Connect with trusted public relations firms in the USA to shape your brand narrative, secure top-tier media coverage, and position your business as an industry leader. Narrow your search by location, expertise, and budget to find the right partner for your business.

Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.

United States × Health Care × Under $1,000 ×Clear Filters
  • Marketing, simplified.

    PM Solutions specializes in advertising and content marketing for social media, websites, print, radio, billboards and blogposts. The focus is on brand promotion, SEO, increasing visibility, digital advertising and increasing target engagement...

    Top Services:

    • Creative Services
    • Public Relations
    • Design Services
    • Content Marketing
    • Web Development
    • Show more
    Location
    Los Angeles, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $65/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    4 Projects Listed
  • Productized SEO, AEO, and content.

    Productized SEO, AEO, and content. Scoped services with predictable deliverables. Loved by marketers and CFOs...

    Top Services:

    • SEO
    • Web Design
    • PPC
    • CRO
    • Content Marketing
    • Show more
    Location
    West Palm Beach, Florida
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
    Portfolios Count
    3 Projects Listed
  • We Don't Whisper, We ROAR.

    The Big Mouth PR is a loud-by-design brand & PR studio for the founders, executives and brands who refuse to be the best-kept secret...

    Top Services:

    • Digital Services
    • Public Relations
    • Branding
    • Reputation Management
    • Media Buying
    • Show more
    Location
    Bloomington, Minnesota
    Number of Employees
    100 - 249
    Average Hourly Rate
    $149/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    1 Project Listed
  • YOUR BUSINESS. OUR FORTE.

    Marketing & Advertising Solutions for Small Business...

    Top Services:

    • Social Media Marketing
    • Digital Marketing
    • PPC
    • WordPress Website Design
    • Digital Services
    • Show more
    Location
    Peoria, Arizona
    Number of Employees
    Under 49
    Average Hourly Rate
    $85/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    1 Project Listed
  • Trusted Primary Care Doctor in Hamilton Township

    MyDoctor P.C., led by Dr. Eric Osgood, is a full-service adult primary care clinic located in Hamilton Township, NJ. The practice specializes in comprehensive adult healthcare, including preventive care, routine check-ups, chronic disease management, medication management, and Medication-Assisted Treatment...

    Top Services:

    • Public Relations
    • UI/UX Design
    • Direct Marketing
    • AI Development
    • Staff Augmentation
    • Show more
    Location
    Hamilton Township, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Creating Custom Integrated Marketing Solutions for You.

    Noir Marketing & PR is a woman owned creative agency based in Dayton, Ohio, founded in 2012. The firm specializes in integrated services including branding, graphic design, web design, photography, social media, media planning, event production, and public relations tailored to small and midsized businesses...

    Top Services:

    • Public Relations
    • Logo Design
    • Video Production
    • Graphic Design
    • Branding
    • Show more
    Location
    Dayton, Ohio
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    Under $1,000
  • Fuel your brand's digital momentum.

    DRVE is a creative social media and digital marketing studio based in Richmond, VA. We help small businesses and entrepreneurs grow their brands with tailored content, strategy, and hands-on support. Our team specializes in social media management, digital campaigns, and creative storytelling to help you...

    Top Services:

    • Social Media Marketing
    • Public Relations
    • Digital Marketing
    • SEO
    • Show more
    Location
    Midlothian, Virginia
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Services That Move Your Organization Forward

    Gravitas partners with businesses of every size to align people, processes, and purpose. We offer four core service lines: Human Resources (handbooks, policy, recruiting, HR retainer support), Business Management, Marketing & PR, and Training & Compliance (sexual harassment prevention, HIPAA, OSHA, Title IX...

    Top Services:

    • HR Outsourcing
    • Business Consulting
    • Branding
    • Public Relations
    • Reputation Management
    • Show more
    Location
    Las Vegas, Nevada
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • A Service-First, Award-Winning Creative Agency

    Leftfield stands as an award-winning creative marketing, branding, and advertising agency, specializing in delivering exceptional service and cost-effective marketing communication solutions to its clientele. We have a proven track record of transforming constrained budgets into innovative opportunities...

    Top Services:

    • Branding
    • Direct Marketing
    • Advertising
    • Digital Marketing
    • Creative Services
    • Show more
    Location
    Hallandale Beach, Florida
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
    Portfolios Count
    3 Projects Listed
  • Start a New Journey to Success.

