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Chiropractor PPC Services That Book New Patient Exams

Chiropractor PPC services run Google Ads, Local Services Ads, and Meta against one number: new-patient exams on the schedule. We write the ads, build the landing pages, and wire every campaign back to ChiroTouch, Jane, or the software you already use. Flat monthly fee. No cut of your ad spend.

What You Get → See Pricing
$999+
per month · published
30 days
brief to launch
14 days
FIRST BOOKED EXAM, GUARANTEED
+38% booked calls after rebuild
PMS-WIRED ATTRIBUTION
Chiropractor PPC services campaigns table in a weekly review with an incoming call, matched to appointments
Trustpilot4.7/5★★★★★
Clutch5.0/5★★★★★
Google5.0/5★★★★★
DesignRush4.9/5★★★★★
GoodFirms5.0/5★★★★★
F6S5/5★★★★★
4.9 WEIGHTED AVERAGE, VERIFIED BY PRACTICES THAT PAID FOR THE WORK

Three ways your chiropractor PPC is losing patients

If any of these looks familiar, the free Google Ads audit names the fix and what it's worth before you spend a dollar.

Chiropractor PPC services campaigns table with a warning panel flagging a condition in headline
PROBLEM 01 · POLICY FLAGS

Google Ads keeps disapproving your chiropractic treatment ads for medical policy violations

Google flags "cure sciatica" and before-and-after ads. 50%+ get disapproved, appeals cost 3 to 5 days. A policy-cleared ad library rewrites copy to describe the service, swaps before-and-after visuals for practice photography, and moves condition names into landing page copy instead of headlines.

✓THE FIX · POLICY-CLEARED AD LIBRARY
Chiropractor PPC services form fills chart marked displaced, with booked exams looping back on a phone
PROBLEM 02 · ATTRIBUTION

Booked exams inside ChiroTouch or Jane never reach Google Ads or Meta as conversions

Without offline import from ChiroTouch or Jane, Google optimizes to form fills, not booked exams. Smart Bidding chases clicks that never turn into patients. A PMS offline conversion feed sends real booked exams back to the ad platform so bidding trains on booked patients.

✓THE FIX · PMS OFFLINE CONVERSION FEED
Chiropractor PPC services budget gauges, one drains in eight days, two valves last the whole month
PROBLEM 03 · CPC BURN

Decompression and auto-accident keywords burn budget at $60 to $90 per click

PI keywords cost $60 to $90 per click because attorneys bid the same words. A $6K/mo budget drains in 8 days if wellness and PI share one bid strategy. Splitting PI and cash-pay campaigns lets Smart Bidding optimize each economic model on its own with the right CAC target.

✓THE FIX · PI VS CASH-PAY BID SPLIT

What every chiropractor PPC retainer delivers by month two

Three numbers we sign against on every PPC program. Each one is a launch criterion, not a hope.

Chiropractor PPC services cost line chart with a marked point and a settles on the line label

Lower cost per new-patient exam across every campaign

Tight campaign structure and sharp negatives drop your cost per booked exam inside 30 days. Median CPA on managed accounts runs $84 for wellness.

Chiropractor PPC services click, site, calendar and confirm steps checked off, click to booked exam

Same-day booking flow from ad click to schedule

Every click lands on a page built for one action, tracked from click to booked exam inside ChiroTouch, Jane, or Genesis. Homepage traffic never dilutes intent.

Chiropractor PPC services Friday note with three lines and a signature, same note, every week

Weekly written review from a dedicated PPC media buyer

A short weekly note covers what launched, what moved bookings, and what runs next. One dedicated chiropractic media buyer, no pod rotation, no ticket queue.

Four stages, every step ends in a sign-off

Fixed scope, fixed timeline, fixed outcomes. Nothing moves to the next stage until your leadership signs off on the gate deliverable.

WEEK 1

Audit that exposes wasted spend + broken tracking

Full campaign audit exposing wasted spend, missing negatives, misconfigured conversions, and untracked booked-exam events. Median finding on new chiropractor accounts: 42% wasted spend and 247 missing negatives. Written up in a 20-page audit signed off before we touch structure.

✓SIGN-OFF · 20-PAGE AUDIT REPORT
WEEK 2

Campaigns rebuilt around chiropractor intent

Campaigns rebuilt around your priority services and patient intent. Higher-margin services get a higher target CPA. SKAG-lite structure with match-type discipline, Performance Max layered where you qualify, negative keyword sculpt to strip waste before it starts.

