Focused Local Foundation
Planning range: $3,000 - $5,500 / month
Recurring work that may fit this scope:
- Technical monitoring for crawlability, indexation, internal links, template defects, and implementation status
- 2-3 clinically reviewed content deliverables per month, with an identified reviewer, evidence trail, and publication owner
- Accurate local entity maintenance for one genuine practice location, with service information that reflects what is actually available there
- Surgeon profile and authorship improvements that make credentials, responsibility, and review provenance clear to readers
- Measurement that separates visibility from qualified organic inquiries, consultation attribution, implementation status, and known data gaps
- Review acquisition guidance that asks eligible patients consistently for honest feedback without incentives, review gating, or selective requests
Best fit: A focused practice with manageable technical debt, a limited service footprint, and enough internal support to implement recommendations without a large development program.
Likely exclusions to price separately: Major template engineering, site redesign, photography, video production, paid media, legal review, outside medical-review fees, CRM configuration, and complex migration repair.
Decision test: The fee is defensible when the audit shows that foundational corrections and focused recurring work are the main needs, the practice can approve clinical content on time, and implementation ownership is explicit.
Competitive Market Expansion
Planning range: $6,000 - $11,000 / month
Recurring work that may fit this scope:
- Broader coverage of liposuction services and patient questions, limited to services the practice genuinely offers and can accurately explain
- Content consolidation, internal linking, and technical improvements across procedure, surgeon, and genuine location pages with useful location-specific information
- Structured data review when markup accurately reflects visible content, without treating markup as a guaranteed ranking input or special entitlement to Google search features
- Editorial outreach and digital PR supported by source research, expert participation, transparent publication methods, and documented asset ownership
- Consultation-path analysis using clearly defined conversion events, privacy controls, consent requirements, and channel attribution rules
- Discoverability work for approved images and video when those assets help patients understand services, clinicians, or the consultation process
Best fit: An established practice in a competitive market that needs content, technical, authority, local, and measurement work to advance together rather than sequentially.
Likely exclusions to price separately: Production-intensive creative, paid placements, advertising spend, major web development, custom analytics engineering, and outside clinical or legal review.
Decision test: Pay the higher fee only when the proposal connects the added cost to specific deliverables, named owners, implementation capacity, and measurable operating outputs that matter to the practice.
Multi-Location Surgical Group
Planning range: $12,000 - $20,000+ / month
Recurring work that may fit this scope:
- Central governance for surgeon, procedure, and genuine location information across a larger search footprint
- Technical architecture, duplication control, migration oversight, and internal linking across multiple practice entities and service combinations
- Editorial operations that coordinate research, medical review, evidence maintenance, authorship, publishing, and content retirement across teams
- Authority and brand work whose sources, outreach methods, publication terms, and ownership are documented instead of described as guaranteed ranking inputs
- Analytics and CRM alignment that connects organic landing pages with qualified inquiry and consultation outcomes while maintaining appropriate access and privacy controls
- Location-page governance that creates dedicated pages only where a genuine location has useful location-specific information, rather than manufacturing pages for nominal service areas
Best fit: Larger groups with 5+ genuine locations, multiple surgeons or stakeholder teams, and enough implementation complexity to justify centralized search governance.
Likely exclusions to price separately: Full site rebuilds, CRM licensing, custom software engineering, paid media, professional photography, video production, and external legal or clinical review.
Decision test: Require a location-specific and workstream-specific scope, named dependencies, ownership rules, and a unified measurement model so the larger retainer can be compared with alternative staffing or agency structures.