Blue Grid Media runs Google Ads for chiropractic practices across the US: exclusive leads from an account in your name, $795 a month on ad budgets from $2,500, month to month.
As Featured In · Our Research Cited By
Chiropractic marketing gets sold on a lifetime value of $2,000 to $3,000. At published per-visit rates that number needs a patient visit average in the thirties, which is the top band of the profession. If you are in the first band, a new patient is worth roughly a third of that, and every budget built on the bigger number overpays.
Chiropractic Economics classifies a practice by its patient visit average, and the bands are not close together. What a new patient is worth to you depends almost entirely on which of these you are in, and it is the number we ask for before we look at a single keyword.
Bands as published by Chiropractic Economics. The value column is that band at $70 a visit, inside the $60 to $90 range reported in chiropractic association survey data. Bars are scaled to the top band.
Every bid, every budget and every channel decision is downstream of what you believe a patient is worth. Get that wrong by three times and you are not making small errors, you are making one large one repeatedly.
When patients leave after the relief phase, the account looks like it is producing poor patients. It usually is not. It is producing ordinary patients into a practice that has not converted them onto a plan.
Moving your PVA by a few visits raises the value of every patient you have already paid to acquire, retroactively and at no media cost. No bid change available to us competes with that.
A practice at the top band can afford Local Services Ads at a fixed price per lead comfortably. A practice in the first band often cannot, and should fix the plan conversion before scaling anything.
We are a marketing company telling you that the first thing to fix might not be marketing. That is not modesty. It is that we would rather you kept paying us in year two, and that only happens if the maths works from the start.
Your figures, not the brochure ones. It also prices what a small PVA improvement is worth, because that is usually the largest number on the page. It runs entirely in your browser and nothing leaves this page.
If you do not know your PVA, your practice management software does. Total visits divided by unique patients over the same period.
Not a sales list. These are what turn up again and again when we open one of these accounts for the first time.
Back pain, sciatica, a car accident case and a wellness enquiry are four different buyers with four different values. Run against one target, the cheapest of them sets the bid and the most valuable never gets served properly.
The account cannot tell a booked new patient from a curious click unless you tell it. Without offline conversion import it optimizes toward whichever enquiry is cheapest to produce, which is rarely the one that completes a plan.
We ask for it on the first call. When it cannot be produced, the budget has been set against a number from a seminar rather than from the practice, which is the single most expensive assumption in this trade.
A $29 new patient special fills the diary with people shopping for $29. Those patients convert onto plans at lower rates, so the offer that lowers your cost per lead often raises your cost per completed plan.
Chiropractor is a Local Services Ads category and the practice is not in it. For a business where a new patient has a knowable value, paying a fixed price per lead is easier to govern than paying per click.
None of the above needs a bigger budget. They are wiring and measurement problems, and they are cheap to fix relative to what they cost while they sit there.
The first deliverable is your real patient value, worked out from your numbers. Everything after it, budget, bids, channel mix, is set against that figure rather than an industry average.
Acute pain, sciatica and disc, personal injury, and wellness or maintenance each get their own campaign. They convert differently, they are worth different amounts, and they should never share a bid.
Call tracking, then offline conversion import so the account learns which enquiries actually became new patients. This is the change that moves accounts most and the one almost nobody has running.
If a discount is the entry point, we want to know how those patients convert onto plans compared with full-price enquiries. If they convert worse, the offer is a cost, and we will show you that rather than defend it.
Sending sciatica traffic to a general homepage wastes the most valuable click you buy. Each campaign gets a page written for that condition. We do not charge for them.
If your PVA puts a patient below what you are already paying to acquire one, more traffic makes it worse. We would rather say that on the first call than bill you for a year of it.
$750 one-time setup, then month to month with no annual contract. Month to month, cancel any time.
A landing page for each campaign is built during the $750 setup. Your ad spend goes to Google directly on your own card.
Book a Free Audit CallBlue Grid Media runs Google Ads for chiropractic practices on total monthly budgets from $3,300: $795 a month for management and at least $2,500 a month in ad spend, paid to Google directly, plus a $750 one-time setup in the first month, month to month with no contract.
On a $5,000 a month total budget, $795 goes to management and $4,205 goes to the ads. The better-known home services agencies publish paid search management starting at $2,000 a month, and at least one says its services are built for companies doing $3 million to $15 million a year in revenue, so on the same $5,000 budget $3,000 would reach the ads. The figures are in our study of 62 contractor marketing agencies.
| Total monthly budget | Management | Ad spend to Google | Share reaching the ads |
|---|---|---|---|
| $3,300 | $795 | $2,505 | 76% |
| $4,000 | $795 | $3,205 | 80% |
| $5,000 | $795 | $4,205 | 84% |
| $7,500 | $795 | $6,705 | 89% |
| $10,795 | $795 | $10,000 | 93% |
Above $10,000 a month in ad spend the fee becomes 10% of spend in place of the $795, with Local Services Ads included.
Below $3,300 a month in total we are not the right fit yet, and we will say so on the call rather than take the account, because an ad budget under $2,500 is too small for a chiropractic campaign to learn from its own calls. If that is where you are, run Local Services Ads yourself first: it charges per lead rather than per click, and it builds the review base the Google Ads account will need later.
