San Francisco paid ads services generally command premium rates compared to national averages, reflecting the competitive local market and specialized expertise. Most San Francisco agencies offer tiered pricing models ranging from $3,000-$5,000/month for startups and small businesses, $5,000-$15,000/month for mid-market companies, and $15,000+ for enterprise clients with substantial ad spend. These rates are typically 15-30% higher than other major markets due to San Francisco's high operating costs and the specialized knowledge required for tech, finance, and healthcare verticals dominant in the Bay Area. When evaluating pricing, look for agencies that offer transparent fee structures (either percentage of ad spend or flat monthly retainers) and clearly define deliverables like campaign strategy, creative development, and reporting frequency specific to your industry's competitive landscape in the San Francisco market.