Our directory of top accounting firms in the US is built on five main ranking criteria and reviewed by a team of 12 experts, supported by a 4.1-star average rating from verified client reviews. This gives you a clear and reliable way to choose the best accounting firms for your business.
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.
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
Rea & Associates, Inc. is a well-established Ohio-based CPA firm with over 350 professionals across 16 locations. Recognized as one of the Top 100 firms in the nation, Rea & Associates specializes in various industries and offers tailored financial and HR consulting services...
Top Services:
- Accounting
- IT Services
- Managed Services
- Location
- New Philadelphia, Ohio
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
Virjee Consulting is a Houston based CPA firm that provide accounting and tax consulting small businesses and to medical and dental practices across the country. More importantly, we consult with small business clients on strategies to reduce their tax burden and increase their bottom line...
Top Services:
- Accounting
- Location
- Houston, Texas
- Number of Employees
- Under 49
CSI is a small business in the Minneapolis/St. Paul metro that has served small U.S. businesses for over 50 years. Our clients love us for our responsiveness and customer service...
Top Services:
- Accounting
- Location
- Minneapolis, Minnesota
- Number of Employees
- Under 49
- Average Hourly Rate
- $50/hr
That is why we take a holistic approach to assisting clients with growing, managing, and protecting their hard work. With more than 180 professionals across 9 locations, we partner with many of the regions most trailblazing and passionate leaders and organizations...
Top Services:
- Accounting
- Business Consulting
- Location
- Winchester, Virginia
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $250/hr
- Minimal Budget
- $1,000 - $10,000
Gheen & Co., CPA, LLC is the fastest growing CPA firm in Colorado. We've built our reputation on designing innovative accounting solutions and money-saving tax strategies for medical professionals, dentists, veterinarians, and high net worth business owners...
Top Services:
- Accounting
- Location
- Denver, Colorado
- Number of Employees
- Under 49
- Average Hourly Rate
- $30/hr
- Minimal Budget
- $1,000 - $10,000
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
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
Financial Planning & Analysis in Cash Management for Small Businesses "Your ready to go Fractional CFO/Advisory Service"...
Top Services:
- Business Consulting
- Accounting
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
Shotkoski & Associates, PC provides accounting services to individual and small business clients and assists with navigating the complex and ever-changing financial and tax environments allowing our clients to maximize their success...
Top Services:
- Accounting
- Location
- Lincoln, Nebraska
- Number of Employees
- 50 - 99
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
Fred Lundin CPA LLC is a Chicago-based CPA accounting and technology consulting firm specializing in serving e-commerce, solopreneurs, and small business owners. With a dedicated focus on these sectors, we provide tailored financial and technological solutions to help our clients thrive in their respective...
Top Services:
- Business Consulting
- Market Research
- Accounting
- BPO
- CRM Consulting
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 3 Projects Listed
Compass CPA, PC, we provide top-notch Virtual Controller, Accountant, and CFO services for a fraction of the cost of in-house hires. Our dedicated team of virtual accountants, CPAs, and tax professionals helps you achieve business goals with comprehensive financial reporting, forecasting, and tax...
Top Services:
- Accounting
- Business Consulting
- Location
- San Rafael, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
FACT ADVISORS is a highly respected and experienced financial services firm located in the heart of Las Vegas. With over 15 years of international experience in the financial industry, we bring a wealth of knowledge and expertise to help you navigate your financial journey successfully...
Top Services:
- Accounting
- Business Consulting
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
- Minimal Budget
- $1,000 - $10,000
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
Professional accounting, payroll, and business solutions for sustainable growth...
Top Services:
- Accounting
- Location
- North Palm Springs, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $35/hr
- Minimal Budget
- Under $1,000
Datastub offers outsourced accounting and bookkeeping services for CPA firms, small and medium-sized businesses, and eCommerce companies across the U.S. and Canada. From sales tax prep and reconciliations to AP/AR and outsourced CFO solutions, we deliver accurate, cost-effective support. CPA firms trust us as...
Top Services:
- Accounting
- Location
- Herndon, Virginia
- Number of Employees
- Under 49
Accountrix offers outsourced bookkeeping and accounting services in Ontario and Canada. Let us be your trusted partner in managing your business's complexities...
Top Services:
- Accounting
- Location
- Ontario, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Minimal Budget
- $1,000 - $10,000
ProfitWerx helps small businesses in Klamath Falls and surrounding communities get more from their technology and online presence. We provide professional IT services, technical support, web design, and SEO solutions designed to help businesses run better and grow...