“ You will own your Google Ads account, Local Services Ads account, tracking systems, landing pages, and conversion data from day one. Your accounts stay in your name. Your billing stays on your card. Your data stays yours. If you decide to leave, everything stays with you. No account transfers. No hostage situations. No starting over from scratch. ”
Because cost per lead is the easy half. Chiropractic marketing is almost always budgeted against a patient lifetime value of $2,000 to $3,000. At the $60 to $90 per visit that published association survey data reports, that figure implies a patient visit average somewhere in the thirties. Chiropractic Economics classifies a PVA above 30 as a practice retaining patients into wellness care, which is the top tier, and a PVA below 12 as a pain-relief practice. Budget against the top tier while running at the bottom one and you overpay on every patient you buy.
Chiropractic Economics gives three bands. Under 12 is a pain-relief practice. Twelve to 24 means you are moving patients beyond relief into functional improvement. Over 30 means you are holding them into wellness care. Where you sit changes what a new patient is worth by a factor of three or more, which is why it is the first number we ask for.
Yes, and that is the common case. Your practice management software has it, or it can be derived from total visits divided by unique patients over a period. If you genuinely cannot produce it, that is itself the finding, and it is worth more than any bid change we could make in the first month.
Yes. Chiropractor is one of Google's Local Services Ads categories. It charges per lead rather than per click and sits above the regular search ads. It suits a practice with a healthy PVA, because paying a fixed price for a new patient is much easier to justify when you know what that patient goes on to complete.
No, and be careful with anyone who does. We do not control your front desk, your report of findings, your care plan conversion or your reactivation process, and those decide whether an acquired patient becomes a completed plan. What we commit to is the work: campaigns split by condition, call tracking, offline conversion import so the account optimizes toward booked new patients rather than form fills, and an audit you can read without us in the room.
A lot of chiropractic marketing is sold on Facebook, and the search data reflects that. It can work for offer-led acquisition, but it tends to bring patients in on a discount, and discount-led patients are the ones most likely to leave before the plan completes. That is a PVA problem dressed up as a cheap lead. We would rather fix the search side first.
Personal injury is a different campaign with different intent, different case value and different competition, and it should never share a budget with wellness or general back pain traffic. If PI is part of your practice, it gets separated on day one.
$795 a month for Google Ads management on ad budgets from $2,500, and $995 a month with Local Services Ads added. Flat $795 a month up to $10,000 in ad spend, $750 setup, month to month. Landing pages are built during the $750 setup. Your ad spend goes to Google directly on your own card.
The research behind this page, and the tools we use when we run your numbers with you.
Same published pricing, same ownership terms, same flat fee below $10,000 a month in ad spend.
Blue Grid Media provides exclusive chiropractic patient leads in New York, Los Angeles, Chicago, Houston, Dallas, Miami, Atlanta and Phoenix, and in roughly 50 United States metros in total, generated from a Google Ads account held in the client's own name rather than bought from a lead seller and shared, priced at $795 a month for Google Ads management on ad budgets from $2,500, and $995 with Local Services Ads added, month to month with no contract after a $750 setup.
We do not sell chiropractic leads and we do not resell them. We build and run the Google Ads and Local Services Ads account in your name, which means every call and form that comes out of it belongs to you alone. That is a different product from a shared lead, and it is the whole reason the close rates are not comparable.
We provide exclusive chiropractic leads in New York, Los Angeles, Chicago, Houston, Dallas, Miami, Atlanta and Phoenix, and in roughly 50 United States metros in total. Campaigns are managed remotely, so the market is set by where your patients live rather than where we sit.
Blue Grid Media has managed 10+ chiropractic accounts across the team's career. That is the number worth asking any agency for, because it tells you whether the person building your campaigns has seen your job types, your seasonality and your margins before, or is about to learn them on your budget.
Not on the list does not mean not covered. We run chiropractic accounts nationwide across the United States, including smaller and rural markets where the auction is usually cheaper than any metro above.
Blue Grid Media runs Google Ads and Local Services Ads for chiropractic practices with several locations, including franchise groups, with new patient campaigns per office, with one campaign set and one Local Services Ads profile per location, every account in the owner's name, at $599 a location a month for 2 to 9 locations, $499 at 10 and $350 an account at 20, month to month.
Google lists showing more than one ad for your business in a single ad location as a prohibited practice. Locations in the same metro are given markets instead of bidding against each other for the same chiropractic search.
Google asks a business serving several locations for business and employee level licences for each one, and where locations serve the same area it shows only the highest ranking ad. Each location gets its own profile, drawn to its own area.
A tracking number per location and booked work imported per location, so the budget moves each month to the locations with capacity and the best cost per booked job.
For a franchise, location targets are copied from the territory list in the agreement, brand searches run once from the fund, and each lead goes to the owner of the territory it came from.
A single location is $795 a month for Google Ads, or $995 with Local Services Ads added. Across the team's career we have managed franchise groups of 20 to 36 locations and 250+ contractor accounts. The account shapes are on our multi-location page, franchise systems have their own page, and accounts spending $10,000 or more a month are covered on high-budget Google Ads management.
New patient acquisition ends on a page, and patient visit average starts there too. A site that only offers a phone number loses the people who will book at 9pm but will not call.
Most local searches happen on a phone, so the page is built to load fast there. Faster pages convert more of the clicks you have already paid for.
Every call and form is connected to tracking from day one, so you can see which ads and which pages actually produce booked work rather than just traffic.
On-page SEO and local schema markup so the site earns map and organic visibility over time instead of only working while the ads are switched on.
30 minutes. We work out what a new patient is actually worth to your practice, then tell you whether advertising is your constraint. If it is not, you will get that answer instead.
Book a Free Audit Call