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
4,062 Companies - Rankings updated: August 07, 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.
A boutique agency that doesn't sacrifice quality for scale. We create custom marketing strategies for each client that focus on profit, not just visibility metrics. Get to know us and you'll see why small teams are a better fit for you...
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...
Tripling Calls & Doubling Profits with SEO & Online Marketing
Tripling Calls & Doubling Profits with SEO & Online Marketing
Marketer Medley - Full-Service Marketing That Strikes the Right Chord! We're more than just a digital marketing firm; we're your strategic partner in growth. Our credibility is rooted in consistently elevating businesses to the top of Google rankings, doubling profits, and delivering unique, tailored...
Search Berg is a reputable enterprise SEO and digital marketing agency that offers various services, including SEO, Paid Marketing, Content Marketing, Website Design and development, Social Media Management, and Reputation Management...
Marketing For B2B Manufacturers That Actually Works
Marketing For B2B Manufacturers That Actually Works
LeadStorm Marketing isn't a "typical" agency. We don't just "run ads" or "write blogs." We partner with you to build a comprehensive demand-generation system that attracts, nurtures, and converts high-value B2B clients...
At Digon Design we specialize in helping local home improvement service companies get found online. We do this through creating striking websites for our clients, then doing everything in our power to get those websites in front of their ideal clients...
Beson4 is a full service agency, offering clients personalized, creative and effective marketing services. We love to work with entrepreneurs and established companies alike—those who want to take their company to the next level and create an emotional connection with their customers...
We are high-performance agency focused on paid ads.
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...
We Are a Creative Agency with a Passion for DesignIts simple, Were here to help your business grow!Division Web Design is dedicated to helping businesses grow their web presence. We specializing in web design, search engine optimization, digital design & digital marketing. We provide all the tools you...
Impactful digital and growth marketing, done for and with you.
Impactful digital and growth marketing, done for and with you.
Tuff is a digital marketing agency for startups, that will unleash your growth through efffective processes by skilled executives. We understand the true essence of growth. It's not just a result; it's a carefully crafted process.With our proven methodology and a team of expert marketers, we are committed...
Justdigilab is a full-service digital marketing agency in California, USA. They offer a variety of innovative digital marketing services such as SEO, PPC, and Social Media to help businesses unlock growth and achieve results...
Apex SEO Company works to grow your business using custom Wordpress & Webflow web design, SEO services, and Google AdWords Management and Landing Page Design. SEO services include keyword research, link building, local SEO, technical SEO and Schema mark-up...
Founded in 2013, MedTech Momentum is an experienced full-service Medical Marketing Agency headquartered in the greater Orlando, Florida area. The company is 100% focused on helping medical device organizations develop and execute sustainable and scalable value-driven growth strategies...
Medcore Digital is a healthcare marketing agency helping medical practices grow through data-driven digital strategies. From SEO and social media management to paid ads and reputation building, we create campaigns that engage and retain patients. Our mission is simple to connect healthcare providers with the...
With the use of Facebook Ads, Instagram Ads, Google Ads, and Search Engine Optimization (SEO), the digital marketing firm known as AdsManaged.co has assisted over 500 different company owners in increasing their sales and meeting tough projections. The year 2010 marked the beginning of operations for our...
Momentum Marketing is a Fort Worth-based digital marketing agency that helps businesses generate more customers through systems that track back to real revenue. We build the full pipeline from ad click to booked customer. Founded by Tristin Duncan and Branden Berwald...
Top Notch Digital Marketing Company - Pro Web And Seo
Top Notch Digital Marketing Company - Pro Web And Seo
Boost your online visibility with our top-rated SEO services in Nashville, TN, USA. Our experts provide complete SEO solutions, including technical audits and affordable packages. Elevate your digital presence today!...
Lewis SEO Oklahoma City provides expert search engine optimization for businesses across central Oklahoma. We help you improve rankings, increase visibility, and drive high-converting traffic. With over a decade of experience in local, technical, and eCommerce SEO, we build custom strategies that get results...
Based in Long Island, New YorkWe deliver personalized style to your custom web solution.Having a web presence is crucial to compete in today’s digital age, and maintaining a strong and steady web presence is key to any business’ survival. Logic Web Media is a Long Island-based web design and development...
Adiction treatment centers ethically increase their admissions through hyper-targeted pay-per-click
Adiction treatment centers ethically increase their admissions through hyper-targeted pay-per-click
Red Cardinal Digital Marketing is a full-service addiction treatment digital marketing agency located in Houston, TX. We help drug and alcohol addiction treatment centers & sober livings ethically increase their admissions through digital marketing. We also work with many other small businesses in Houston...