✓SIGN-OFF · SKAG-LITE + PMax LAYERED
WEEKS 2 TO 4

First booked exam inside 14 days

Landing pages built per campaign with conversion flow, review proof, and trust badges. Every ad tracked through to a ChiroTouch-verified booked exam. Miss the 14-day first-booked mark, month one refunds.

✓GUARANTEE · 1ST BOOKED EXAM IN 14 DAYS
WEEK 4+

Optimize weekly, scale against real revenue

Ad copy A/B tests, bid strategy tuning, landing page CVR iteration, and negative keyword sculpt refined weekly. Average account CPA drops 50% from launch to week 8. Once CPA is stable, scale ad spend into your capacity ceiling.

✓CADENCE · WEEKLY OPTIMIZATION NOTE

What you actually get from our chiropractor PPC services

Five workstreams, every item listed. Nothing lives in a proposal appendix.

Chiropractor PPC services search terms table with upward arrows, graded on booked exams
WEEKS 1–2

Audit that exposes wasted spend + broken tracking

Full campaign audit exposing wasted spend, missing negatives, misconfigured conversions, and untracked booked-exam events. Median finding on new chiropractor accounts: 42% wasted spend and 247 missing negatives. Written up before any rebuild.

PHASE DURATION
20-PAGE WRITTEN REPORT
SIGN-OFF
BEFORE REBUILD
✓GATE · 42% AVG WASTED SPEND
// DELIVERABLES
✓
Wasted spend + query miningevery search term with spend reviewed; non-chiro, brand-competitor, and irrelevant queries surfaced for negative-keyword sculpt.
✓
Conversion setup auditphone clicks (wrong), form fills (better), or booked exams (right). Fixed at the root before any bid change lands.
✓
Landing page + CVR auditlanding page conversion rate benchmarked against chiropractic industry avg. Every ad group mapped to its landing page with a CVR score.
✓
Written 20-page reportowner + practice manager review and sign off before we rebuild. No changes without a written go-ahead from leadership.
✓
Competitor auction insighttop chiropractic practices and DSOs in your ZIPs pulled from Auction Insights and priced against your bid ceiling.
✓
Baseline PMS + GA4 reconciliationlast 90 days of bookings mapped by source so the audit report starts with a real cost per booked exam number.
Chiropractor PPC services service list moving into a checked list, labeled five targets, one tree
WEEKS 2–3

Campaigns rebuilt around chiropractor intent

Campaigns rebuilt around priority services and patient intent. Higher-margin services get a higher target CPA. SKAG-lite structure with match-type discipline, Performance Max layered where you qualify, negative keyword sculpt to strip waste before it starts.

PHASE DURATION
SKAG-LITE STRUCTURE
SIGN-OFF
247 NEGATIVES ADDED
✓GATE · LSA LAYERED IN
// DELIVERABLES
✓
Service-first campaign structureadjustments, decompression, sports injury, PI, wellness; each is its own campaign with its own CPA target based on service LTV.
✓
Negative keyword sculpt247 negatives added on average in the first pass. Prevents budget drain from non-chiro, competitor, or irrelevant queries.
✓
Match-type disciplineexact + phrase for high-intent, broad only on tightly scoped clusters. Every match type has a written rationale, not a default.
✓
LSA integration where you qualifyGoogle Local Services Ads layered where your practice qualifies. Booking action + Google Screened badge on GBP for extra trust.
✓
Geo + ZIP-level bid targetingexclusions built from your patient roster, not Google defaults; stop paying for clicks in ZIPs your front desk cannot serve.
✓
Smart Bidding + tCPA setuptarget CPA aligned to LTV per service, seeded with PMS conversions so bidding trains on booked patients, not form fills.
Chiropractor PPC services booking screen on a phone and a weekly calendar exam, traced to its line
WEEKS 3–4

First booked exam inside 14 days, guaranteed

Landing pages built per campaign with conversion flow, review proof, and trust badges. Every ad tracked through to a ChiroTouch-verified booked exam. If we miss the 14-day mark, month one refunds.

