Why plastic surgery practices in Las Vegas overpay for leads
High-ticket surgical leads need a long nurture cycle, but most accounts measure success at the form fill and never track which consults actually book surgery.
Las Vegas has a Spanish-speaking service economy that almost nobody targets properly in paid search, so CPCs stay low relative to intent. On top of that, Las Vegas accounts almost always mix Spanish and English keywords in one campaign, which inflates CPCs on both sides and hides which language is actually producing revenue.
