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.
Star Strategy Marketing, a Denver-based digital marketing and SEO agency, is dedicated to driving business success. With firsthand experience on both the client and agency sides, we bring valuable insight into building strong, effective partnerships that deliver meaningful results...
HKO Agency is a strategic creative partner for B2B, SaaS, and professional services brands. We build cohesive brand systems, high-impact visual identities, and scalable digital experiences that connect strategy to execution. Our team delivers brand strategy, UI/UX design, websites, content systems...
Your Data-Driven Full Service Digital Marketing Agency.
At Keach Agency, a full service digital marketing agency in the USA, we specialize in affordable and comprehensive digital solutions designed to enhance your business visibility and growth. From designing and developing user-friendly websites and mobile apps to delivering strategic online marketing campaigns...
Cut To The Chase: Full-Stack Digital Marketing With A Streamlined Impact.
With 20+ years of shared expertise, Three Wolf unites marketing specialists in a collaborative model that breaks away from the standard agency formula...
At Bone Marketing, we focus on building genuine relationships and teaching every client what we do and why it works. Our goal is to create a foundation your business can grow on not just temporary results...
OHS Publishing is Kansas City's leading web design and SEO agency, helping local businesses grow with stunning websites and powerful digital marketing. As a Premier Google Partner and Facebook Marketing Partner, we deliver high-impact SEO, PPC, and custom web design built to increase visibility, generate...
Congruent Digital was built on the belief that great marketing comes from the right mix of expertise, innovation, audience-first thinking, strong execution, and relentless hustle...
Idaho Style is an Award Winning Digital Marketing Firm that specializes in achieving results through Web Design, Development, SEO, PPC and Social Media. Our passion for helping businesses grow and our dedication to providing quality services has earned us a reputation as one of the best in the business. If...
Inner Spark Creative is a results-driven digital marketing agency offering SEO, Google Ads, web design, branding, and LLMO (Large Language Model Optimization). We serve law firms, home services, healthcare, multi-location brands, B2B, and more with creative, transparent, growth-focused strategies...
Gravitas is an AI and digital experience agency based in Boulder, Colorado, with a distributed team across the US. We build AI systems, custom software, digital experiences, and customer aquistion funnels that drive measurable business outcomes for ambitious brands...
Partnering with healthcare providers to drive growth and revenue!
The WRIGHT Consult (TWC) is a healthcare digital marketing agency that helps doctors improve patient acquisition and boost revenue. Our award winning programs will take your practice to the next level...
Trusted E-commerce Partners To Be The Catalyst For Your Brand.
eComCatalyst is a full-service Amazon/e-Commerce agency. Formerly known as E-BusinessOnline, eComCatalyst was founded by Fred McKinnon with over 20+ years of experience selling on Amazon and over $100M in revenue. We provide consulting, projects, and full account management including listing...
Precision Digital Marketing is a results-focused digital marketing agency that helps businesses grow their online presence through data-driven strategies, combining SEO, digital advertising, and innovative marketing solutions to drive measurable performance...
We specialize in building websites, logos and brands for physicians, surgery centres, hospitals and healthcare organizations. Our talented designers collaborate with our technical group to create a personalized site that is graphically superior and functionally sound...
Socialfix Media is an established video editing, digital marketing, and technology agency located in New Jersey, New York, and San Francisco - CA. We specialize in website development, software development, and video production...
The Only Agency That Built Two INC 500 #1 Brands From Zero
Digital marketing agency powering record-breaking growth for standout brands. Were the driving force behind multiple INC #1 fastest-growing companies, with a laser focus on paid media, email marketing, and creative strategy. Relentlessly curious, radically transparent, and obsessed with your results...
At Santa Rosa SEO, were not just another digital marketing agency. Were your local growth partner. Our mission is simple: to help Santa Rosa businesses dominate search results, attract qualified leads, and convert online visibility into real revenue...
Boykin Web Management builds custom websites and runs digital marketing for small businesses across 165+ industries. Every site is designed and developed from scratch no templates using React and Next.js for fast load times and strong SEO performance. Services include web design, web development, SEO, Google...
Operator-grade Growth Marketing. From Inside Real Ad Accounts.
GrowthMarketer breaks down how modern performance marketing actually works in 2026: server-side attribution, AI-native creative, Meta campaign structure, and operator systems that compound.No theory. No gurus. No recycled agency decks. Just what's working right now from inside real ad accounts. Hosted by...
BRAINSTORM Solutions is a web development and digital marketing agency with offices in New York and overseas. Through collaborative innovation, we spark user-friendly solutions for products and services using the latest technology.Let’s create a storm together!...
Agreed Technologies drives measurable growth through AI search optimization, custom SEO,and performance marketingserving 500+ clients nationwide since 2014 with growth built ontrust, innovation, and results...
Boost your brand, expand your reach, and drive success with our expert holistic marketing solutions designed specifically for small businesses ready to achieve big results!...
Clear Brands is a marketing agency that helps local businesses get found online and turn that visibility into real customers. We handle everything from SEO and web design to branding and Google Ads, all tailored to small and mid market companies in the Tampa Bay area who want to grow without the guesswork...
Elevate Your Online Presence with Phoenix's Digital Artisans!
