Partner with leading payroll companies in the United States to accurately, securely, and efficiently manage employee records, process payroll, and file year-end tax reports.

Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.

United States × Payroll × Health Care × Sort by: Top Rated ×Clear Filters
  • Unlock Your Organization's Services Future Potential

    Bringing together CHRO Advisory Services paired with innovative technology recommendations to impact the future of work strategy . Our network has some of the TOP CHROs working to help midcap and private equity companies be successful In their people strategy...

    Top Services:

    • Market Research
    • HR Outsourcing
    • Business Consulting
    Location
    Richardson, Texas
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • End-to-end CX solutions that delight customers.

    Make customer experience your strongest competitive advantage. CX forms the beating heart of Business Process Management, delivering success by boosting customer retention and ensuring less costly, more efficient operations...

    Top Services:

    • Customer Support
    • BPO
    • Call Centers
    • Phone Answering Services
    • Business Consulting
    • Show more
    Location
    Lexington, Kentucky
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    17 Projects Listed
  • Be Boundless

    Dedicated remote teams from India, starting at $6/hour. 500+ pre-vetted professionals. Operated by LegelpTech Outsourcing Pvt Ltd (ISO 27001:2022 certified). 5-day risk-free trial. 48-hour shortlist. Founded 2021 by Ashu Mishra & Chandra Prakash. Serving SMB and mid-market clients globally...

    Top Services:

    • Staff Augmentation
    • Cybersecurity
    • Accounting
    • Customer Support
    • IT Services
    • Show more
    Location
    Cheyenne, Wyoming
    Number of Employees
    250 - 499
    Average Hourly Rate
    $6/hr
    Minimal Budget
    Under $1,000
  • A Single Place to Fulfill Your All Accounting and Finance Management Needs.

    CapActix is an ISO 9001:2015, 27001:2013, and GDPR-certified Offshore Staffing Company. With a team of 120+ experts, we specialize in providing finance and accounting outsourcing services to businesses in the USA...

    Top Services:

    • Accounting
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Offshore Data Entry Service: Precision, Speed and Security

    Top Offshore BPO company...

    Top Services:

    • BPO
    • Accounting
    • Customer Support
    • Market Research
    • Web Design
    • Show more
    Location
    Chicago, Illinois
    Number of Employees
    100 - 249
    Average Hourly Rate
    $5/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    4 Projects Listed
  • GLOBAL TECH TALENT, LOCAL IMPACT.

    EchoGlobal Tech specializes in delivering exceptional remote engineering talent aligned with your company's values and cultural ethos. Always quality over quantity!...

    Top Services:

    • Staff Augmentation
    • Software Development
    • Mobile App Development
    • IT Services
    • Cloud Consulting
    • Show more
    Location
    Wilmington, Delaware
    Number of Employees
    Under 49
    Average Hourly Rate
    $40/hr
    Portfolios Count
    9 Projects Listed
  • Precision Billing, Maximum Revenue, Minimal Risk.

    Our USA-based Medical Billing Company streamlines billing operations for healthcare providers, ensuring increased revenue, reduced costs, and minimized risk. From small practices to large hospitals, we handle denials management, credentialing, coding, and payer verification with expert precision...

    Top Services:

    • BPO
    • HR Outsourcing
    • Call Centers
    • Accounting
    • Show more
    Location
    Evesham, New Jersey
    Number of Employees
    50 - 99
    Average Hourly Rate
    $20/hr
    Portfolios Count
    3 Projects Listed
  • Fastest and Reliable Recruitment Agency in Nigeria, and Georgia (USA)

    Avant Tech is an Innovation driven company operating in the US, Nigeria and the Philippines, We specialize in the recruitment of international across countries and carry our Business Process Outsourcing Services...

    Top Services:

    • BPO
    • IT Services
    • HR Outsourcing
    • Managed Services
    • Mobile App Development
    • Show more
    Location
    Peachtree City, Georgia
    Number of Employees
    50 - 99
    Average Hourly Rate
    $200/hr
    Minimal Budget
    Under $1,000
  • Stop Making It Work. Start Making It Happen.