Geek Dental Marketing is a Miami-based dental marketing agency specializing in growth-focused strategies for modern dental practices. We help dentists attract consistent new patients through Dental SEO, Google Ads marketing, branding, websites, and AI-driven search visibility. Our approach goes beyond design...
If you need help managing the performance of your company's web presence, then we encourage you to meet with us. We believe that you will value our knowledge, insight, professionalism, and expertise...
Brand825 is a full-service marketing and creative agency that is passionate about building engaging, inspiring and successful brands. We work with clients nationwide to define what makes their companies unique. Then, we craft brand stories that deliver results through modern creative and engaging content...
Cessna Marketing is an Amazon agency in San Diego. We run Seller and Vendor Central, then build the websites, ads, and content that sell the products. We've managed over $30M in sales across 10+ brands at a 4.2x average ROAS...
From the Digital Space to Your Waiting Room Since 1995
From the Digital Space to Your Waiting Room Since 1995
Einstein Medical is the preeminent online marketing company for elective healthcare professionals in the nation. They've developed more successful internet strategies for the healthcare industry than most of their competitors combined...
SCG has been providing comprehensive advertising and public relations solutions since 1958. Over the years, we have collaborated with an extensive array of businesses, representing diverse industries and sizes...
Bordeaux & Burgundy is a premier B2B digital marketing agency, specializing in empowering ambitious companies globally to realize their full potential. With our innovative creative, campaign, and identity solutions, we help businesses stand out in today's competitive landscape. Our mission is to drive success...
With 12+ years of experience in the SEO industry, RankScience has developed a unique approach to SEO that combines AI-powered technology with proven strategies to deliver results that are both effective and measurable...
At Serendipit, we pursue challenge and change. Winning is accomplished without ever compromising our values. Our partners are people and clients who enthusiastically help us evolve, and we expect partners to do the work with us. We relish fresh ideas and the fun of the process...
Rook Digital is dedicated to providing worldclass digital marketing services to all businesses. We educate our clients to help them avoid the charlatans and snakeoil salesmen who plague our industry...
While you fix pipe leaks for homeowners, let us fix your lead leaks.
While you fix pipe leaks for homeowners, let us fix your lead leaks.
RankMeTop is a full-service plumbing & HVAC digital marketing agency providing SEO, LSAs, GBP management, social ads, web design, reputation management, and content marketing. With 15+ years of combined experience, we guarantee 300% ROI in 11 months or work free...
Located in The Woodlands, Texas, BubbleUp is a full-service digital company with expertise in technology, marketing and customer service. For over 20 years weve helped world-class brands, companies and artists succeed in the digital space...
Dedicated Website Design and Marketing Services Exclusively for Lawyers.
Dedicated Website Design and Marketing Services Exclusively for Lawyers.
With over two decades of experience, Law Firm Sites is a law firm web design company that specializes in crafting modern and professional websites tailored exclusively for law firms. Our mission is to help attorneys distinguish themselves in a highly competitive landscape. We take pride in our commitment to...
We Don't Sell Advertising. We Create Customer Journeys.
We Don't Sell Advertising. We Create Customer Journeys.
As one of the fastest-rising digital marketing agencies in the U.S.,V Digital Services operates in more than 300 American cities, where weoffer premier white-label solutions for a growing number of affiliated mediaentities and agencies...
Experience the power of results-driven marketing with our proven solutions. We increase revenue and drive growth using a synergistic marketing approach...
Amazon Consulting Services - Improve Your Results with Expert and Tactical Approach.
Amazon Consulting Services - Improve Your Results with Expert and Tactical Approach.
Services4Amazon is a comprehensive Amazon consulting agency and Amazon Certified Partner, offering a wide range of solutions tailored to meet all Amazon-related needs under one roof. With our expertise and certification, we deliver comprehensive services to ensure our clients' success in navigating the...
Design and Marketing Agency located in Los Angeles! Here your company is value. We're here to boost your digital presence and maximize your growth potential...
Greenlane Marketing is a boutique, performance-oriented SEO and PPC agency that has been delivering measurable growth for clients since 2005. The firm specializes in search marketing, user-experience optimisation, analytics and conversion-focused paid campaigns...
Kraftblick is digital marketing agency for startups, tech companies, and SaaS enterprises. With our specialized expertise in content marketing, SEO, and PPC advertising campaigns, we can help take your enterprise to the next level. Our strong IT marketing background means we understand the unique challenges...
Outsourced Marketing:For over 19 years, Professional Services Marketing, LLC, has provided outsourced marketing department services to scores of firms in the legal and financial services industries. The decision to hire PSM as your firm’s marketing department enables you to focus on what you do best while...
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.
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