PHASE DURATION
14-DAY GUARANTEE
SIGN-OFF
CALLRAIL DYNAMIC #s
✓GATE · PMS-VERIFIED BOOKINGS
// DELIVERABLES
✓
Service-specific landing pagesevery campaign gets its own landing page built around one service. No shared homepage traffic diluting patient intent.
✓
Booked-exam trackingconversion is booked-exam, not click-to-phone. Tracked from ad to landing page to booking flow to PMS entry.
✓
CallRail dynamic numbersevery ad and every landing page gets a unique tracked number. Every call attributed to the campaign that drove it.
✓
14-day guarantee in contractmiss the 14-day first-booked-exam mark and your first month is free.
✓
Insurance pre-qualification UXpatients answer carrier and plan on the landing page before booking, so the desk gets qualified exams only.
✓
Speed + quality-score tuninglanding pages under 2.1s on 4G mobile so Google Ads quality score cuts CPCs 20 to 40% out of the gate.
Chiropractor PPC services cost per exam bar chart with summary cards, each drop, its column
WEEK 4

Cost per booked exam drops week over week

Ad copy A/B tests, bid strategy tuning, landing page CVR iteration, and negative keyword sculpt run weekly. Average account CPA drops 50% from launch to week 8. Every optimization tied back to the ChiroTouch-verified booked-exam number.

PHASE DURATION
WEEKLY WRITTEN NOTE
SIGN-OFF
50% CPA DROP AVG
✓GATE · A/B AT AD-GROUP LEVEL
// DELIVERABLES
✓
Weekly optimization notesevery Monday: what changed last week, what impact it had on CPA and booked exams, what changes are being tested this week.
✓
Ad copy A/B testingheadline and description testing at ad-group level. Winners promoted, losers killed. No copy left running longer than 4 weeks without a test.
✓
Bid strategy tuningmanual to target CPA to target ROAS progression as data compounds. Bid caps and budget shifts between service campaigns based on LTV.
✓
Landing page CVR iterationlanding page conversion rate benchmark tracked weekly. Copy, form, and hero test cycles run in-house without waiting on external design.
✓
Negative-keyword refinementsearch-term report reviewed weekly; 15 to 30 new negatives added on average to protect budget from drift as auctions shift.
✓
Quality-score watchlanding page + ad relevance + expected CTR monitored per keyword; poor scores fixed at the source, not papered over with bids.
Chiropractor PPC services bookable slots chart beside a phone inbox, labeled spend stops at slots
PHASE 5

Scale spend against real PMS-verified revenue

Once CPA is stable, we scale ad spend into the ceiling. Meta and Display layered as retargeting and awareness. Every scaling decision tied to booked-exam volume and your capacity, not vanity spend targets.

PHASE DURATION
SPEND-TO-CAPACITY MODEL
SIGN-OFF
META CAPI RETARGETING
✓GATE · QUARTERLY ROI REVIEW
// DELIVERABLES
✓
Spend-to-capacity modelad spend scaled against your practice capacity and booked-exam throughput. No spending past the chairs you can actually staff.
✓
Meta + Display retargetingonce search demand is captured, Meta and Display layer built as retargeting for visitors and lookalike for booked patients.
✓
Monthly written reportevery 30 days: ad spend, booked exams, cost per booked exam, revenue from paid, ROAS, and next-month plan in one clear PDF.
✓
Quarterly strategy reviewevery 90 days we present ROI and book of tests to leadership. Budget shifts and strategy tweaks signed off in the meeting.
✓
Per-location budget poolsmulti-office groups get one pool per office with attribution per location, so groups see which practice each dollar bought.
✓
LTV-weighted scaling callsdecompression and wellness programs scaled first since a $200 CPA still returns 20x on a $3,500 care plan; adjustments scaled to fill capacity.
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Four chiropractor PPC services tiers for every stage of clinic growth

Pick the tier that matches your practice size. Move up or down with 30 days written notice. Hover any feature for a plain-English explanation.