    At KDG, we're your full-service partners in growth and innovation. With our integrated approach to professional technology, accounting, and consulting services, we give modern leaders and executives control over their outcomes...

    Top Services:

    • AI Development
    • Software Development
    • Managed Services
    • IT Services
    • Cybersecurity
    • Show more
    Location
    Allentown, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $175/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    8 Projects Listed
  • Delivering Customer Service with a Personal Touch

    ExpertCallers is a global BPO partner with 20+ years' experience, delivering inbound/outbound call centers, customer support, and back-office services worldwide, powered by AI-assisted workflows and Lean Six Sigma-driven quality standards for measurable, reliable outcomes...

    Top Services:

    • Call Centers
    • Creative Services
    • eCommerce
    • BPO
    • Customer Support
    • Show more
    Location
    Princeton, New Jersey
    Number of Employees
    500 - 999
    Minimal Budget
    Under $1,000
    Portfolios Count
    4 Projects Listed
  • Innovative Solutions, Unmatched Value

    Taskforce BPO is an American Veteran owned company whose mission is to provide clients with labor solutions that enable them to focus on their core competencies while increasing productivity and profitability...

    Top Services:

    • Call Centers
    • Accounting
    Location
    Knoxville, Tennessee
    Number of Employees
    100 - 249
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • From individuals and entrepreneurs, small and medium-sized businesses, right through to large corporations and government bodies, our administrative assistants are helping our clients become more efficient by streamlining their processes...

    Top Services:

    • Customer Support
    • BPO
    • Market Research
    • Transcription Services
    • Translation Services
    • Show more
    Location
    New York City, New York
    Number of Employees
    250 - 499
    Average Hourly Rate
    $24/hr
  • Where Process Meets Partnership

    Offering IT training, technology, and business solutions. nTech Workforce is an ISO/IEC 20000-1:2018 and MBE certified organization, based in the greater Baltimore/Washington Metro Area...

    Top Services:

    • HR Outsourcing
    • Accounting
    • Staff Augmentation
    Location
    Columbia, Maryland
    Number of Employees
    Under 49
  • Enabling Excellence

    iQuasar, a Northern Virginia tech leader with 20+ years of experience, specializes in Software Development, AI Integration, Web & App Development, Software Team Augmentation & More. We hold an A+ BBB rating, are verified on Clutch, and have a 97% Customer Satisfaction Rating by Dun & Bradstreet...

    Top Services:

    • Software Development
    • Software Testing
    • AI Development
    • Mobile App Development
    • Web Development
    • Show more
    Location
    Sterling, Virginia
    Number of Employees
    100 - 249
    Portfolios Count
    5 Projects Listed
  • Your Personal Trusted Advisor

    Peggy's Bookkeeping & Tax Service is an affordable, experienced, and friendly bookkeeping and tax firm that offers a broad range of services for business owners and individuals. We have years of real-world experience providing bookkeeping and tax services for all kinds of small businesses including...

    Top Services:

    • Accounting
    Location
    Mesquite, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000
  • A New Jersey Accounting Firm With Four Decades of Business Accounting Experience

    Results speak for themselves. In the end, that is what we are all about: supporting and helping you achieve the goals you set for yourself and for your business. That’s why clients and businesses in the tri-state area have trusted the financial health of their businesses to Cg Tax, Audit & Advisory. We are...

    Top Services:

    • Business Consulting
    • Accounting
    Location
    Tinton Falls, New Jersey
    Number of Employees
    100 - 249
  • A Better Way to Approach Your Financial Future

    Founded in 1983, WilkinGuttenplan is a leading accounting and advisory firm in NJ & NYC. The Firm serves a multitude of industries, including closely-held businesses, high-net-worth individuals, real estate, healthcare, international, sports and many more...

