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.
With over 10 years of experience in the SEO industry, we have the skills and expertise required to take any website to the next level. We offer a comprehensive range of services to provide clients with a complete integrated marketing solution designed to increase leads and traffic...
MAGNA APEX was founded by Reneir Cruise in June 2012 and identifies itself as The FITNESS Marketing Agency, working with Clients that own small to medium business that specialize in Physical Fitness, Mental Wellness, and Financial Advisement...
Fredrick Media specializes in affordable, custom web design and digital marketing services for small businesses, enhancing online presence and driving growth. Our comprehensive offerings include responsive web design, local SEO, Google and Facebook ads, logo design, and review management. We transform...
We help growth-minded service businesses build smarter marketing systems, and create momentum. Whether you're scaling, stuck, or starting over, our work is designed to bring clarity, control, and consistent leads without wasting time or locking you into platforms you cannot own...
R9 Digital Marketing and Consulting is here to help with your digital needs. From creating Facebook ad campaigns, Google search campaigns, SEO, building a website that works on the front end and back end, we are here for you...
Amplify media + marketing is a one-stop shop for all your international advertising needs, from extensive campaigns to small personal touches. We tap into technology's power by utilizing data and analytics in real-time, so clients can make decisions with maximum impact on the spot! Our award-winning team...
Omnicore is a Healthcare Digital Marketing Agency headquartered in Tampa, Florida, established in the year 2009. Our compact yet highly skilled team collaborates with various medical and healthcare practices, diligently assisting them in achieving their marketing objectives. We specialize in a spectrum of...
We specialize helping brands grow through data-driven SEO, paid ads, content, social media, Amazon PPC, and conversion-focused websites. We craft tailored strategies that turn digital presence into real revenue across the U.S...
Elevate your online visibility and accelerate your business growth with SEM Revival LLC! We specialize in comprehensive digital marketing strategies customized to enhance your internet presence significantly. Our mission is to empower your brand with targeted solutions designed to maximize online visibility...
Los Angeles' Premier Medical & Dental Marketing Agency
LA's premier medical & dental marketing agency. We work exclusively with doctors and dentists in Beverly Hills and Southern California. HIPAA-compliant SEO, AI patient acquisition, and our proprietary Z-PAP system. Real results, verified...
Boost your business online with 805 SEO. Through increased website traffic and qualified leads, we fuel growth. Join us today and start your journey to success!...
320 Creative is a Minnesota-based digital agency specializing in web design, development, and web marketing including SEO. We help small businesses and nonprofits elevate their online presence with smart strategy, clean design, and measurable results. Our services also include logo design and large format...
Full-spectrum Marketing Solution For Medical Practices
MediVerticals is a healthcare-focused marketing agency that helps medical practices grow by blending modern digital strategies, data-driven tools, and industry insight to boost patient acquisition, enhance online visibility, and optimize operations. Services range from SEO and website development to paid ads...
For over two decades, we've focused on providing comprehensive digital marketing solutions tailored to technology brands. Our founder, Jeff Byerholde,r of five U.S. patents in internet content management systems, bringing deep technical expertise that allows us to quickly interpret complex information and...
You know your service business. We know how to make your service business look good on the Web. We'd like to proactively match our professional experiences/recommendations with your business goals. We can make your Kansas City Website design look like a million, and make it optimized for Google using local...
We're a team of seasoned SEO pros who've been around the block. We know what it takes to help businesses across industries climb those Search Engine Rankings and turn site visits into actual customers. The SEO Workhorse is where rankings rise and traffic flows...
Studio435 is a Kansas City-based digital marketing studio helping small businesses grow with high-impact websites, local SEO, and smart automation. We specialize in fast, effective solutions for service-based companies that want results without the fluff...
We design fast, modern websites for home service businesses like plumbers, HVAC companies, and landscapers. Every site is custom-coded, mobile-first, and built to rank on Google and generate phone calls...
Empowering brands with cutting-edge software, strategic project management, dynamic digital marketing, and custom merchandise. Your all-in-one partner for digital success...
Bonafide is a Houston, Texas-based online and inbound marketing agency specializing in partnering with growth-minded businesses across the United States...
Transform your digital landscape with our bespoke Digital Marketing Services & Ecommerce Solutions!
Founded in 2006, Saevah is an ISO 9001 Certified company, and a trusted partner for digital marketing and ecommerce solutions that require the perfect balance of technology and people power...