Launch
$999MONTHLY (MGMT FEE)

A first paid channel; ad budgets under $2,000/mo

✓Google Ads (Search) ✓Managed monthly ad spend up to: $2K ✓Campaign builds: Up to 3 ✓Dedicated landing pages: 1 ✓Call tracking + recording ✓Negative keyword sculpting ✓Geo and audience targeting, ZIP level where the service area is local
Get a Launch quote →
Most popular
Growth
$1,499MONTHLY (MGMT FEE)

Businesses spending $2,000–$5,000/mo on ads

✓Google Ads (Search) ✓Local Services Ads (LSA), for local service businesses ✓Managed monthly ad spend up to: $5K ✓Campaign builds: Up to 6 ✓Dedicated landing pages: 3 ✓Call tracking + recording ✓Negative keyword sculpting
Get a Growth quote →
Scale
$2,499MONTHLY (MGMT FEE)

Aggressive growth; $5,000–$10,000/mo ad budgets

✓Google Ads (Search) ✓Local Services Ads (LSA), for local service businesses ✓Meta ads (Facebook/Instagram) ✓Managed monthly ad spend up to: $10K ✓Campaign builds: Unlimited ✓Dedicated landing pages: 6 ✓Call tracking + recording
Get a Scale quote →
Enterprise
Starts at $4,500MONTHLY (MGMT FEE)

Multi-location or multi-region programs; $10,000+/mo managed spend

✓Google Ads (Search) ✓Local Services Ads (LSA), for local service businesses ✓Meta ads (Facebook/Instagram) ✓Managed monthly ad spend up to: Unlimited ✓Campaign builds: Unlimited ✓Dedicated landing pages: Custom ✓Call tracking + recording
Request a proposal →

Flat monthly management fee. Ad spend billed separately at pass-through. 6-month initial term, then 30 days written notice.

Every PPC feature, tier by tier

SCROLL THE TABLE SIDEWAYS FOR EVERY TIER
Platforms + spend+
FEATURE
LAUNCH
GROWTH
SCALE
ENTERPRISE
Google Ads (Search)
✓
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Local Services Ads (LSA), for local service businesses
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Meta ads (Facebook/Instagram)
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Managed monthly ad spend up to
$2K
$5K
$10K
Unlimited
Campaigns + landing pages+
FEATURE
LAUNCH
GROWTH
SCALE
ENTERPRISE
Campaign builds
Up to 3
Up to 6
Unlimited
Unlimited
Dedicated landing pages
1
3
6
Custom
Call tracking + recording
✓
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Landing page CRO tests
—
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✓
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Optimization+
FEATURE
LAUNCH
GROWTH
SCALE
ENTERPRISE
Negative keyword sculpting
✓
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Geo and audience targeting, ZIP level where the service area is local
✓
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Weekly optimization cycle
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CRM offline-conversion sync
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Reporting + team+
FEATURE
LAUNCH
GROWTH
SCALE
ENTERPRISE
Monthly performance review
✓
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Weekly written note
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Live spend + lead dashboard
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Dedicated PPC manager
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Case studies See all case studies

Real practices, real numbers

Each one includes where the client started, what we changed and what happened.

Homepage of Pain Cure Clinic, a Chiropractic · Whole-Body Care business, shown in a browser window
Chiropractic · Whole-Body Care

Drove 205% more chiropractic appointments and 289% more organic traffic at Pain Cure Clinic.

Pain Cure Clinic offers chiropractic and whole-body care. It faced skepticism, booked by phone and paper and had a website with no content on specific conditions. We built condition-specific SEO and an educational hub, ran PPC and Facebook ads, and added online booking, automation and a referral program. New patient appointments rose from 40 to 122 a month, organic traffic grew 289% and its Google rating rose from 4.3 to 4.9 stars.

Read the Pain Cure Clinic case study →
205%
Appointments
289%
Organic traffic
162%
Reviews
Homepage of French Crown, a Fashion · D2C apparel business, shown in a browser window
Fashion · D2C apparel

Grew Google Ads revenue 121% and organic users 106% for French Crown

French Crown was underperforming online, with weak search visibility and paid campaigns that spent without reaching the right shoppers. One connected plan across SEO, site experience and paid media grew Google Ads revenue 121% and organic users 106%.

Read the French Crown case study →
+121%
Google ads revenue
+165%
Criteo revenue
+106%
Organic users
Homepage of River SaaS Capital, a Venture Debt · SaaS Financing business, shown in a browser window
Venture Debt · SaaS Financing

Grew River SaaS Capital's qualified leads 350% with Google Ads aimed at SaaS founders.

River SaaS Capital offers venture debt to SaaS companies. Its broad Google Ads drew the wrong traffic, and warm leads were lost with no follow-up. We built SaaS-specific campaigns, landing pages made to convert, lead magnets written for each campaign and automated follow-up, with ongoing A/B tests. Qualified leads grew 350%, conversion rate improved 21% and the campaigns drove 279 conversions on $9.77K in spend.