    Top Services:

    • Accounting
    Location
    New Brunswick, New Jersey
    Number of Employees
    100 - 249
  • Where Expertise Meets Excellence

    We provide accounting, tax, and advisory services that are tailored to every client. It’s the personal attention we give that makes us a successful firm...

    Top Services:

    • Accounting
    Location
    Fairfield, New Jersey
    Number of Employees
    100 - 249
  • Olsen Thielen is a full-service accounting and consulting firm

    Olsen Thielen is a full-service accounting and consulting firm, and a “Top 25” firm in Minneapolis and St. Paul, Minnesota...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Roseville, Minnesota
    Number of Employees
    100 - 249
  • Trusted Advisors for Your Financial Success.

    We are a full service accounting firm offering various levels of service depending on your individual needs. At HEC we welcome the chance to assist you with everything from starting a business to planning your retirement and everything in between...

    Top Services:

    • Accounting
    Location
    Hampden, Maine
    Number of Employees
    Under 49
  • At Appletree Business Services, our specialty is providing New Hampshire small business owners Business Financial Confidence with accounting, bookkeeping, payroll and tax services they need, packaged in a combined 'Business Owners Package'...

    Top Services:

    • Accounting
    Location
    Londonderry, New Hampshire
    Number of Employees
    Under 49
  • Professionalism. Responsiveness. Quality.

    Atwood & Associates CPAs is a public accounting firm that provides business, personal and estate tax planning, as well as tax preparation, payroll and bookkeeping services...

    Top Services:

    • Accounting
    Location
    Spokane, Washington
    Number of Employees
    Under 49
  • Revolutionizing human resources

    National PEO is a leading professional employer organization (PEO) committed to revolutionizing human resources and empowering businesses to succeed. With an unwavering commitment to excellence, we offer a comprehensive suite of services tailored to diverse industries...

    Top Services:

    • HR Outsourcing
    Location
    Scottsdale, Arizona
    Number of Employees
    Under 49
  • Payroll, HR, and ComplianceMade Simple.

    Paper Trails provides payroll and HR services to businesses throughout New England...

    Top Services:

    • Accounting
    • HR Outsourcing
    Location
    Kennebunk, Maine
    Number of Employees
    Under 49
  • Professional Accounting for Lasting Success

    Certified Public Accounting firm. Specializing in Tax, Accounting and Bookkeeping. We help our clients through developing tax strategies to help you or your company maximize you tax benefit...

    Top Services:

    • Accounting
    Location
    Cranford, New Jersey
    Number of Employees
    Under 49
  • Everything, Everywhere, All from One Platform.

    Cloud-based tools from Captals are transforming the way businesses manage operations, sales, and customer interactions. We are dedicated to assisting our customers in achieving their objectives by offering market-leading software and unmatched customer service. Capital, headquartered in Austin, Texas, has...

    Top Services:

    • Accounting
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Our Mission: Your Success

    RKKM is a Certified Public Accounting company that provides consulting, auditing, tax, and accounting services. We provide clients in a variety of industries with corporate, not-for-profit, trust, estate, partnership, limited liability entity, and individual services...

    Top Services:

    • Accounting
    Location
    Canton, Ohio
    Number of Employees
    Under 49
  • Peaceful Outsourcing

    Whiz Consulting is a leading provider of online accounting and bookkeeping services, offering comprehensive solutions tailored to businesses of all sizes. With expertise in payroll processing, taxation, and advisory services, we ensure seamless financial management for our clients...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Dallas, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $16/hr
    Minimal Budget
    Under $1,000
  • The World's Top Talent for Remote Teams!

    1840 & Company is a global provider of talent and team solutions devoted to empowering businesses with scalable, on-demand workforce solutions. With a stringent verification procedure and a network of professionals in 150 countries, we connect organizations with remote talent of the highest caliber. Our...

    Top Services:

    • BPO
    • Staff Augmentation
    • HR Outsourcing
    • Customer Support
    • Call Centers
    • Show more
    Location
    Overland Park, Kansas
    Number of Employees
    500 - 999
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $10,000 - $25,000
  • Digital transformation that takes you forward. We plug and play with clients, agencies and more!

