providing Affordable Websites, Design, and Digital Marketing
WebAct is a small web design and marketing company located in Denver, Colorado. Our team consists of eager, talented web designers, developers, and marketing experts...
BoostYourCampaign is one of the leading crowdfunding agencies in the world, specializing in launching and scaling successful Kickstarter and Indiegogo campaigns. With a focus on strategic pre-launch planning, data-driven marketing, and effective backer engagement, BoostYourCampaign helps creators achieve...
AMZ One Step helps Amazon sellers grow with high-converting creatives and ad strategies. From scroll-stopping images to data-driven PPC, we turn clicks into customersevery step of the way...
Established in 2000, Radix Interactive provides a variety of small business SEO, digital marketing and website design services to businesses ranging from local start-ups to large corporations...
As an SEO Marketing Agency, We Also Offer Local, International Search Engine Optimization, and Google Ads, PPC for Local Business in Miami, Broward and the West Palm Beach Area...
At Optimize Digital, we understand the challenge of turning marketing into tangible results. Based in Westchester County, NY, we specialize in creating targeted ad campaigns, leveraging AI-driven SEO strategies, and producing high-quality content to help you attract more clients, patients, or customers. We...
Blink Advertising has locations in Pittsburgh and Bellefonte, PA. We provide high quality creative and media services. They include total advertising and branding strategy, media planning, media buying, digital advertising, video/animation production, audio, website/SEO, and graphic design...
Forest City Digital is an eCommerce marketing agency based in Brecksville, Ohio, specializing in helping businesses thrive in the competitive online market...
Growrilla Digital is a full service digital marketing agency specializing in ecommerce solutions. We help brands grow their audience, traffic and revenue through strategic use of paid ads, SEO, retention marketing, social media and branding...
Guidance and Oversight for Critical Technology Decisions
37SOLUTIONS provides strategic technology leadership and digital services for small businesses and personal brands. We bring enterprise-grade thinking to businesses that don't need a full-time CTO and pair it with hands-on execution across hosting, development, and marketing.Fractional CTO & Technology...
Located at the heart of one of the most innovative technology hubs in the world - Boston. Working across strategy, creativity, and a meticulous engineering process, we pride ourselves on bringing clients quantifiable, high-impact marketing results...
The Koroberi mantra is “Work hard. Play hard.” Our clients are like family and we take care of our own. Expect every project to receive the same attention to detail and meet high standards for quality and effectiveness. Based in Raleigh, we know B2B...
Founded in 2005 in Reading (UK) Naxtech is a Digital Agency focusing on helping businesses grow, increase profitability, while attracting new customers via the effective use of technology and digital marketing...
We build things - websites, e-commerce stores, brands, original content, marketing campaigns, apps, and anything creative. Were a team of creative web designers, developers, SEO experts and love all-things branding...
What services does a pay per click agency in the US provide?
Pay per click agencies in the US offer a full spectrum of specialized services that integrate paid media into the broader marketing and revenue strategy and enable businesses to acquire more customers and grow demand on targeted channels.
Guided by data to make spend decisions, eliminate waste, and maximize return on investment (ROI), the role of these specialists is to make each advertising dollar accountable.
As part of its portfolio, a PPC agency provides campaign planning, keyword research, ad creation, copywriting, bid management, budget allocation, A/B testing, and performance tracking.
Professional PPC services are greatly sought after, as the majority of companies (60%) outsource PPC managementto agencies, while 20% work with freelancers, and only one in five businesses maintains an in-house paid media team.
How much does a pay-per-click agency charge in the US?
PPC companies in the US typically charge from $100 to $150 per hour. In addition to hourly-based models, these agencies operate on the following pricing models:
Fixed monthly fee or a subscription: Ranges from $1,500 to $10,000, depending on the campaign size and scope
Percentage of ad spend: Typically falls between 10-30%, with the percentage often decreasing as ad spend increases
Performance-based pricing: Payment is tied to results, such as the number of leads or conversions generated
Project-based pricing: Entails a one-time fee for a specific project, unaffected by ad spend
Predominantly, agencies price their services based on a % of monthly ad spend, with over 50% of PPC companies using this model as their primary. Following closely at 33%-35% are agencies charging a flat monthly fee.
What do US pay-per-click agencies charge that most buyers don't expect?
Setup fees, creative production, tracking implementation, and tool costs rarely appear in the proposal. Here’s what to expect:
Add-on
Typical range
One-time setup fee
$500 – $2,500
Conversion tracking setup
$300 – $1,500
Ad creative production
$300 – $1,500/month
Tool subscriptions
$100 – $500/month
Early termination fee
1 - 3 months retainer
Before signing, ask for a sample first invoice from a client at your scope level.
How do I know if I'm hiring the right pay per click company in the US for my budget?
Most PPC agencies have an effective minimum. Below roughly $3,000 in monthly ad spend, there is not enough data volume for the bidding algorithm to optimize, and not enough margin for the agency to staff the account with anyone senior. If an agency is willing to take any budget without flagging this, that is worth noting.
Budget fit also affects how you should think about pricing. An agency charging a percentage of ad spend earns more when you spend more. Considering that, at lower budgets, misalignment is manageable, but above $20,000 a month, it becomes a real incentive problem.
Before signing, ask directly how their fee structure changes as your spend scales.
What is a realistic timeline to see results from a PPC agency, and what should I expect week by week?
A well-run PPC engagement should show directional movement in cost-per-conversion within three months.
Here is what the agency should be delivering at each stage:
Days 1 to 30: Conversion tracking confirmed, campaign structure built, baseline CPA or ROAS established, and a documented hypothesis about what will move performance and why.
Days 30 to 60: Active testing underway with ad copy variants, audience segments, and match type adjustments. You should be able to see what is being tested and what the agency expects to learn from it.
Days 60 to 90: Early performance data available. The agency should be able to tell you what did/didn’t work and what changes are planned for the strategy going forward.
How can I tell if my current PPC strategy is underperforming before I hire anyone?
Check these five things before you brief a single agency:
Conversion tracking is recording the wrong events. If your campaigns are optimizing toward page views or session starts instead of form fills, calls, or purchases, every performance number in your account is built on a bad signal.
Your search terms report is full of irrelevant queries. If you are paying for clicks from searches that have nothing to do with what you sell, your negative keyword strategy is either absent or neglected.
Cost per conversion has been climbing with no change in targeting. Gradual CPA increases without a plausible explanation usually mean the account has not been actively managed; automated bidding running on its own is not optimization.
Your best-performing campaigns have never been tested. If ad copy, landing pages, and audience segments have been static for more than 90 days, the performance is not being optimized; it is merely running.
You have no visibility into which campaigns are driving revenue. If your reporting stops at leads or clicks and does not connect to closed business, you cannot tell what is working.
What are the red flags when evaluating PPC agencies in the US?
Here are some common warning signs to watch out for PPC agencies in the US:
They guarantee specific results. PPC runs on an auction. No one controls what competitors bid, how the algorithm weights signals, or how your landing page converts.
Their reporting lives in a proprietary dashboard you cannot export. If your performance data only exists inside their platform, you own nothing when the relationship ends.
They have never worked in your vertical. Industry context affects keyword intent, competitor behavior, and conversion patterns. An agency learning your space on your budget is a real cost.
They push to increase the budget before the current spending is profitable. Scaling an unprofitable account spends more money at the same losing rate.