The best AEO and GEO agencies for small healthcare practices in 2026

Search for “best GEO agencies” and you’ll get lists full of firms like iPullRank, Siege Media, Omniscient Digital, First Page Sage, Thrive, TripleDart and NoGood. They’re serious firms. Most of them were built for software companies and national brands, and their prices are set for those budgets.

A three-chair dental office or a solo chiropractor has a different problem. You don’t need to win a national topic. You need ChatGPT, Gemini, Google’s AI and Perplexity to name you when someone in your town asks for a good dentist, chiropractor, physical therapist, optometrist or med spa. This list is for that owner.

The short list at a glance

These are the 12 firms we checked on their own websites in November 2026, ordered by how well they fit a small independent practice. Cleareo, our own service, is first; the “How we chose” section explains why. Prices are as of November 2026 and vendor prices change.

#	Firm	Best fit	Published price (Nov 2026)	Minimum term
1	Cleareo (this is us)	Budget-conscious independent practices	$499 or $899/month; $149 audit	Month to month
2	EyeCarePro	Optometry practices	$419, $799 or $1,549/month	None, month to month
3	ChiroCandy	Chiropractors	SEO/AI search $795/month; packages $1,145 and $2,290	12-month website agreement on the $2,290 package
4	Med Spa SEO Agency	Med spas and aesthetic clinics	$950 or $1,499/month	Month to month
5	KKV Labs	Local businesses wanting AI-only work	$999/month	3 months, then monthly
6	Intrepy Healthcare Marketing	Specialty medical practices	SEO from $750/month (solo physicians)	Not published
7	Sagapixel	Dental, chiro and aesthetic practices wanting full service	Budgets from about $1,500/month	Month to month
8	Serpner	Dental and clinic GEO	Not published	Not published
9	Thrive Internet Marketing	Practices wanting one full-service agency	Not published	Not published
10	WebFX	Larger practices and groups	Healthcare AI SEO from $3,000/month	6 months
11	Geonetric	Hospitals and health systems	Not published	Not published
12	First Page Sage	Enterprise benchmark	Not published on its service page	Not published

Why most “best GEO agency” lists don’t fit a practice

Most top-ranked GEO agencies are top-ranked because other lists name them, not because they serve small practices. In Cleareo’s tests (November 8, 2026), we asked Gemini and Perplexity 10 “best agency” questions three times each. The most-named agency, iPullRank, appeared in 30 answers and was never cited from its own site. It was named because other people’s best-of lists include it, and 59% of all citations in those answers were best-of list pages.

That’s fine if you’re a software company. It means the names you see first are the names that are good at being listed, and those firms price for brands with big budgets. First Page Sage’s October 2026 GEO pricing study, built from quotes by 214 agencies, puts the small-business tier at $1,800 to $4,200 a month (median $2,950) and enterprise retainers at $22,000 to $60,000 or more.

A local practice’s AI visibility also depends on different inputs. For local-intent questions in Google AI Mode, about 80% of citations go to Maps and Google Business Profile URLs, and 88% for dentists (Steady Demand, via Driven Metrics; second-hand figure). Healthcare listings make up 52.6% of AI citations in Yext’s research. An agency built around content marketing for national brands may not spend its hours where your patients’ answers come from.

How we chose

We started from the firms that show up in AI answers and best-of lists for healthcare and GEO questions, then added specialists we know practice owners ask about. Each firm made the list only if its own website, checked in November 2026, confirmed it offers AI search or GEO work and serves healthcare or local businesses. We ranked by fit for a single-location independent practice, using six criteria:

• Fit for your size and specialty. Is the firm built and priced for practices with one to three locations, or mostly for hospitals and national brands?
• Published pricing. Can you see what it costs before a sales call?
• Contract terms. Month to month beats 6 to 24 month commitments when the field is this new.
• Focus on AI visibility. Is AI visibility the main job, and does the work cover Google Business Profile, reviews, directories and service pages, which are the strongest levers for local AI answers?
• A free look first. Can you get a free check or audit of your own practice before you pay?
• Honest measurement. Does the firm say how it measures AI answers, and does it avoid guarantees nobody can keep?

