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.
Custom Web Design, SEO, & Digital Solutions to bring you and your business into the 21 century.
Marc Hyde Creative focuses on developing digital solutions to your company issues, such as websites and traffic-driving systems, with the aim of gaining you more customers. Whether you are a small company, church, school, brand, or blogger, I can help you grow your email list, convert website traffic into...
Building enterprise grade websites and develop custom marketing campaigns.
Established in 2013, 321 Web Marketing emerged with a mission to redefine the norms within the digital marketing industry. Jonathan Gessert, the visionary founder, recognized the untapped potential in revolutionizing digital marketing strategies through a technical lens, challenging conventional practices and...
MUAVE Agency is a creative and consulting firm specializing in Branding, Marketing, and Business Consulting. We craft impactful brand identities, modern websites, and performance-driven strategies that connect with audiences and elevate businesses. Guided by our motto Creating Value & Altering Emotions, we...
DoctorsInternet.com is a company founded by doctors James Gelfand and Joshua Gindea, who realized that there was a need for specialized online marketing, website design, and reputation management for health professionals...
Faith Performance Group specializes in creating high-quality websites tailored to the needs of small and midsize businesses. Founded by Carlos Cerritos, the company focuses on developing user-friendly, mobile-responsive sites that load quickly and attract customers. Offering services such as web design...
EvenDigit is a reliable DM and Development Agency specializing in WordPress, WooCommerce, and Shopify. We create customized websites and e-commerce stores, offer theme customization, store development, and 3rd party tool integration. We also provide maintenance, security, and optimization services...
Hayes Digital Marketing is based in Ponca City, Oklahoma and led by Todd Hayes, the gray-haired geek who's been building brands online since the dial-up modem days! We offer SEO consulting and implementation, optimized website design, and Google ads campaign management...
ClickReady Marketing is a dedicated Small Business SEO Agency focused on cultivating long-lasting and rewarding relationships with our clients. We specialize in helping attorneys, B2B services, manufacturers, dentists, detox centers, franchises, and home care service businesses achieve success through...
OnTop Local focuses on website design, SEO, keyword rich targeted articles, reviews/reputation, and PPC we help our clients outshine their competition. With in-house programmers we create our own technology and systems to ensure our clients are not only getting the latest and greatest in marketing but we are...
B2B Lifecycle Marketing to Generate Qualified Leads & Accelerate Sales
Before we start selecting technology, changing your website, or buying media we take time to understand your business, your marketplace, and your customers. We start with where you are today: baseline metrics. We uncover opportunities and challenges via audits and assessments...
We have a proprietary formula for all marketing materials we produce. We also approach every project with results in mind. There is no better way to design a website but from the ground up and with the client’s brand in focus while considering the target market...
COSO Media is a full-service marketing and technology agency founded in 2011. Serving small and mid-size businesses across Northeast Ohio, the agency offers web development, local business marketing, SEO, social media, hosting and IT solutions. COSO Media focuses on customized strategies that grow leads...
Aidan SEO is a USA-based SEO consulting agency in NYC. Our team of SEO experts offer complete SEO service including SEO audit, competitor analysis, content marketing, link building, and more! Contact us today for a search engine optimization consultation...
True Web is a digital marketing company located in Tampa, FL. We've been growing and stretching our audience nation wide. Providing services such as PPC Management, Web Design, Ecommerce, Social Media Marketing, and more...
We're an experienced group of problem solvers and everything we do just for one objective: Growth. Our services are more than your typical strategy building helping hand, try us just for your brand!...
Aesthetic Brand Marketing (ABM) is an award winning, full service interactive web design and marketing agency focusing solely on the elective healthcare market. We are a privately held firm headquartered in San Diego, CA...
Range Marketing offers full spectrum Website Design and development, taking your business website from concept to production. We are an innovative group of marketers based in Buffalo, N.Y...
We build brands with culture, attitude, and authenticity.
Forty4 Design is a Design-Centric marketing agency helping businesses of all sizes grow their online presence through User Experience (UX/UI) design and conversion rate optimization (CRO)...
The Perfect Union Of All Things Production and Advertising
3rd + Lamar is an innovative media firm that uses forward-looking storytelling to drive success for enterprising businesses and startups. We collaborate with emerging direct-to-consumer brands, helping them reach the next level...
Vibrant Performance Fueled By Creativity And Innovation
ATTN Agency is the ideal partner for brands in search of rapid growth. Owing to our unique combination of tactical media buying, data-driven analysis, and creative services, we propel businesses forward with full-funnel performance marketing that amplifies value...
