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Updated October 2026

What a click actually costs, by industry

Median Google Ads cost per click across 10 industries in the United States, six service industries and four healthcare specialties, paired with search volume, organic difficulty and search intent. Pulled from live keyword data, not from a survey and not from memory.

$509.15Most expensive click measured: truck accident attorney
$21.81Median across the 50 keywords with data
10Industries, four of them healthcare specialties new this month

Two things this table is for. If you are buying clicks, it tells you whether the price you are paying is normal for your industry or a symptom of something broken. If you are deciding where to put budget, it tells you what a lead has to be worth before paid search makes sense at all.

The legal figures are the ones people misread. A truck accident attorney paying $509.15 per click is not being overcharged. A single case can be worth six figures, so the maths still works. The same click price in a business with a $400 average job would be ruinous. Cost per click means nothing without the value of what it buys.

How this was measured

Source. Live keyword data for the United States market, English language, from the DataForSEO Labs API, pulled on 2026-10-15, 2026-09-15 and 2026-08-15. Cost per click is the average paid by advertisers, not a bid estimate. The source refreshes each keyword on its own cycle of roughly a month, and the Source refresh column shows when the figure in each row was last updated.

Organic difficulty is a 0 to 100 score of how hard the term is to rank for without paying. It is a separate measure from advertiser competition, which is what most published benchmarks report and which says nothing about ranking.

Intent is classified as commercial, transactional, informational or navigational. It matters more than volume: a high volume term with navigational intent is people looking for a specific brand, not people looking to buy.

Limits. These are national medians. Costs in a dense metro run above them and rural markets below. Keywords with no reported data were excluded rather than shown as zero, and each table names the ones that came back empty. Car accident lawyer and assisted living near me have returned no data since September. One healthcare term from earlier editions was retired this month and physical therapy near me was added in its place; it returned no data either, so the Healthcare median now rests on three keywords. Medians over three to six keywords move when a single term moves, so read the group medians as indicators and the keyword rows as the measurement.

Reuse. These figures are free to cite or reproduce with attribution to Diwizi and a link to this page. There is no form and no email gate. See the citation line at the bottom of this page.

Legal
$99
B2B & SaaS
$80
HVAC & Plumbing
$33
Home Services
$27
Orthodontics
$17
Dental
$15
Senior Living
$12
Dermatology
$6
Healthcare
$6
Hearing Care
$6

What changed this month

This is the third pull, on 2026-10-15. Before reading any change, one thing about the source matters. Keyword figures are refreshed on a rolling cycle of roughly a month, term by term, not all on one day. On the day of this pull most terms still carried the refresh they received between 12 and 17 September, so their October figure is the September figure and not a new measurement. Every table now shows the date each figure was refreshed, so you can see which numbers are new and which are not.

10 of the 33 keywords with data in earlier editions carry a different figure from the September edition, either because the source refreshed them after our September pull or because they were refreshed in October: marketing automation software ($89.05 to $80.43), garage door repair ($52.75 to $51.21), roof replacement ($32.15 to $30.63), crm software ($38.64 to $37.13), emergency plumber ($74.91 to $76.38), water heater replacement ($32.72 to $31.74), teeth whitening ($5.26 to $5.89), divorce lawyer ($29.53 to $29.97), plumber near me ($39.45 to $39.28), urgent care near me ($3.59 to $3.66). The full October refresh lands over the next days, and this page will be updated when it does.

IndustryMedian CPC nowSep editionAug editionKeywords with data
Legal$98.55$98.55$101.845
B2B & SaaS$80.43$89.05$49.925
HVAC & Plumbing$33.26$33.75$31.508
Home Services$27.09$27.85$26.096
Dental$14.78$14.78$14.266
Healthcare$6.37$6.37$6.073
Orthodontics$16.58newnew3
Dermatology$6.40newnew4
Senior Living$12.19newnew6
Hearing Care$6.12newnew4

Four healthcare specialties, new this edition

Orthodontics, dermatology, senior living and hearing care join the index with six keywords each. 7 of those 24 keywords returned no cost data from the source and are listed under their table instead of being shown as zero. The pattern inside these groups is worth a look: in hearing care, hearing test near me costs $21.39 a click while hearing aids costs $5.92; in dermatology, eczema treatment costs $15.50 against $5.43 for dermatologist near me; in senior living, memory care facilities is the most expensive term at $25.56. These figures describe what advertisers paid, not why, and this page does not guess at a cause.