At D1GIT, we offer web design solutions that resonate with our local Phoenix community. Our designs capture the essence of this vibrant city, from downtown hustle to the serene desert outskirts...
We are a top rated digital marketing agency and website designer in Denver, Colorado, providing a full suite of marketing, software and advertising services. We design highly dynamic websites and funnels geared towards high conversion rates. We can build in most cms design platforms and can provide...
Katava Marketing is a full-service digital marketing agency helping businesses nationwide grow through strategy, branding, website design, SEO, content development, and paid media management...
Google Ads, SEO, Website Design, Graphic Design & Full-Service Digital Marketing.
We grow your business, establishing a strong online presence with our SEO services and grow organically. We find potential customers at the right time and get conversion-oriented traffic...
At SearchRPM, we're not just in the business of writing for robots and building spammy links. Instead, we focus on crafting digital brands that both search engines and users will adore. Our goal is to help your brand go beyond rankings so you can stand out from the competition...
SEO Crunches offers services to enhance ranking, lead generation, conversions, and search visibility. It improves and increases the website traffics quality and the number of calls your business receives with SEO services, local search marketing, search engine marketing, and PPC advertising...
Digital Marketing Made Simple,Brands Made Stronger.
Summit Point Solutions is a marketing agency out of Shelton, Connecticut, dedicated to helping local businesses grow. We specialize in Website Design, SEO, Google Ads, Meta Ads, and Social Media Marketing, crafting customized strategies that deliver real results. Our passion is empowering small businesses...
10x Med Spa Marketing helps medical spas grow by turning online visibility into steady bookings. We focus on bringing in more qualified clients, strengthening your reputation, and creating long-term growth for your practice...
Topo Growth is your partner for strategic and sustainable business growth. We leverage our years at Google, Meta, and DoorDash to develop, execute, and optimize marketing strategies to achieve your revenue goals...
Getting your small business More TLC - Traffic, Leads, Clients - using local SEO.
Thencan Designs, based in Bend, Oregon, is a web design and SEO firm focused on improving small companies' online visibility. Thencan offers a customised approach to each client's specific brand and industry demands, specializing in bespoke website building, local SEO, and Google Business Profile...
Crush Social powers lead generation for service-based industries like real estate, legal, and HVAC. We drive results through targeted social media, Google LSA, PPC, and content strategies that attract high-value leads. Stay ahead of the competition with marketing solutions built to grow your busine...
We create custom web solutions for businesses across the United States, with our headquarters in Birmingham, Alabama. Specializing in small business web design and development, we offer a full range of services including website design, maintenance, SEO, social media management, content creation, branding...
Miami SEO Nerdz is a bilingual local SEO agency based in Brickell, Miami. We specialize in local SEO, Google Business Profile management, PPC, Local Service Ads, and web design for service-based businesses across South Florida. We work with one business per niche per city so your competitor cant hire us if...
Solution Agency is a Cincinnati, Ohio based creative powerhouse with over 20 years of experience in web development, design, marketing, photography, video, animation, hosting and support. The full-service firm helps businesses and organizations solve digital challenges with intention and impact, delivering...
DentalScapes: Your Dental PPC Digital SolutionFeel like most marketing agencies miss the mark? DentalScapes is different. With an on-board practicing dentist, we offer precise, clinically accurate, and impactful digital marketing strategies. Designed uniquely for your dental practice, we amplify leads and...
Hero Digital works at the nexus of business, design and technology to foster a meaningful customer experience. Our interdisciplinary teams collaborate with Fortune 500 companies like Comcast, Oracle & U.S. Bank to unlock their potential. We do this while promoting truth & beauty in people’s lives—an...
Founded in 2023, UP Marketing is a full-service digital agency based in Rootstown, Ohio. Specializing in web development, SEO, paid media, and branding, the agency delivers customized strategies designed to enhance business growth and online visibility...
At Brain Buzz Marketing, our singular objective is to foster your business growth through collaborative efforts. Comprised of results-oriented marketing experts, we are committed to eradicating missed sales and opportunities stemming from ineffective marketing strategies. By partnering with businesses, Brain...
From Leads To Loyal Customers. Growing Your Business Together.
Leadvine Marketing is a digital marketing agency dedicated to helping businesses grow through targeted strategies in paid media, SEO, and content marketing. By focusing on customized solutions and transparent communication, the agency drives measurable results for companies looking to expand their online...
Founded in 2014 on the belief that when you spend money on marketing you should make money on marketing, Alley runs full funnel marketing campaigns for the worlds top brands to acquire and retain their best B2C & B2B customers...
Fair Marketing is a Houston-based digital marketing agency founded in 2005 and recognized on the Inc. 5000 list as one of the fastest-growing companies in the U.S. The firm helps medium to enterprise-level businesses boost online visibility and customer growth through comprehensive services, including SEO...
Digital marketing agency in Kennesaw, GA, serving clients in the USA. We offer web design, SEO, GEO, AEO, local SEO, PPC advertising, content marketing, and related services. Our competitive advantage is over 45 years sales and marketing experience (25+ years digital). No foreign outsourcing...
Velociteam Strategies (VTS) is a performance marketing and AI development firm built around Search Everything Optimization - SEO designed for Google and AI discovery (LLMs, assistants, social search). We build conversion-first websites, run paid media, and deploy custom AI automation that handles intake...
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.