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
456 Companies-Rankings updated: August 21, 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.
Ketamine Marketing and Ketamine Lead Generation Experts
Ketamine Lead Gen is a boutique marketing agency that works with Ketamine Clinics and Wellness Clinics to attract new patients for services such as Ketamine IV, IM Ketamine, Sublingual Ketamine, Esketamine (Spravato), TMS Therapy, MeRT for Autism, NAD Infusion Therapy, Nutritional IV, and more...
Founded in 2014, Exverus by Brainlabs is a global, independent media agency growing brands with a scientific approach to full-funnel media planning & buying, traditional and programmatic advertising, retail media & e-commerce, paid search, paid social, and analytics...
Onmove Digital Agency is a premium digital marketing and web design agency based in Sydney. We help businesses across Australia and the United States achieve measurable growth and high ROI. We specialise in Google Ads, SEO, social media marketing, branding, and high-performance websites...
KARMA jack helps enterprise and multi-location brands unlock scalable growth through full-service marketing: websites, SEO, digital ads, and brand strategyall delivered with unmatched speed and a human-first approach...
Web Design, SEO & PPC that generates more revenue. It's what we do. We walk with you through your journey, and that's why we have become a leading web design and digital marketing agency in South Carolina over the past 13 years. Whether you need a new logo design to rebrand or start your business or you are...
AI-Powered Digital Marketing Agency for Modern Businesses
One of the top digital marketing agencies in India helps clients with SEO, Google ads, Google map listings, web design, and development services. Black Marlin Technologies, established in 2014, stands as a premier provider of digital marketing solutions, dedicated to catalyzing business expansion through the...
Codexelle is a website design and digital marketing agency based in London, New York, and Paris, distinguished by its expertise and ambition to drive the growth of the brands and businesses we collaborate with while shaking up their competitors...
Our systems combine advanced SEO & AI sales management to ensure the 2,500+ leads we generate weekly dont just callthey book while you focus on the job...
Velocity Growth provides a comprehensive suite of services centered around growth marketing. Our offerings encompass content, training, and consultancy, all aimed at propelling you toward your growth objectives...
VIIRL Marketing helps companies with web design, SEO, Google PPC/LSA, and other lead platforms like Yelp, Thumbtack, Angis, Nextdoor, Facebook, and more. We have built tech software to help including reporting dashboards, auto response and lead follow-up tools, and CRM integrations...
Kreative Marketing Insights (KMI) is a top Atlanta digital marketing agency specializing in SEO, social media marketing, and website design & development. We drive online growth with innovative strategies and cutting-edge solutions...
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...
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...
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...
Obrofy is a data-driven digital marketing agency that helps businesses generate qualified leads and accelerate revenue growth through SEO, AI Search Optimization (GEO), Local SEO, paid advertising, and conversion-focused website strategies. Founded in 2020, the agency combines data, AI, and multi-channel...
Flighted is a DTC growth marketing agency specializing in paid social ad management, ad creative production, and landing page design for brands looking to take their growth to the next level...
GT Solutions provides web design, eCommerce development, SEO, AI search optimization, CRO, paid advertising, email automation, analytics, branding, and AI-powered business solutions...
tamer is dedicated to helping businesses achieve their digital marketing goals. We specialize in crafting impactful strategies to boost your online visibility and drive meaningful results...
Bluum Digital is a human-first, anti-agency marketing team built to make growth simple. We run paid media, craft creative that converts, and design landing pages that drive results with clear reporting and no fluff...
203 Media Group is a web design agency in Norwalk, Connecticut, helping businesses build professional websites and grow their online presence. The company serves businesses in Norwalk, Stamford, Danbury, Fairfield, and nearby areas.The team specializes in Web Designing, Custom Web Design, Responsiv...
Fluid Marketplaces is a renowned global Amazon agency dedicated to helping ambitious brands reach their goals. Our mission is to empower businesses to overcome challenges and achieve exceptional growth on Amazon and beyond. With our expertise, passion, and know-how, you can expect fantastic profitability and...
Maximize Your Brand Visibility with the Most Effective Marketing Tactics from My Marketing Stars.
My Marketing Stars is a vibrant digital marketing agency in New York that has a lot to offer to businesses in terms of online growth and real performance. With a group of skilled marketers, we give a large list of services like SEO, social media marketing, PPC ads, content creation, and web development...
