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
416 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.
57 Clicks is a family-owned Orlando Florida Full-Service Digital Marketing agency. Our team helps local and national brands grow by turning clicks into customers. Our digital marketing agency offers a wide variety of services including website design, SEO, video production, PPC and social media...
Welcome to Integrity Marketing Services, your trusted partner in digital success. Located in Kirkland, we are experts in building high-quality, custom WordPress websites and crafting effective digital marketing strategies. With a strong focus on SEO and Google Ads, we provide personalized solutions that help...
AlchemyLeads (Los Angele, CA & Denver, CO) is a boutique SEO & digital marketing agency founded in 2017. They help e-commerce, B2B, and industrial brands grow organic traffic and revenue. Their senior-level team provides SEO, digital PR, content marketing, PPC, social media, web dev & link-building...
We Design, Build, and Manage High-Performing Websites
Website Design and Development for the business owners who want to focus on running their business! Most web companies will charge you thousands of upfront dollars – just to design your website. Your new site might look great but are your potential customers finding it?...
ROI-focused dental marketing, specializing in SEO, Pay Per Click, website design & development, practice rebranding, and review management for dental practices. We use a data backed, analytical approach to increase your new patient leads...
TSORBIT is a results-driven digital marketing agency with an innovative edge, dedicated to maximizing your revenue and online visibility. We are committed to your success...
Next Step Connect, founded by Mike Forgie in 2014, is a New Jersey-based marketing agency that specializes in helping businesses dominate their local markets through targeted search engine optimization (SEO) and search engine advertising. With a focus on hyper-local strategies across various industries, the...
Marketing made simple. We're here for however long YOU need us!
AW Digital Marketing is a full-service marketing agency offering content marketing, SEO (Search Engine Optimization), Google Ads, social media marketing/management, website design/redesign/management, graphic design, mobile application development, marketing strategy advice and direction, email/SMS...
Social Media Marketing Agency for Health, Parenting & Consumer Brands
Quimby Digital is a women-led social media marketing agency for brands in parenting, women's health, femtech, beauty, CPG, and SaaS. Services include organic social, paid ads, influencer marketing, Reddit strategy, UGC, and community management...
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...
Jolly Good Media is an Oregon-City, Oregonbased web design and online marketing agency specializing in website design, ongoing maintenance & support, video marketing, and full-service digital strategy. Founded in 2014, the agency serves small businesses that want custom, branded sites plus honest...
Yodel Mobile is the leading, award-winning global app marketing agency. With over a decade of experience, we specialise in driving scalable and sustainable app growth for some of the world's most innovative brands and startups...
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...
Personalized websites for YOU and no one else! Big Star Production Group is a Los Angeles woman-owned creative agency that specializes in creating personalized website design that captures your personality and also ranks in Google search. Designed by Big Star Production Group, your brand will blossom into...
NeoRipples Marketing is a very reputed digital marketing agency in Dallas. We are providing every kind of digital marketing services like seo services, PPC service, social media marketing, graphic designing, website designing & development, content writing, business strategy planner...
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...
Has your digital marketing plateau'd? Are you seeing advertising efficiency begin to decrease? Our goal at Algofy is to take a look at your digital marketing through your entire marketing funnel. We believe that digital marketing can be effective for all businesses, however the right marketing mix and...
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...
We carry the Marketing load so you can focus on what matters most. At Solitude Marketing, we specialize in taking the stress out of digital marketing, allowing you to focus on what you do best...
Doc Digital SEM helps brands get discovered through advanced LLM SEO strategies, driving visibility across AI search platforms Doc Digital SEM is a top-ranked, full-service digital marketing and LLM SEO Agency that helps businesses rank in AI-powered search engines like ChatGPT, Google SGE, and Perplexity...
610 Digital is a digital marketing agency that works with clients to improve the results and outcomes from their digital marketing initiatives. Our focus is to improve your lead acquisition, boost sales and create a better experience for your customers...
Born in Floridas competitive hospitality scene, J. Oliver Advertising now drives data-first growth for service businesses, e-commerce brands, and professional firms such as law firms, medical clinics, wellness brands, and beyond...
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!...
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...
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...
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...
We are a team of online marketing professionals. We understand the search engine ecosystem and IT requirements for the current market. Our unique approach to SEO allows us the capability to take your site to the top of major search engines...
DigitalParc is an uniquely experienced and results-driven team of digital marketing experts ready to assist in your business being transformed online. We specialize in designing beautiful websites that have the potential to convert, researching and executing optimized content strategies to acquire new traffic...
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...
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...
Creating a lasting impact through the power of Digital Marketing & Web Design.
OKC Web Design Company specializes in creating stunning, user-friendly websites tailored to your business needs. We offer expert web design, SEO, digital marketing, and branding services to help businesses in Oklahoma stand out online. From responsive designs to custom development, we deliver solutions that...
Seafoam is an award-winning marketing agency in St. Louis, Missouri, specializing in branding, website design, and digital marketing. We create sustainable marketing systems that drive long-term success, guided by a commitment to good karma, genuine relationships, and high standards...
International Platinum Award Winning Creative Design & Development Team
The Viva edge is cultural intelligence, we conceptualize, we create, we analyze date & optimize for performance. By designing & Implementing streamlined, strategic solutions, we help our clients find more customers and connect with their surrounding communities online. We're aggressive with our tactical...
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...
Grindstone Design is a digital marketing and website design firm located in Florida. We provide creative B2B solutions that assist companies in expanding their online presence. Custom WordPress website design, smart digital marketing, and complete social media management are all part of our offerings. We...
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...
SCALZ.AI is a cutting-edge AI SEO, SGO, AEO, SEO and Digital Marketing agency specializing in addiction treatment and healthcare systems, leveraging data, innovation, and intelligent automation to deliver impactful campaigns...
Scale your business with the best Google Ads agency on the planet!
Solutions 8 stands as a leading Google Ads agency nationally, recognized among the top 10 agencies by expertise.com and acknowledged as a Digital Marketer Certified Partner. Specializing in advanced, tactical management of Google Ads, Solutions 8 has played a pivotal role in facilitating the growth and...
We are a family owned, full service, digital agency. Unlike most agencies, we approach your services with the whole sales funnel in mind. We are dedicated to supporting you and your business improve your overall profit by helping you to gain leads, nurture them, and convert them into raving fans of your...
We specialize in affordable custom websites for small businesses. With websites starting at $0 upfront and just $150/month, we are the perfect option for small businesses looking to grow...
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...
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.