    We are New york based digital marketing agency, providing seo, smm, paid ads and digital products solutions. We are in this business since 2005...

    Top Services:

    • UI/UX Design
    • Social Media Marketing
    • Email Marketing
    • Business Consulting
    • Package Design
    • Show more
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Minimal Budget
    Under $1,000
    Portfolios Count
    4 Projects Listed
  • Let us handle the paperwork, so you can handle the profits.

    The Human Resource Consulting Group (HRCG) is your full-service HR consulting and outsourcing firm, offering payroll processing, compliance management, time and attendance, and benefits administration. With over 32 years of experience, we're committed to freeing you from administrative paperwork so you can...

    Top Services:

    • HR Outsourcing
    • Accounting
    Location
    Seymour, Connecticut
    Number of Employees
    Under 49
    Portfolios Count
    2 Projects Listed
  • Leading accounting, tax, audit, technology, medical billing, wealth management, and advisory firm.

    Wherever possibility needs a path. Through our family of companies, we work with you to achieve your unique goals. We wake up each day excited about helping you focus on what you do best. We walk beside you, navigating challenges and opportunities.We wont overwhelm but we always strive to over-deliver...

    Top Services:

    • Accounting
    Location
    Saginaw, Michigan
    Number of Employees
    250 - 499
    Portfolios Count
    3 Projects Listed
  • The uber of tax preparation services.

    Taxes Served Corporation is your trusted partner in comprehensive financial solutions. Our dedicated team is committed to providing top-notch services in tax, bookkeeping, and payroll to meet the unique needs of your business...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Hoboken, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $75/hr
    Minimal Budget
    $1,000 - $10,000
  • CMMI Level 3 and ISO 9001 and ISO 27001 certified IT organization.

    A global digital transformation partner with 22+ years of experience, helping businesses modernize and scale with AI, ML, IoT, cloud, and cybersecurity solutions across industries like finance, manufacturing, telecom, and retail...

    Top Services:

    • Cybersecurity
    • IT Services
    • Digital Marketing
    • IoT
    • eCommerce Development
    • Show more
    Location
    Piscataway, New Jersey
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Professional Accounting Firm

    One Accounting is a professional accounting firm with offices located in Oakville, Hamilton and Toronto providing a wide range of services for corporations, small businesses and personal taxes. We provide cost-effective solutions for businesses. Our team of experts are knowledgeable in the latest accounting...

    Top Services:

    • Accounting
    Location
    Michigan City, Indiana
    Number of Employees
    Under 49
    Portfolios Count
    4 Projects Listed
  • Reliable Bookkeeping and Financial Advisory Services

    KSFG Wealth make business growth easier by taking the stress out of managing finances. Whether you are just starting out or leading a growing company, our team is here to give you reliable financial support so you can stay focused on what matters most building your business...

    Top Services:

    • Accounting
    Location
    Frisco, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $10,000 - $25,000
  • Transformation Partners

    Bay Forward is a multinational ecosystem service provider and technology consulting firm specializing in Enterprise Resource Planning (ERP) implementations, artificial intelligence, and financial management. They help businesses automate operations and scale by providing fractional CFO services, bookkeeping...

    Top Services:

    • Branding
    • Digital Strategy
    • Web Development
    • UI/UX Design
    • CRO
    • Show more
    Location
    Miami Lakes, Florida
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
  • AI That Pays For Itself

    RealizedAI is a Jacksonville-based consulting firm that builds AI-powered financial operations for healthcare practices and small businesses. We connect your billing, banking, and payroll data into one system, then find where money is leaking. For our first healthcare client we matched 98% of payments to bank...

    Top Services:

    • Business Consulting
    • AI Development
    • Big Data Analytics
    Location
    Jacksonville, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Software and Mobile App Development Company

    Dedev is a mobile and web app development company helping startups, SaaS businesses, and enterprises turn ideas into scalable digital products. Since 2022, our team has built modern, high-performance applications with a focus on usability, reliability, and long-term growth. From MVPs to complex platforms, we...