Read the River SaaS Capital case study →
+350%
Qualified leads
+21%
Conversion rate
279
Conversions

CLIENT WORDS

Catalog ads at 5.8x where our old agency plateaued at 2x. Weekly notes tell us exactly what changed and what is next.
Josh Gingrich
CEO, Printed Mint
Verified via Clutch
5.8x catalog ROAS 3.4x return vs prior agency
Printed Mint website homepage in a browser window, personalized blankets above its product collections
1 / 10

Selected clients we've run full marketing programs for

  • Armanino
  • BSH
  • Delicate Dental
  • Government Legal Department
  • Hightop Health
  • LifeStance Health
  • Marmalade
  • Montegra Capital Resources
  • Noelle Collins Dental Clinic
  • Oxford Capital
  • Paquin & Carroll Insurance
  • PCO Bookkeepers & M&A Specialists
  • Peaceful Mind Psychology
  • Peak Accounting Solutions
  • Pelvic Rehabilitation Medicine
  • RiverSaaS Capital
  • Rosenbaum Personal Injury Lawyers
  • Smile Design Dentistry
  • Stanhope Capital Group
  • Stella Maris
  • Tilghman Builders
  • Toyota
  • Uptime
  • VP Dental & Medical Supplies
  • Wilentz Attorneys at Law

See what your current ad spend could be earning

Move the sliders to your numbers. The estimate assumes recovered wasted spend plus a conversion improvement on what you already buy.

Projected monthly recovery
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Recovered ad waste plus conversion lift. The audit is free, no card, no commitment.

Free · Written findings · Yours to keep

Common chiropractor PPC questions, answered

From real quote calls with chiropractic practice owners. Anything else, ask on the call and get an answer in the first 5 minutes.

PREFER TO TALK?
hello@redefineweb.com →

Yes, Google Ads work for chiropractors when the campaign structure matches how patients search. Terms like "chiropractor near me," "back pain relief [city]," and "adjustment [zip]" pull high intent and book new-patient exams inside 7 to 14 days of launch. Programs that fail usually run one broad-match campaign at the homepage with no offline conversion feed. Fix those three items and Google Ads become the most predictable new-patient channel a chiropractic practice has. Chiropractor PPC services need Google Ads Enhanced Conversions plus an offline import from ChiroTouch or Jane to close the loop. Once that lands, Smart Bidding optimizes on real booked exams and cost per patient drops for the next 60 days. A dedicated chiropractic media buyer runs the account start to finish. No pod rotation, no ticket queue. Weekly reporting ties every booked exam back to the campaign, ad group, keyword, and creative.

Chiropractor PPC services at Redefine Web run $999 to $4,500+ per month in management fees. Launch is $999/mo for a solo chiropractor on Google Search only. Growth is $1,499/mo and adds Local Services Ads. Scale is $2,499/mo for multi-location practices layering Search, Meta, LSA, and YouTube. Enterprise starts at $4,500/mo for franchise systems and multi-state chiropractic groups. Management fees sit on top of your ad spend and are billed flat, never as a percentage of the budget burned. Chiropractor PPC management fees stay flat regardless of ad spend, so a spend increase never triggers a fee increase. Every tier includes campaign build, landing pages, and call tracking. Weekly optimization cycles and PMS offline-conversion sync start on Growth. The 14-day first-booked-exam guarantee applies to every tier. Miss the window in month one, month one refunds in full. Reporting is written monthly on Launch and weekly from Growth up. Every dollar of spend is your money. We never mark up ad spend.

Solo chiropractic practices spend $1,200 to $2,500 per month in Google Ads ad spend on top of chiropractor PPC management fees. That range funds enough Search clicks to book 15 to 30 new-patient exams at the $65 to $110 median cost-per-exam range. Multi-location groups run $3,000 to $8,000 per location. Two variables push budgets higher, dense urban metros and personal-injury targets that carry $60 to $90 CPCs. Budgets under $800 per month tend to stall before Smart Bidding has enough conversions to optimize. Spend under $800 usually stalls before Smart Bidding gets enough data to train on. The tighter your service line focus (adjustments, decompression, PI), the more predictable your cost per booked exam. Weekly reporting shows spend against booked exams in one line. Chiropractor PPC agencies that promise below-average CPC without splitting PI and cash-pay usually blow through budget inside two weeks. Split campaigns, sharp negatives, and a defined CAC target hold spend efficient. Budget floor for a solo practice is $1,000/mo in ad spend to give Smart Bidding room to learn.