AI-Powered Patient Growth For Cosmetic & Aesthetic Practices
Medical Marketing Firm is an AI-powered agency working exclusively with cosmetic and aesthetic medical practices plastic surgeons, med spas, dermatologists, and cosmetic dentists. Founded by a 22-year Google Ads veteran, we run AI at every layer: machine learning bid optimization, AI-assisted content trained...
VegaOne Trusted name in the field of digital marketing in California, Los Angeles. our most strong working areas included SEO, social media marketing, Web design & development including WordPress, Shopify, Ecommerce, Magento and custom CMS based website...
VerifiedVerified by the DesignRush team for authenticity and credibility.
Digital Evolution For Business
Leading brands turn to us at pivotal moments of digital evolution. Our global creative team fuses story, technology, and design to make experiences that captivate and convert. Our web design agency helps enterprise brands and market leaders navigate digital, evolve profitably, and launch unforgettable...
BuzzShift is a digital strategy agency based in Dallas, collaborating with brands and agencies to create and manage effective strategies that drive online growth. They focus on helping businesses succeed by optimizing their digital presence and fostering measurable results...
InteractOne is an eCommerce and digital marketing agency that helps clients develop strategic marketing plans and build eCommerce websites. They focus on providing solutions that combine digital marketing expertise with tailored website development for online success...
We are a top-rated Amazon Brand Management Agency, offering end-to-end services from listing optimization to Amazon PPC. As a top-rated seller on Upwork with a 100% Job Success Score (JSS), we deliver proven results for brands looking to grow on Amazon...
At BoostXLLC, we supercharge your online presence with tailored digital marketing strategies that deliver real results. Specializing in PPC management, Amazon FBA services, Amazon PPC optimization, and local SEO, our team helps e-commerce brands and local businesses climb Google rankings, attract qualified...
REK Marketing & Design is a 22-year-old Orlando agency, now run by Tom Klingebiel and Dave Lertola since October 2025. We build custom-coded websites for home service and retail businesses. No WordPress. No templates. Month-to-month contracts. 90+ active clients across Florida, California, and PA...
Vix Media Group empowers businesses by providing expert guidance for organic growth. Our team of industry professionals collaborates to deliver impactful, results-driven campaigns. We build meaningful partnerships, focusing on our clients unique goals to drive significant outcomes...
Niche experts focused on building effective & efficient marketing funnels. 100% Done-For-You agency.
Blade Commerce has a proven track record of success, with over $55 million in client ad revenue. their team combines paid ads, SEO, and SMS/Email marketing to maximize your revenue. They are half the cost of other agencies and guarantee 3x the results...
At The Techload, we specialize in boosting your brand's success on the world's largest e-commerce platform. We're experts in growing your Amazon sales and optimizing your online presence, ensuring your brand's success...
#1 Trusted Results Driven Digital Marketing Agency in New Jersey - No Fluff, Just Results
We are a trusted ROI driven digital marketing agency specializing in Local SEO, Website Design, Google Ads, and Email & SMS campaigns to increase revenue consistently...
Break Through The Noise With Award-Winning Web Design & Digital Marketing
Widely Interactive is an award-winning web design and digital marketing agency in Scottsdale, AZ. With 20+ years of experience, we combine custom website design with data-driven SEO and digital marketing to help businesses attract visitors and convert them into loyal customers. We build every site from the...
LaV1 is a Los Angeles-based SEO and digital marketing agency helping local businesses grow through expert SEO, web design, Google Ads, and social media strategies...
We sell convenience. We organize your marketing goals and set everything up for you like a red carpet so that you and walk down the aisle and can achieve the success that you crave...
Crafting digital success stories, one business at a time.
We help service-based small business owners quit wasting resources on underperforming digital marketing efforts by filling in the gaps of your online presence with result-driven web design, SEO & advertising so you can get back to running your business!...
We help Amazon sellers scale with data-driven PPC strategies.Our team specializes in Amazon PPC management, crafting high-converting Sponsored Products, Brands, and Display campaigns that boost visibility, increase sales, and lower ACoS. No wasted spend just performance-focused results...
Esencia Agency helps aesthetic clinics, med spas, and cosmetic practices across Colombia grow through strategic digital marketing. We manage Instagram, Facebook, Google Business Profile, Meta Ads, and WhatsApp conversion flows to generate qualified patient consultations. Our bilingual team works 100% remotely...
We are high-performance agency focused on paid ads.
At UNI Marketing Agency, we specialize in assisting businesses in identifying their unique growth formula and ensuring widespread awareness of it. With a partner-centric approach, we think, act, and celebrate alongside our clients, fostering collaborative success at every stage of their journey...
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.