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Practice growth

How Much Should a Practice Spend on Marketing?

A plain look at the real options: a hire, freelancers, an agency, or doing it yourself, and what each actually costs.

Aaron Harms

September 25, 2026 · 3 minute read

Practice owners ask this question expecting a percentage. There is a common one, somewhere between five and ten percent of revenue for a practice that wants to grow, less for one that mostly wants to stay full. But the percentage hides the more useful question, which is what the money buys and who does the work.

What "marketing" means for a practice

Strip away the jargon and a private practice needs six things done well: a brand that looks like one practice everywhere, a website that gets people to book, a Google listing that's accurate and active, a steady flow of content and social posts, the occasional campaign for a new service or a slow season, and someone watching the numbers. That's the job. Whoever does it, that's the list.

The four ways to get it done

Do it yourself. The cheapest in cash and the most expensive in the owner's time, which is the practice's scarcest resource. It works for a while, usually right after a launch, and then it quietly stops, because seeing patients always comes first. The blog with four posts from launch day is this path.

A marketing hire. A coordinator or manager on staff. Reliable attention and someone in the building who knows the practice. The real cost is the full one: salary, benefits, software, and the fact that one person is rarely a designer, a writer, a web developer, and an analyst at once, so vendors get hired anyway. For most single-location practices the total lands well above what the six things should cost.

Freelancers. A designer here, a web developer there, someone for social. Flexible and often talented. The cost that doesn't show up on an invoice is coordination: the owner becomes the project manager, the pieces don't match, and when one person leaves the knowledge leaves with them. This is the juggling act most practices are in.

An agency or a service. One team, one price, the whole list. The right one feels like a marketing department the practice couldn't otherwise afford. The wrong one is a retainer for a monthly report nobody reads. The difference is whether you can see the work, approve it, and measure it.

The question that settles it

Whichever route you take, ask one thing before you commit money: what will I be able to see?

If the answer is a monthly PDF, be careful. If the answer is every piece of work before it goes live, the numbers any day of the month, and a person who answers when you write, you're paying for a department rather than a vendor.

A note on what's cheap and what isn't

Photography is cheap relative to what it does. So is fixing the phone. So is a written voice. A website rebuild is expensive and rarely the actual problem. Paid ads are where practices lose the most money fastest, usually because the website they send people to wasn't ready for them.

Spend on the foundation first: brand, website, listing. Then on the rhythm: content, social, the report. Then, if there's a specific goal, on a campaign. That order is what keeps the budget from evaporating.

DoctorBrand is built as the fourth option done right: one senior team, one monthly price, no build fees, month to month, with every piece visible and approved in a portal before it goes live. It's not the right fit for every practice, but the question above is the right test for every practice.