We dropped Modea. It is a respected healthcare digital consultancy, but its site describes work for health systems such as Mount Sinai and Vanderbilt Health and doesn’t describe an AI search service for practices. Cleareo is our service. We rank ourselves first on fit and price for a small practice, but we’re a new service with no published case studies, so judge us on the free AI check rather than on this list. We explain the limits in our entry below.

The agencies, one by one

1. Cleareo

This is us. Cleareo is a small studio that works only on AI visibility for independent health practices (dental, chiropractic, physical therapy, optometry and med spa) and rebuilds practice websites. The work centres on the levers with the most evidence behind them: Google Business Profile, reviews, Yelp and health directories, service and practitioner pages, and Bing.

• Who it suits: budget-conscious single-location or two-location practices that want AI visibility work without a bundled ad program.
• Pricing (as of November 2026): a free AI check (5 patient questions for your town, run twice each in ChatGPT, Google’s AI, Claude and Perplexity, emailed within 2 business days). An AI visibility audit is $149 introductory (later $297) and is credited against the first month. Plans are Essentials $499/month and Growth $899/month, month to month, with extra locations at $199/month. You keep every profile, page and login. Details are on our pricing page.
• Watch out: we’re new, so there are no published case studies yet. Judge us on the free check. We’re not the right choice for multi-location groups or for practices that want full-service paid ads.

2. EyeCarePro

EyeCarePro builds and runs websites, SEO, content, social posts, reviews and patient campaigns for eye care practices only: optometrists, ophthalmologists and opticals. Its programs page says it works “to get you found in Google’s AI answers and ChatGPT,” alongside the usual SEO and Google Business Profile work.

• Who it suits: independent optometry practices, from one doctor to small groups. It says it has served 2,500+ practices.
• Pricing (as of November 2026): Essentials $419/month, Specialty or Capture $799/month, Metro $1,549/month (which includes 4 locations). No contracts; every program is month to month.
• Watch out: AI search is one part of a bundled marketing program, not a separate service with its own reporting. Ask what AI-answer measurement you’ll see in the monthly report.

3. ChiroCandy

ChiroCandy is a chiropractic marketing company that sells ads, websites and SEO. Its pricing page lists “SEO / AI Search Optimization” as a stand-alone service focused on technical SEO and structured content for traditional and AI search.

• Who it suits: chiropractors who want AI search work, and possibly ads, from a firm that knows the specialty. Physical therapists aren’t named on the pricing page, so ask first.
• Pricing (as of November 2026): SEO/AI search on its own is $795/month. Packages are $1,145/month (Meta and Google Ads) or $2,290/month (ads plus SEO/AI search and a custom website), with a typical $1,000 one-time setup. Ad spend is separate.
• Watch out: the $2,290 package with a custom website comes with a 12-month website agreement. The stand-alone SEO service is the lighter commitment.

4. Med Spa SEO Agency

Med Spa SEO Agency works with med spas, aesthetic clinics and dermatology practices. Its site describes its AI work as getting a med spa mentioned by ChatGPT, Perplexity and Google AI Overviews, folded into map optimization, content and citations.

• Who it suits: single-location med spas that want a set monthly deliverable list.
• Pricing (as of November 2026): Gold $950/month and Platinum $1,499/month, shown as discounts from $1,200 and $1,800. Month to month, no long-term contracts. Platinum lists items such as 6 blogs, 8 Google Business Profile posts, 3 backlinks and a press release each month.
• Watch out: the plans count outputs (posts, links, blogs) rather than AI-answer results. The site doesn’t name a headquarters city, so ask where the team is and who writes your content. Treatment claims for injectables need careful review, which we cover in the compliance section.

5. KKV Labs

KKV Labs is a Delaware-based AI visibility agency for local and service businesses. Its site lists dentists, med spas, cosmetic surgeons, chiropractors and therapists among its industries, alongside law firms, trades and accountants.