Smart strategy. Bold design. Results you can measure. Ideation Digital blends creative marketing with data-driven performance to grow businesses online. We specialize in driving business growth through strategic digital marketing solutions...
Web Design - Ecommerce - Google Ads - SEO - Social Media Marketing
Biondo Creative is a digital marketing agency serving Philadelphia, PA, Delaware County, Chester County, Montgomery County, Bucks County and the surrounding area. We offer Website Design, Logo Design, Google Ads, SEO, and Social Media Marketing...
BMA is a full-service digital agency that focuses on website design, search optimization, local visibility, content strategy, and social media management to help businesses strengthen their brand and achieve measurable growth...
Bryckroad Creative is a full-service marketing and creative agency specializing in website design, branding, SEO, paid advertising, and analytics-driven digital growth. Based in Wichita and working with both local and national clients, the agency combines strategic marketing, award-winning creative work, and...
Empowering Growth Through Strategic Marketing & Creative Excellence
Brand Spark Solutions empowers startups, small to medium-sized businesses, and entrepreneurs by delivering a precise blend of executive-level strategic marketing with hands-on implementation of creative and web solutions, all with tailored packages for every stage of business growth...
Looking for a website that captivates customers? We create standout websites for brands like yours that attract more customers, outperform competitors, and help you bring in top talent...
A Digital Marketing Agency Using AI To Fuel Your Growth
WSI Smart Marketing is an innovative digital marketing agency with offices in over 80 countries. We help entrepreneurs and business leaders cost-effectively unlock the full potential of their business by leveraging the Internet and its many unrecognized opportunities...
A-Train Marketing is a full-service marketing firm with offices in Denver and Fort Collins, Colorado. We provide organizations, charities, and social causes with award-winning branding, messaging, strategy, advertising, and online, and digital solutions to help them make smart marketing choices and stand out...
DentalMax Solutions stands at the forefront as a premier dental marketing firm based in Boca Raton, Florida. Renowned for their cost-effective dental SEO, PPC, and dental SMS marketing solutions, they also excel in providing award-winning dental website design and development services coupled with distinctive...
Senior Care Websites is a trusted partner for senior care businesses, offering comprehensive digital marketing solutions tailored to their needs, including Local SEO strategies and expert website design services. With a focus on enhancing online visibility and improving user experience, we empower senior care...
We are an award winning, global, full service digital marketing agency. Some of our services include Search Engine Optimization (SEO, Paid Advertisement (PPC), Social Media Marketing, Email and Marketing Automation, and Website Development...
Equivity provides dedicated virtual assistant services to individuals, and to entrepreneurs and businesses looking for paralegal, administrative, marketing and bookkeeping support...
EX Studio: Where Digital Brilliance Comes to Life. Our forte lies in propelling brands to new heights through adept digital marketing, strategic branding, and innovative web development. Let our tailored solutions unlock the full potential of your business...
Custom web design that supports real business goals.
Hello hello! Welcome to Black Door Creative! We are not a casual web design agency, we are a digital marketing and web design firm with one single goal- to grow our client's businesses while solving their toughest marketing problems...
DMN8 Partners specializes in assisting service business dominate Google ads, local SEO, Google maps, Local service ads, social media and CRM management to increase revenue and market share...
AGW Marketing is a full-service marketing agency based in Asheville, North Carolina, specializing in creative branding and strategic communications. The agency partners with businesses across industries to develop tailored marketing solutions that strengthen brand presence and drive customer engagement. From...
WSI has a global knowledge and reach yet a local presence. Helping Tech B2B companies get result.
We provide a complete digital marketing service for executives and marketing professionals Helping B2B companies. Services include Web Design, SEO, PPC, Marketing Automation, Marketing strategy and more. Companies frustrated with Lead generation and uncertain revenue growth work with us...
Get found on the web. Engage your audience. Capture leads and sales with Thrive, your premier Seattl
We’re a web design agency that's passionate about creating extraordinary digital experiences for growing businesses in the Seattle area. At Thrive, nothing makes us happier than exploring our customer's goals and problems and then solving them. We can help with everything from the technical details to...
Bolt PR is an award-winning digital marketing, content development and public relations agency with team members in every major market across the country...
Pathfinder SEO helps small businesses dominate their local market with expert SEO, web design, and digital marketing. We craft high-performance websites and strategic marketing campaigns to maximize visibility, engagement, and conversions-letting you focus on running your business while we handle the growth...
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.