Median cost per click in this group: $98.55, against $98.55 in the September edition and $101.84 in August. Highest: truck accident attorney at $509.15. No cost data returned for car accident lawyer.

B2B & SaaS

Median cost per click in this group: $80.43, against $89.05 in the September edition and $49.92 in August. Highest: payroll software at $128.41.

KeywordCPC nowSep editionAug editionChange since AugMonthly searchesOrganic difficultyIntentSource refresh
payroll software$128.41$128.41$138.03-7.0%33,10041CommercialSep 13
hr software$91.59$91.59$115.39-20.6%9,90017CommercialSep 15
marketing automation software$80.43$89.05$49.92+61.1%1,90048CommercialSep 16
project management software$49.28$49.28$49.70-0.8%165,00051CommercialSep 13
crm software$37.13$38.64$43.98-15.6%201,00059CommercialOct 15

HVAC & Plumbing

Median cost per click in this group: $33.26, against $33.75 in the September edition and $31.50 in August. Highest: emergency plumber at $76.38.

KeywordCPC nowSep editionAug editionChange since AugMonthly searchesOrganic difficultyIntentSource refresh
emergency plumber$76.38$74.91$74.51+2.5%74,0000TransactionalSep 15
air conditioning repair$46.46$46.46$43.74+6.2%368,0000CommercialSep 13
plumber near me$39.28$39.45$36.62+7.3%823,00023CommercialOct 15
hvac repair$34.77$34.77$32.44+7.2%74,00039CommercialSep 13
water heater replacement$31.74$32.72$30.57+3.8%49,50030TransactionalSep 17
furnace repair$28.38$28.38$23.06+23.1%201,0009CommercialSep 13
hvac installation$22.23$22.23$23.56-5.6%22,20014CommercialSep 12
drain cleaning$13.92$13.92$15.02-7.3%110,0000CommercialSep 14

Home Services

Median cost per click in this group: $27.09, against $27.85 in the September edition and $26.09 in August. Highest: garage door repair at $51.21.

KeywordCPC nowSep editionAug editionChange since AugMonthly searchesOrganic difficultyIntentSource refresh
garage door repair$51.21$52.75$51.67-0.9%246,00046CommercialSep 16
pest control near me$32.48$32.48$31.51+3.1%165,00040CommercialSep 13
roof replacement$30.63$32.15$26.01+17.8%33,10048CommercialSep 17
solar panel installation$23.56$23.56$26.16-9.9%74,00020CommercialSep 14
roofing contractor$21.08$21.08$19.44+8.4%135,00068CommercialSep 12
house cleaning services$11.67$11.67$12.10-3.6%90,50026CommercialSep 14

Dental

Median cost per click in this group: $14.78, against $14.78 in the September edition and $14.26 in August. Highest: dental implants at $26.49.

KeywordCPC nowSep editionAug editionChange since AugMonthly searchesOrganic difficultyIntentSource refresh
dental implants$26.49$26.49$23.37+13.4%165,00044TransactionalSep 13
all on 4 dental implants$25.19$25.19$27.55-8.6%22,2000InformationalSep 14
cosmetic dentistry$15.63$15.63$15.17+3.0%90,50037InformationalSep 14
dentist near me$13.92$13.92$13.35+4.3%1,830,00049CommercialSep 13
invisalign$9.42$9.42$10.53-10.5%368,00043TransactionalSep 14
teeth whitening$5.89$5.26$5.42+8.7%165,00070InformationalOct 15

Healthcare

Median cost per click in this group: $6.37, against $6.37 in the September edition and $6.07 in August. Highest: home care services at $13.51. No cost data returned for assisted living near me, physical therapy near me.