With a decade of experience, Level Agency has become an engine for growth-minded brands. We partner with clients to create powerful performance marketing campaigns that maximize their ROI and reach the right consumers at the perfect time...
With our expertise and years of experience, we can make marketing your business simple. You'll be able to devote more time to growing your company while leaving the promotional work in capable hands. Allow us to take care of creating quality content that captures attention - giving you a worry-free way to get...
At 1SEO Digital Agency, we are a premier online marketing company located in Philadelphia, PA, offering comprehensive services for businesses. We specialize in providing a range of full-service offerings such as SEO, Internet marketing, content and video marketing, social media optimization and PPC services...
The Tadpole Agency is dedicated to helping brands build a strong online presence. As a digital marketing agency, we offer a broad spectrum of valuable marketing services and solutions, such as digital advertising, social media marketing, branding, content creation, consulting, and more. Our team brings a...
From SEO and PPC to Content and Social Media, OptZoom Digital Agency will help you create an effective online marketing strategy that drives results. Get started today and grow your business!...
At SEO Media Line, we specialize in SEO and digital marketing solutions, offering businesses of all sizes an impactful online presence across industries. From website creation to SEO and precise audience targeting, we cover your global digital branding...
Experience explosive growth with TNT Growth, your marketing partner. Leveraging our unique TNT Growth Formula, honed from managing over $150 million in PPC ad spend, we meticulously craft, optimize, and scale your marketing campaigns for maximum ROI...
We turn bold ideas into big wins. Marketing and design that fuel ambitious brands.
icepop is a digital marketing agency built for brands that want to scale. From paid media and SEO to high-converting websites and creative campaigns, we blend performance with personality to drive real growth. Our clients range from consumer startups to iconic national brandsand we love helping both win...
Build authority. Protect your reputation. Drive growth. BrandFortis delivers strategic marketing built for lasting impact. BrandFortis helps companies and individuals build authority, manage their reputation, and drive profitable growth...
Real Time Marketing is a full-service, in-house agency serving home service businesses across the U.S., including plumbers, electricians, HVAC contractors, and more. With 100+ years of combined experience, our team is highly specialized in every aspect of marketing...
Good Pup Digital is a Cincinnati & Northern Kentucky-based digital advertising agency specializing in Google Ads, Meta Ads, YouTube Advertising, and local SEO. We help small and mid-size businesses grow with paid advertising without the long-term contracts, hidden data, or revolving-door agency teams...
Tandem Medical Marketing builds Google Ads, SEO, and Meta campaigns exclusively for medical practices and healthcare organizations. No generalists. No learning curves. Just specialists who already know your patients...
At Tower 25, we elevate brands to the next level through multiple advertising services. Our expertise in SEO ensures your online presence is as effective as it is engaging, while our direct marketing strategies are crafted to deliver targeted, measurable results. We help brands come to life with engaging...
Growleads is a B2B demand generation partner that books qualified meetings with decision makers for companies between $1M and $100M+ ARR globally. We build the demand strategy around each client's specific buyer before any campaign goes live. This is Demand Intelligence...
At our agency, we work with a set of values and principles that allow us to offer quality solutions and guarantee a unique experience for our clients. Some of our main strengths include:...
We Help B2B Companies Generate, Nurture, and Convert Leads
Spear Marketing Group is a full-service marketing firm that assists business-to-business (B2B) organizations in generating sales leads, nurturing those leads, and converting those leads into revenue. The full-funnel approach to demand creation used by the company combines strategy, creative, and technological...
Corey Koehler Media helps small manufacturers and B2B businesses turn underperforming marketing into qualified leads and real pipeline growth. Specializing in Google Ads, marketing strategy, and AI-assisted systems built for long sales cycles and technical buyers. No big agency overhead. No junior staff...
Hive Digital - Marketing a Better World - provides industry leading innovation and digital marketing expertise for companies dedicated to creating a better world. Hive Digital, Inc. is a for-profit Benefit Corporation hyper focused on assisting those people and companies that are dedicated to helping solve...
Real FiG Advertising + Marketing is an award-winning marketing agency with two offices in Chicago, IL and Denver, CO. As your one-stop shop for all of your marketing needs, we specialize in a wide variety of digital and traditional forms of marketing including website design, search engine optimization, brand...
Skyline Digital Marketing is an Anderson, SC based agency with 12 industry certifications and a proven track record of delivering solid ROI for our clients...
Rhillane Marketing Digital is a comprehensive digital marketing agency dedicated to delivering exceptional services that drive business success and growth. Our team of specialists excels in various domains, including Digital Marketing Strategy, Web Design, UI/UX, SEO, Graphic Design, 2D/3D Animations, Social...
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.