Yes, chiropractors qualify for Google Local Services Ads in most US metros. LSA sits above the paid Search block inside Google Maps, uses a Google Screened badge, and bills per lead instead of per click. Chiropractic leads through LSA usually run $15 to $60 versus $50 to $150 cost per booked exam on Search. Setup takes 2 to 3 weeks for license, insurance, and background verification. LSA works best paired with Search rather than instead of. Search catches keyword intent, LSA catches voice search and map-first patients. Chiropractor PPC agencies that skip Local Services Ads leave $15-$60 lead pricing on the table. Once you rank on both, LSA fills the calendar Monday morning and Search catches condition-specific intent through the week. Local Services Ads work best with a dedicated landing page even though LSA calls direct. Chiropractor PPC services should include LSA setup, verification tracking, and monthly bid review from the Growth tier up. LSA lead cost sits well below Search cost per booked exam once verification clears.

Google Ads is better for booking new-patient exams inside 30 days. Facebook and Instagram ads are better for filling a decompression program or wellness membership that needs education before the buy. Google Search catches active pain-relief intent ("back pain chiropractor near me"), so cost per booked exam runs $65 to $110. Meta cost per lead runs $5 to $40 but conversion to booked exam is 30 to 50% lower since the patient was not searching. Run Google Ads for direct bookings. Run Meta for decompression program funnels and retargeting site visitors who did not book on visit one. Meta ads work well for chiropractor decompression program funnels since the buyer needs 2 to 4 touchpoints before booking. Google Ads works for same-day exam bookings. Most chiropractic practices run both once Google is stable. Meta and Google combined usually run 60-40 in favor of Google Search for chiropractic patient acquisition. Retargeting on Meta catches the site visitors who did not book on the first click.

Google medical policy flags chiropractic ads for three reasons. First, treatment claims like "cure sciatica" or "fix herniated disc" trip the medical claims filter. Second, before-and-after pain-relief images violate personalized health targeting. Third, keyword lists that include specific conditions can flag sensitive health and disable ad personalization. Fix by rewriting ad copy to describe the service ("chiropractic adjustment," "spinal decompression") without claiming a medical outcome, swapping before-and-after visuals for practice photography, and moving condition names into landing page copy instead of headlines. Google disapprovals for chiropractor Google Ads clear inside 3 business days once ad copy is rewritten. The rewrite pattern focuses on describing the service, not the outcome. Every chiropractor PPC agency should review medical policy before launching a single ad. A weekly ad-copy review keeps the ad library policy-cleared as Google updates its medical rules. Chiropractor PPC agencies that let disapprovals pile up lose 30% of live inventory inside 60 days.

Google Ads campaigns book the first new-patient exam inside 7 to 14 days of activation. Search ads for "chiropractor near me" and "back pain relief [city]" hit first since intent is highest and buyer decisions are same-day. Meta retargeting, which starts on the Scale tier, kicks in around day 21 once site traffic is large enough to build custom audiences. Local Services Ads usually surface leads inside week 2 after Google finishes license verification. Volume ramps through week 4 as Smart Bidding learns which click types actually book an exam inside your ChiroTouch or Jane schedule. Scale-tier campaigns layer in Meta retargeting on day 21 once site traffic passes the audience threshold. LSA activates during week 2 after Google finishes license verification. Full ramp usually lands by week 4. Timeline shifts if the practice management software is not connected in week one. Delay the offline import and Google Ads keeps optimizing on form fills, which stalls booked-exam volume for weeks. First week focuses on tracking and audit. Ads go live in week two after sign-off.

That is the fully-loaded number, ad spend divided by exams that landed in your PMS, not form fills or clicks. Personal-injury and auto-accident targets push cost per exam higher since attorneys bid the same keywords. Cash-pay wellness campaigns often land at the low end. Rural markets with low competitor density dip below $50. Metros like Los Angeles, Dallas, and New York run closer to $110 on cash-pay chiropractic terms. Chiropractor PPC agencies that quote below $50 median cost per exam usually count form fills, not real booked patients on the schedule. Median across managed accounts includes only exams that landed in the PMS with a Google click ID. Cost per booked exam is the number that matters, not clicks and not form fills. A chiropractor PPC agency that quotes cost per click without cost per exam is optimizing the wrong metric.