• Who it suits: owners who want an AI-only service with a simple scorecard and one published price.
• Pricing (as of November 2026): $999/month, no setup fee, 3-month minimum then month to month. It advertises a money-back guarantee if the work doesn’t get you recommended (read the terms), and takes one business per industry per city.
• Watch out: it isn’t healthcare-specific, so ask how it handles review requests and health claims. Its plan includes structured data work; Ahrefs found no significant AI citation lift from schema in a 1,885-page study, so weigh those items lightly.

6. Intrepy Healthcare Marketing

Intrepy is a healthcare marketing agency that works with private medical practices, with case studies in orthopedics, women’s health and med spas. Its medical SEO page describes the service as “Medical SEO and AI Visibility,” including generative engine optimization and structured data.

• Who it suits: specialty medical practices (orthopedics, dermatology, women’s health) and solo physicians who want an experienced medical marketing firm.
• Pricing (as of November 2026): starter SEO for solo physicians from $750/month; multi-physician practices typically $3,000 to $5,000+ a month, per its own page.
• Watch out: its strongest examples are medical specialties, not dental or optometry. Contract terms aren’t published. It says its SEO is HIPAA-compliant; ask exactly what that covers.

7. Sagapixel

Sagapixel is a healthcare digital marketing agency covering SEO, “SEO for AI,” web design, paid ads and social. Its site lists dentists, orthodontists, chiropractors, med spas, plastic surgeons and dermatologists among its specialties, on month-to-month contracts.

• Who it suits: practices that want AI search, SEO and paid ads from one healthcare-only team.
• Pricing (as of November 2026): no fixed packages. Its SEO page says it plans around budgets from $1,500 to $20,000 a month.
• Watch out: the entry budget is roughly double the specialists above. Physical therapy and optometry aren’t on its specialty list.

8. Serpner

Serpner runs a GEO service for dental clinics aimed at getting practices cited when patients ask ChatGPT, Perplexity or Google AI Overviews for a dentist. Its site lists an office in Mohali, India, with case studies from the UK and Texas.

• Who it suits: dental clinics, including UK practices, that want a dental-specific GEO program and a free audit to start.
• Pricing (as of November 2026): not published on the page we checked.
• Watch out: the service list leans on schema, llms.txt and “AI sitemaps.” A Search Engine Journal analysis of 300,000 domains found no clear effect from llms.txt. Ask how much of the budget goes to Google Business Profile, reviews and directories instead.

9. Thrive Internet Marketing

Thrive is a large full-service US agency with a dedicated AI SEO and GEO service. Its GEO page mentions work for a primary care and multi-specialty medical group and a regional medical group, and it also sells dental web design and social media.

• Who it suits: practices that want one big agency for SEO, GEO, web, social and ads.
• Pricing (as of November 2026): not published. Its GEO page describes “affordable and flexible pricing” for businesses of any size.
• Watch out: it serves every industry, so healthcare is one vertical among many. Get the scope, term and the name of your account lead in writing.

10. WebFX

WebFX is one of the largest US digital agencies and has a healthcare AI SEO service that includes an AI SEO audit, strategy, optimizations and tracking through its own OmniSEO platform.

• Who it suits: larger practices, multi-location groups and healthcare companies with room in the budget.
• Pricing (as of November 2026): from $3,000/month, with a 6-month commitment.
• Watch out: the entry price is above the small-business median in First Page Sage’s study, and the term is longer than most specialists. Strong tooling, but a big spend for one location.

11. Geonetric

Geonetric is a healthcare marketing agency for hospitals, health systems and medical groups, with clients such as Hartford HealthCare and Adventist Health. Its integrated search strategy service includes helping services, providers and locations appear in AI-generated answers.

• Who it suits: hospital systems and large medical groups, or a practice that’s part of one.
• Pricing (as of November 2026): not published.
• Watch out: it’s built for health systems, not independent practices. We include it because it shows what healthcare GEO looks like at the top end.

12. First Page Sage

First Page Sage is a US agency that markets itself as a leading GEO firm and publishes widely cited research, including the pricing study quoted above. Its own GEO agency rankings describe 12 publicly disclosed clients above $1B in revenue, such as Salesforce, Microsoft and Verizon.

