ICG · Pricing guide · Healthcare PPC agency cost
Healthcare PPC agency cost in India (2026): full-stack Google + Meta pricing
Most healthcare buyers today run Google and Meta together. A full-stack PPC agency should quote them as one engagement — one strategist, one dashboard, one P&L. This page shows what that costs in 2026, what a fair scope contains, and the padding that appears when Google and Meta are quoted as two loose retainers.
Fair pricing bands for a full-stack PPC agency (2026)
| Tier | Management fee / month (INR) | Fits which combined media spend |
|---|---|---|
| DIY | ₹0 | Solo clinic, ₹40K-₹80K combined spend, 6+ hours a week to run both platforms. |
| Starter | ₹35,000 – ₹65,000/- | Combined Google + Meta ₹1,00,000 – ₹2,50,000/- monthly. |
| Growth | ₹80,000 – ₹1,50,000/- | Combined spend ₹2,50,000 – ₹8,00,000/- monthly. |
| Scale | ₹1,75,000 – ₹4,00,000+/- | Combined spend ₹8,00,000+/- monthly. |
What you should be getting at each tier
- Starter (₹35K–65K): account audit, Google Search + Local + Meta lead-form + WhatsApp click-to-message setup, Pixel + CAPI + GTM install, conversion tracking, monthly review.
- Growth (₹80K–1.5L): the above plus landing-page A/B testing, weekly creative refresh (2-3 reels + 4-6 statics), retargeting, CRM integration, quarterly business review.
- Scale (₹1.75L+): dedicated pod, daily monitoring, server-side tagging, offline conversion imports (CRM → Google/Meta), quarterly CMO reviews, and a shared BI dashboard.
Eight red flags in PPC agency quotes
- Google and Meta are quoted as two separate retainers with no unified reporting.
- No conversion tracking audit before the retainer starts.
- Reports show impressions and clicks only — no CPL, no ROAS, no revenue tie-back.
- All spend sits in a single Performance Max campaign with no visibility.
- Meta creative has not refreshed in 3+ weeks.
- No landing page A/B testing at Growth tier.
- The agency refuses to give admin access to Google Ads or Meta Business Manager.
- CPL rises month over month with no root-cause diagnosis.
Agency vs freelancer vs in-house
| Option | Real cost / month | Fit / catch |
|---|---|---|
| Two freelancers | ₹30,000 – ₹65,000/- | Cheapest option; no shared strategy across channels; bus-factor of two. |
| Full-stack agency | ₹65,000 – ₹4,00,000/- | One strategist, one dashboard, unified attribution. |
| In-house | ₹3,00,000 – ₹5,50,000/- | Media buyer + creative + analyst + tools. Full control, slow ramp. |
The 70/30 rule for PPC spend
70% into media + 30% into management, creative, and tracking. Ignore the 30% and your 70% underperforms by 25-40% because there is no landing-page ownership and no signal quality.
ICG's SEO packages — Foundation ₹49,999/-, Growth ₹74,999/-, Scale ₹99,999/- — pair naturally with a PPC engagement; buyers who run both usually see 30-40% lower blended CPL within 4 months.
What ICG charges
See our healthcare PPC pillar, or WhatsApp Rohit for a scoped Google + Meta quote.
Frequently asked questions
What is fair pricing for a healthcare PPC agency in India?
Starter engagements ₹35,000 to ₹65,000, Growth ₹80,000 to ₹1,50,000, Scale ₹1,75,000 and up. These are combined Google + Meta management fees.
Should Google and Meta be one engagement?
Yes — one strategist, one dashboard, one attribution model. Splitting them across two agencies loses 15-25% of blended efficiency.
What is a realistic blended CPL for healthcare?
Solo clinic: ₹150-₹450. Multi-doctor: ₹200-₹700. Hospital: ₹300-₹1,200. IVF and hair-transplant: ₹500-₹2,500.
Should Meta creative be included in the fee?
At Growth tier and up, yes. At Starter, creative is usually your responsibility.
Do I need offline conversion imports?
At Growth tier and up, yes. Sending CRM outcomes (appointment booked, procedure done) back to Google/Meta lifts optimisation quality significantly.
How is percent-of-spend structured?
Usually 12-18% of media for accounts above ₹5L combined spend; flat fee for smaller accounts.
Should I bundle SEO with PPC?
Yes for keyword insight and landing-page sharing. Only if the agency is credible in both — not a "we do everything" pitch.
Do healthcare agencies do WhatsApp Ads?
The good ones do. WhatsApp click-to-message ads on Meta are 20-40% cheaper CPL for many clinic categories.
What does ICG charge?
₹35K-₹1.5L flat fee by spend band, or 12-18% for larger accounts. Scoped in a call.
Is a 12-month lock-in fair?
Six months is the fair minimum; PPC needs 60-90 days to optimise past learning. Twelve months is common for larger engagements.
