Google Ads PPC averages $5.42 CPC. Pre-Roll Video is bought on CPM only, averaging $15.00. Analysis for Healthcare in 2026.
Search advertising on Google - pay per click on search results
Video ads that play before online content
The auction, the creative, the budget floor — the three things you actually need to know before picking a platform.
Google Ads runs a real-time second-price auction on every search query. You pay per click, and your effective CPC is a function of your bid, Quality Score, and competitor bids — high-intent commercial keywords (finance, legal, insurance) can 5-10x the platform average because auction density is brutal.
Responsive Search Ads: up to 15 headlines (30 chars each), 4 descriptions (90 chars each). Google mixes them dynamically. Sitelinks, callouts, and structured snippets are effectively required to stay competitive.
Budget floor to reach statistical signal: roughly $50–100/day per campaign, or $1.5K–3K/month per keyword theme. Below that, learning phase never stabilizes.
Pre-roll (the video ad before online video content, non-YouTube) is CPM-priced at $12–20, sold through DSPs against a video inventory pool separate from social. Skippable and non-skippable formats coexist; non-skippable commands a 20–30% CPM premium.
15s (most common), 6s bumper, or 30s. 1920×1080 16:9, 24 or 30fps, H.264. Captions and audio-off usability increasingly required as autoplay-muted becomes default.
$3K–5K/month for standalone pre-roll; often bundled with programmatic display or OTT in a single video-inclusive DSP buy.