• Who it suits: large companies, and practice owners who want a benchmark for what GEO costs.
• Pricing (as of November 2026): we didn’t find a price list on its service page. Its study puts the median GEO retainer across all tiers at $6,850 a month.
• Watch out: it ranks itself first in its own lists, which is common among vendors (we place ourselves first here too, and say so). Use the pricing study as a reference point, not as a quote.

Enterprise GEO agencies vs practice-focused ones

Enterprise GEO agencies are built to win national topics for brands with big content budgets; practice-focused firms are built to win local recommendations for one or a few addresses. Both are legitimate. They solve different problems.

	Enterprise GEO agency	Practice-focused firm
Typical clients	Software, finance, national consumer brands	Single and small multi-location practices
Typical price (as of Nov 2026)	$4,500 to $60,000+/month (First Page Sage mid-market to enterprise tiers)	About $419 to $1,549/month in the published prices above
Contract	Quoted case by case	Often month to month (several publish terms)
Main work	Thought-leadership content, digital PR, original research, technical SEO at scale	Google Business Profile, reviews, Yelp and health directories, service pages, local citations
What it measures	Share of voice across hundreds of national prompts	Whether AI tools name you for questions in your town
Healthcare compliance	Varies; may not know dental or medical board rules	More likely to know HIPAA and review rules, but ask
Good fit for a practice?	Rarely, unless you’re a large group or DSO	Usually

The middle ground is the large full-service agencies such as WebFX and Thrive. They have healthcare pages and GEO services, but they price and staff like national agencies.

What should you ask about health-advertising compliance?

Ask every agency how it keeps review, privacy and claims work inside the rules before you sign, because the practice carries the liability, not the agency. These are the questions we’d ask:

1. How do you get reviews? The FTC’s Consumer Reviews and Testimonials Rule, in force since October 21, 2024, bans fake and AI-generated reviews, buying reviews and suppressing negative ones. Google also prohibits incentives and review gating (only asking happy patients) in its contribution policy.
2. Who replies to reviews, and how? A reply must not confirm that someone is a patient. HHS settled with New Vision Dental for $23,000 in 2022 over review replies that disclosed patient information, and other OCR cases follow the same pattern.
3. Will you sign a business associate agreement? If the agency touches patient lists for review requests, it may handle protected health information.
4. Who checks “specialist” and clinical claims? State dental boards restrict who can call themselves a specialist (Texas, for example, under 22 TAC §108.54), and rules vary by state. AI-friendly FAQ pages are still advertising.
5. For UK or Australian practices: the UK’s DMCC Act fake review ban applies from April 2025, the CAP code bans advertising prescription-only medicines such as Botox, and only GDC-listed specialists may say “specialist.” In Australia, Ahpra bans clinical testimonials in a practice’s own advertising.

A good answer names a process and a person. A vague “we’re fully compliant” isn’t an answer.

How do you tell whether an agency is measuring the right thing?

Ask to see a baseline: the exact questions, the AI tools, how many times each was asked and from where. Answers move a lot. In BrightLocal’s 200,000-answer study, re-asking the same prompt returned the same business only about half the time. Dr. Bicuspid found 38% of recommended practices changed when the question was re-asked, and ChatGPT, Gemini and Claude agreed on only 30 of 560 named dentists across 50 cities.

In Cleareo’s tests (November 2026), engines disagreed on mid-tier names by 20 to 33 points, and answers pulled through the APIs changed about 40% of the app’s shortlist. A single screenshot from one tool on one day tells you very little. A report that repeats the same questions over time, across several tools, tells you a lot more. If you want to do some of this yourself, our guide to AI visibility tools for local practices compares the software.

Where to start

You don’t need an agency to find out where you stand. This week:

1. Ask ChatGPT, Google (AI Mode) and Perplexity “best [your specialty] near [your town]” twice each and note who’s named. Or request our free AI check and we’ll do it for you.
2. Check that your Google Business Profile has the right primary category, hours, services and photos, and that you have a claimed Yelp profile and current health directory listings.
3. Shortlist two or three firms from the table above that match your specialty and budget, and send each the compliance questions before any call.

If you’re a dentist, our list of AI visibility agencies for dental practices goes deeper on dental-only firms, and our chiropractor and PT list does the same for those specialties.