    Based in Miami, we specialize in website design, partnering with Wix to create over 300 stunning websites. But our expertise goes far beyond that. From logo creation and brand development to SEO, social media management, and digital PR, we provide everything you need in one place. Trusted by startups and...

    Top Services:

    • Web Design
    • Web Development
    • Graphic Design
    • Public Relations
    • Logo Design
    • Show more
    Location
    North Bay Village, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $90/hr
    Minimal Budget
    Under $1,000
  • Reputn: Where Reputation Becomes Authority.

    Reputn is a global online reputation management company specialised in personal branding, reputation management, crisis management, LLM and Entity Reputation...

    Top Services:

    • Reputation Management
    • Public Relations
    • Branding
    • Digital Strategy
    • Show more
    Location
    Miami, Florida
    Number of Employees
    50 - 99
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • EasyPRwire is a full service digital press release distribution platform designed to help businesses and agencies secure high authority media placements. We simplify the PR process by connecting your announcements directly to top news networks, search engines, and niche publications. With guaranteed...

    Top Services:

    • Digital Services
    • Public Relations
    • Digital Strategy
    • Reputation Management
    • Branding
    • Show more
    Location
    Austin, Texas
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • StreamRCM

    Efficient medical billing is critical for healthcare providers to secure accurate and timely reimbursements. Our expert services cover everything from claim submissions and insurance verification to denial management and coding compliance. By streamlining these processes, we help you reduce errors, increase...

    Top Services:

    • Digital Strategy
    • Creative Services
    • Public Relations
    • Graphic Design
    • Digital Services
    • Show more
    Location
    El Paso, Texas
    Number of Employees
    500 - 999
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Solve the Success Puzzle with Content & Marketing

    The Writing Detectives offers a diverse range of services, tailored to meet your unique business needs. From content marketing and social media management to public relations, website design, and beyond, our expert team is dedicated to creating captivating content that drives results...

    Top Services:

    • SEO
    • Content Marketing
    • Social Media Marketing
    • WordPress Website Design
    • Public Relations
    • Show more
    Location
    Skiatook, Oklahoma
    Number of Employees
    Under 49
    Average Hourly Rate
    $40/hr
    Minimal Budget
    Under $1,000
  • Get Found On Google And In AI Answers

    Rizing Metrics helps businesses show up where buyers now look first: in Google results and in the answers AI tools give. Based in Lexington Park, Maryland, we work with companies across Southern Maryland and nationwide on AI visibility, answer engine optimization, local and technical SEO, and Google Business...

    Top Services:

    • AEO
    • SEO
    • Content Marketing
    • Reputation Management
    • Public Relations
    • Show more
    Location
    Lexington Park, Maryland
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • Imigration turns to innovation

    21Twelve Interactive is the leading application development company in India, the United States, Canada and Australia. We help you transform the concepts of mobile phones into reliable and robust application solutions, with a surprising design and an incredible user experience that meets the requirements of...

    Top Services:

    • eCommerce Development
    • WordPress Website Design
    • UI/UX Design
    • Web Development
    • Web Design
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
  • We Can Help Transform Your Business With a Free SEO Audit.

    Founded in 1987, On the Horizon Communications is a full-service digital marketing and Advertising firm skilled in helping your business make a meaningful and measurable impact. From social media marketing to public relations, our expert team can assist in strategizing the most efficient way to spend your...

    Top Services:

    • PPC
    • SEO
    • Social Media Marketing
    • Advertising
    • Media Buying
    • Show more
    Location
    Visalia, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    Under $1,000
  • Setting the Southwest Standard.

    Zia Media Group is the marketing department for any small, and up to enterprise level businesses...

    Top Services:

    • Digital Marketing
    • Social Media Marketing
    • SEO
    • Web Design
    • Branding
    • Show more
    Location
    Farmington, New Mexico
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    Under $1,000

Why companies trust DesignRush

Every agency is independently vetted before it can be listed or ranked

1

Identity Check

We verify businesses and reviewer LinkedIn profiles for integrity.

Agencies vetted
129,387+
2

Portfolio Review

We review agency work, case studies, and results to confirm skill.

Applicants rejected
47%
3

Ongoing Audit

We monitor listings regularly; outdated agencies are removed.

Agencies verified
18

Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.

See how rankings and monetization work.

Public Relations Firm FAQs

What types of PR campaigns do they typically run?