    Top Services:

    • Mobile App Development
    • Software Development
    • IT Services
    • Staff Augmentation
    • CRM Consulting
    • Show more
    Location
    Phoenix, Arizona
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Portfolios Count
    16 Projects Listed

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Frequently Asked Questions

What should I look for when hiring a payroll company in the United States?

When hiring a payroll company in the United States, look for the following attributes to verify its reliability and credibility: 

  • Relevant experience: Seek case studies similar to your business structure and industry 
  • Regulatory knowledge: Verify its understanding of the geographic and industry-specific tax, labor, and payroll regulations regarding your business 
  • Client reviews: Request verifiable client references and reviews to assess service quality and customer satisfaction 
  • Tech stack: Check if the payroll, accounting, and HR solutions can scale and integrate with your system 
  • Clear processes: Assess if it has a structured payroll process, including tax filing, error resolution, and compliance checks 
  • Transparent reporting: Look for clear, accurate, and timely payroll reporting 
  • Reliable support: Ensure access to a dedicated support team, available 24/7 or during extended hours for quick resolution and emergency cases  
  • Up-to-date knowledge: See if its articles, blogs, and other content demonstrate understanding of the latest laws and regulations 
  • Compliance standing: Examine if the US payroll company adheres to IRS and DOL regulations for its own operations and employees, as this reflects its ability to manage your company’s payroll activities 

What factors affect the pricing of payroll services in the United States?

The key factors that affect payroll services in the United States include: 

  • Company size: Payroll companies conventionally charge per employee, making bigger team sizes more expensive. 
  • Service scope: Tax filing, benefit administration, and year-end reporting are often considered an add-on to the base fee. 
  • Service frequency: Weekly or bi-weekly payroll schedules require more resources than a monthly schedule, resulting in higher costs.  
  • Compliance requirements: Global, multi-state, and industry-specific regulations (e.g., union rules and healthcare) add to the complexity of payroll computation. 
  • Support and service level: Higher-tier services, such as a dedicated account manager or 24/7 human support teams, have premium fees. 
  • Technology stack: Data migration, system configuration, and employee training usually appear as one-time setup fees. 

On average, you can expect to pay a monthly base fee of $50-$80 and an additional $6-$12 per employee per month. 

How can I verify the credentials of a United States payroll company?

You can verify the credentials of a United States payroll company by: 

  • Examining its CPEO standing under the IRS public listing  
  • Analyzing its use and knowledge of the Electronic Federal Tax Payment System  
  • Checking its Employer Identification Number (EIN) and registration in the Secretary of State  
  • Assessing the company’s IRS and DOL track record  
  • Asking about its PayrollOrg membership and individual team certification (e.g., Fundamental Payroll Certification (FPC) and Certified Payroll Professional (CPP  
  • Ensuring the company has Certified Public Accountants (CPA) on its team  
  • Seeing if its SOC2, ISO, BBB, and other certifications are up to date 

What red flags should I avoid when selecting a payroll company in the United States?

When selecting a payroll company in the United States, avoid the following red flags: 

  • Outdated knowledge on the state and federal labor and tax laws  
  • No proven track record in your industry and business locations, including case studies and client references  
  • Overwhelmingly negative reviews and poor customer service  
  • History of missed filing deadlines, deposit dates, and data inaccuracies  
  • Ambiguous payroll and mid-year onboarding processes  
  • Weak data security practices  
  • Lack of error ownership  
  • Lack of pricing transparency 

What questions should I ask a United States payroll company before hiring?

Ask these questions before hiring a United States payroll company to gauge their expertise: 

  1. What is your experience in handling multi-state and global employees? 
  2. How do you stay up to date with the latest regulatory issues and changes? 
  3. Can you provide case studies and client references of businesses similar to ours? 
  4. What technologies do you use, and how will you integrate them into my system? 
  5. What is your approach to compliance, security, and error resolution?