Yes. Every chiropractor PPC retainer includes dedicated landing pages built for booked new-patient exams. We never route paid traffic to a chiropractic homepage. Homepages have five nav items and a hero video that pulls the eye everywhere except the booking form. Landing pages are built for one action, in this case booking a new-patient exam. Expect a 2x to 4x gain in booking rate when paid traffic hits a dedicated page over a homepage. Each service line (adjustments, decompression, sports injury, PI) gets its own landing page tied to the matching campaign. Chiropractor PPC campaigns lose 40 to 60% of paid traffic when routed to a homepage. Dedicated landing pages let Smart Bidding train on exam-booking behavior specific to each service line and each geography. Landing page conversion rate tracks against Core Web Vitals since paid traffic converts 30% worse on slow pages. Chiropractor PPC services should ship a page speed check inside the first 14 days.

Chiropractor PPC tracks booked exams end-to-end with Google Ads Enhanced Conversions, Meta CAPI, and offline conversion imports from your practice management software. ChiroTouch, Jane App, Genesis, and Cliniko are the four we ingest most often. Every booked exam ties back to the campaign, ad group, keyword, and creative that produced it. Once offline conversions land, Google Smart Bidding starts optimizing against real patients on your schedule instead of form fills. That single switch typically cuts cost per booked exam 20 to 40% inside 8 weeks of go-live on your PMS. Chiropractor PPC management ties every booked exam back to the campaign, ad group, keyword, and ad creative. Once that data lands in Google, Smart Bidding cuts cost per exam 20 to 40% inside 8 weeks and holds it for the rest of the contract. Enhanced Conversions plus offline import from your PMS is the base setup. Meta CAPI catches the Meta side. Together they close the loop from ad click to booked exam inside your ChiroTouch or Jane schedule.

Chiropractor PPC services at Redefine Web run on a 6-month initial term. Month one carries a 14-day first-booked-exam guarantee. If we miss that window, month one refunds in full. After month six, the retainer rolls month to month and either side can end with 30 days written notice. You keep the Google Ads account, Local Services Ads profile, landing pages, and every offline conversion feed we built into ChiroTouch, Jane, Genesis, or ChiroFusion. Nothing is held hostage on cancel. We hand over admin access, a written wrap-up on the last month's spend against booked exams, and a punch list of what we would run next if we stayed. Most chiropractic practices stay past year two once cost per booked exam stabilizes and Smart Bidding is trained on real patient data. The 6-month term matches how long Google needs to learn your best keywords and lock in a stable CPA.

Personal-injury and cash-pay wellness get separate chiropractor PPC campaigns because the economics are different. PI keywords like "auto accident chiropractor" and "spinal decompression lawyer referral" cost $60 to $90 per click since attorneys bid the same terms. Cash-pay wellness keywords like "chiropractor near me" or "back pain adjustment [city]" run $8 to $22 per click. Blending them under one Smart Bidding target CPA burns budget on PI without matching case values back. We split them at the campaign level with a higher target CPA for PI and a tighter one for wellness. Landing pages differ too. PI needs case-value trust signals and attorney referral copy while cash-pay needs same-day booking and clear pricing. The American Chiropractic Association guidance on evidence-based marketing shaped the medical-claim discipline we apply in both campaign sets. Reporting is split too, so you see PI cost per case and wellness cost per booked exam as separate numbers on your weekly note.

You get a written weekly note plus a live Looker Studio dashboard tied to your Google Ads MCC and Meta Business Manager. The weekly note covers spend, booked exams, cost per exam, top wins from the week, and what runs next week. The dashboard shows daily click, cost, conversion, and offline-import numbers from your practice management software. Monthly, a longer written recap ties spend to closed revenue and flags any campaign that missed target. You own the Google Ads account, the Meta ad account, the Local Services Ads profile, and every landing page URL under your own domain. See Google Business Profile and LSA setup docs for the profile ownership process. Site speed on those landing pages tracks against Core Web Vitals since paid traffic converts 30% worse on slow pages. Nothing about the account structure locks you in with us. On cancel, we hand back full admin access inside one business day.
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