Here are the most common PR campaigns: 

Growth campaigns 

  • Launch PR: Coordinated outreach around a product, service, or company launch to generate awareness and credibility quickly. 
  • Thought leadership: Ongoing placement of expert commentary, bylines, and POV development to position executives or brands as authorities.  

Corporate and stakeholder campaigns 

  • Corporate communications: Structured messaging around company news, such as milestones, financial updates, or leadership changes. 
  • Fundraising and investor PR: Media and narrative support around funding rounds, IPOs, or investor milestones.  
  • Employer branding PR: Storytelling that highlights culture, leadership, and workplace values through earned media. 
  • Awards programs: Strategic identification and submission to industry awards to secure third-party validation.  

Risk and resilience campaigns 

  • Crisis response: Rapid communications to manage negative events, misinformation, or reputational threats. 
  • Reputation repair: Sustained PR efforts to rebuild credibility after a crisis, controversy, or prolonged negative coverage. 

How do top PR firms in the USA secure media coverage and build long-term momentum?

American PR firms secure media coverage and sustain momentum through a structured, repeatable process that combines strategy, execution, and relationship management. 

  • Narrative development: Defining a clear, newsworthy story that aligns brand goals with what journalists write about, ensuring relevance rather than promotional messaging. 
  • Proof-point assembly: Gathering customer outcomes, data, executive credibility, and third-party validation to support claims. 
  • Media mapping: Identifying journalists and media outlets based on beat, audience fit, and past coverage. 
  • Angle creation: Adapting the core narrative into timely, outlet-specific angles tied to trends, news hooks, or audience pain points. 
  • Pitching cadence: Sending pitches in controlled waves to avoid inbox fatigue while maintaining steady visibility across priority publications. 
  • Follow-ups and refinement: Using thoughtful follow-ups to clarify relevance or provide a new context rather than repeat the same message. 
  • Reactive opportunities: Monitoring breaking news and journalist requests to insert expert commentary quickly, compounding coverage between major campaigns. 
  • Relationship building and iteration: Earning trust through reliability and relevance—relationships can open doors, but newsworthiness still drives results. 

How much does it cost to hire a PR agency in the United States?

PR agency costs in the United States vary widely based on the scope of work, pitch volume, media tier, industry complexity, crisis sensitivity, and specific deliverables. However, price ranges typically fall within the following: 

Engagement typeTypical cost rangeNotes
Monthly retainer
(ongoing support)
$5,000-$20,000+ per monthCommon range for standard campaigns; larger national/global programs can exceed this.
Hourly rate$100-$300 per hour
(avg. $270 per hour)
Used for consulting, strategy, or special projects.
Project-based fees$5,000-$50,000+One-off campaigns, like product launches or funding announcements.
Pre-set packages/tiered retainers$4,000-$8,000+ per monthFixed deliverables at defined tiers.

What’s the difference between a B2B public relations agency and a B2C PR firm?

B2B (business-to-business) and B2C (business-to-consumer) PR firms differ based on audience, buying cycle, and media focus. 

B2B PR agency 

B2B PR targets niche decision makers and long buying cycles, with coverage focused on industry and trade publications. Messaging relies on proof points like ROI, case studies, and expertise, with indirect conversion goals tied to pipeline influence and a steady, lower volume cadence. 

B2C PR firm 

Consumer PR targets broad audiences and shorter buying cycles, emphasizing mainstream media, lifestyle outlets, and creators. Storytelling is emotion-led and trend-driven, with clearer near-term conversion expectations such as traffic or sales and a faster, campaign-based cadence. 

When should I hire a PR company instead of handling PR in-house?

Brands should decide between an agency and in-house PR based on scale, speed, and risk tolerance. 

Hire a PR company if: 

  • You need rapid scale or intensive campaign support that exceeds internal bandwidth. 
  • You want immediate access to established media relationships across top-tier and niche outlets. 
  • You are planning a high-stakes launch, funding round, rebrand, or market expansion. 
  • You need crisis readiness or a 24/7 response capability that in-house teams cannot sustain. 
  • You operate in a complex or regulated industry that requires specialized PR expertise. 
  • You want an external perspective to sharpen positioning and messaging. 

Keep it in-house if: 

  • PR needs are steady, predictable, and limited in scope. 
  • Your team already has strong media relationships in your core category. 
  • Campaign intensity is low and tied mainly to internal updates or announcements. 
  • Budget constraints favor salaried roles over agency retainers. 
  • You prioritize deep institutional knowledge over broad external reach.