KeywordCPC nowSep editionAug editionChange since AugMonthly searchesOrganic difficultyIntentSource refresh
home care services$13.51$13.51$13.95-3.2%201,00057CommercialSep 15
medical spa$6.37$6.37$6.07+4.9%135,00035CommercialSep 13
urgent care near me$3.66$3.59$3.88-5.7%4,090,00019CommercialSep 16

Orthodontics

New this edition. Median cost per click: $16.58 across 3 keywords with data. Highest: orthodontist at $22.58. No cost data returned for orthodontist near me, braces cost, invisalign cost.

KeywordCPCMonthly searchesOrganic difficultyIntentSource refresh
orthodontist$22.58246,00067InformationalSep 12
braces for adults$16.5814,8006TransactionalSep 12
clear aligners$14.0018,10048TransactionalSep 13

Dermatology

New this edition. Median cost per click: $6.40 across 4 keywords with data. Highest: eczema treatment at $15.50. No cost data returned for mohs surgery, acne scar treatment.

KeywordCPCMonthly searchesOrganic difficultyIntentSource refresh
eczema treatment$15.50165,00024InformationalSep 12
skin cancer screening$7.3812,10019InformationalSep 13
dermatologist near me$5.43673,00028NavigationalSep 14
cosmetic dermatologist$4.953,60012InformationalSep 14

Senior Living

New this edition. Median cost per click: $12.19 across 6 keywords with data. Highest: memory care facilities at $25.56.

KeywordCPCMonthly searchesOrganic difficultyIntentSource refresh
memory care facilities$25.5612,10048InformationalSep 12
in home care for elderly$17.3827,10068InformationalSep 13
independent living for seniors$14.458,10030InformationalSep 14
senior living communities$9.9322,20062InformationalSep 12
respite care$9.73165,00027InformationalSep 17
nursing homes near me$6.37201,00049InformationalOct 15

Hearing Care

New this edition. Median cost per click: $6.12 across 4 keywords with data. Highest: hearing test near me at $21.39. No cost data returned for audiologist near me, tinnitus treatment.

KeywordCPCMonthly searchesOrganic difficultyIntentSource refresh
hearing test near me$21.3912,10020TransactionalSep 16
hearing aid repair$6.325,4000TransactionalSep 16
hearing aids$5.92165,00055TransactionalSep 13
hearing aids cost$2.8714,80019InformationalSep 16

How to read your own number against this

If your cost per click sits near the median for your industry, the account is priced normally and any problem you have is downstream: which searches you show for, where you show, and whether you can tell a lead from a booked job.

If it sits well above, three causes account for almost all of it. You are bidding on broader terms than you think, you are competing in a metro that carries a premium the national median hides, or your quality signals are weak enough that you pay more than competitors for the same position.

If it sits well below, that is not automatically good news. Cheap clicks in an expensive industry usually mean you are winning the searches nobody else wants.

For single advertisers rather than market medians, see the ad spend teardowns.

How to cite this

These numbers are free to use, quote, screenshot or rebuild, including commercially, as long as the figure is credited to the Paid Media Cost Index and links back to this page. No form, no email, no permission request. If you are a journalist, analyst or another agency and want a cut of the data that is not published here, write to hello [at] diwizi.com and say what you need.

Paid Media Cost Index, Diwizi, edition of 2026-10-15. Median Google Ads cost per click across ten United States industries. https://diwizi.com/paid-media-cost-index.html

The raw figures behind every table are also published in machine readable form in the structured data of this page, so a script or a language model can read them without scraping the HTML.

Reference points

Two things are worth comparing these figures against, because a cost per click only means something next to what you pay to have the account run.

  • Agency management fees for home services run US$ 1,000 to 2,000 a month on top of ad spend, and 10% to 20% of spend is the common percentage model. A local HVAC company spending US$ 3,000 a month is quoted around US$ 750 to manage it. Sources: ClicksGeek, ALM Corp, Pipeline ON.
  • Keyword data here is pulled from the DataForSEO Labs and SERP APIs for the United States market. Cost per click is the average actually paid by advertisers, not a bid estimate from a planner tool.
  • Organic difficulty is a 0 to 100 score of ranking difficulty. It is not the same as the advertiser competition metric Google Keyword Planner reports, which measures auction density and says nothing about ranking.

If you want that read done on your own account rather than estimated from a table, the audit is a fixed scope piece of work and the findings are yours either way.