Top Services:
- IT Services
- Managed Services
- Cybersecurity
- Web Design
- SEO
- Show more
- Location
- Klamath Falls, Oregon
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
Saluja & Associates CPA PLLC is a Houston-based CPA accounting and advisory firm delivering reliable, high-quality financial services for individuals, startups, and growing businesses. Our team specializes in tax planning, tax preparation, bookkeeping, payroll, CFO advisory, and compliance support designed to...
Top Services:
- Accounting
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $1/hr
- Minimal Budget
- $1,000 - $10,000
Michael Verderosa CPA, P.C. is a trusted certified public accounting firm based in New York City since 2011.We provide comprehensive services including tax preparation, bookkeeping, payroll, financial statement preparation, and advisory solutions for individuals and businesses. Led by Michael Verderosa, with...
Top Services:
- Accounting
- Location
- Patchogue, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $125/hr
- Minimal Budget
- $1,000 - $10,000
At Alai Bookkeeping, we help U.S. businesses stay financially clear and compliant. We handle accurate bookkeeping, timely reconciliations, and organized records so you always know where your numbers stand. Our focus is simple reduce errors, meet deadlines, and give you real visibility to plan smarter and grow...
Top Services:
- Accounting
- Location
- San Francisco, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
For many years Precision Accounting International has been helping individuals, families and small businesses in the community prepare their taxes. Our friendly service makes the process less stressful and more efficient and our experience and knowledge ensure that we're always up to date on the latest...
Top Services:
- Accounting
- Business Consulting
- Location
- Clifton, New Jersey
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $150/hr
Seasoned accounting professional with over 20 years of experience in bookkeeping, tax compliance, financial operations, and process optimization. Skilled in maintaining accurate financial records, ensuring regulatory adherence, and developing tax strategies that reduce liabilities and improve efficiency...
Top Services:
- Accounting
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $1/hr
- Minimal Budget
- Under $1,000
SBCHR provides HR consulting, compliance, recruiting, and benefits support to help businesses manage employees, reduce risk, and grow...
Top Services:
- HR Outsourcing
- Accounting
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- $1,000 - $10,000
The Dental Services is a US-based dental business solutions provider specializing in billing, credentialing, and practice support services, helping dental clinics streamline operations and improve financial performance through efficient and compliant processes...
Top Services:
- Business Consulting
- Accounting
- Location
- Philadelphia, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Tax Expert Today LLC helps individuals and business owners reduce tax liability through proactive planning, not just year-end filing. We focus on identifying opportunities most firms miss, including structuring income, optimizing deductions, and planning ahead so clients are not overpaying. Whether you are...
Top Services:
- Accounting
- Business Consulting
- Location
- Naples, Florida
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
CareRCM is a U.S.-based medical billing and revenue cycle management company founded in 2016, helping healthcare providers across the United States reduce claim denials, accelerate reimbursements, and maximize revenue...
Top Services:
- Accounting
- Digital Services
- Digital Marketing
- Business Consulting
- Market Research
- Show more
- Location
- Manassas, Virginia
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $50,000 & Up
- Portfolios Count
- 1 Project Listed
Virtustant places pre-vetted Latin American professionals with US companies and never charges recruitment fees: clients pay only the hire's salary, payroll and compliance included. Shortlists arrive in 48 hours, average time-to-hire is 3 days, and every placement carries a lifetime replacement guarantee...
Top Services:
- HR Outsourcing
- BPO
- Customer Support
- Phone Answering Services
- Accounting
- Show more
- Location
- St. Petersburg, Florida
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Fair Capital, your premier debt collection agency. Effective and affordable with a 'no recovery, no fee' policy. Maximum results with a positive approach...
Top Services:
- Customer Support
- Business Consulting
- Accounting
- Call Centers
- Show more
- Location
- Spring Valley, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $50/hr
- Minimal Budget
- $10,000 - $25,000
- Portfolios Count
- 1 Project Listed
AccordPro delivers trusted healthcare billing, credentialing, and bookkeeping solutions with precision and efficiency. Its value lies in maximizing reimbursements, ensuring error-free claim management, and providing reliable financial clarity...
Top Services:
- Customer Support
- Business Consulting
- Accounting
- Location
- Seattle, Washington
- Number of Employees
- Under 49
Stellar Staff places dedicated, full-time virtual assistants with US businesses that need real capacity, not another freelancer to manage. Clients interview a shortlist of pre-vetted candidates, pick the one they want, and start in five to six days. We handle sourcing, screening, onboarding, payroll, taxes...
Top Services:
- BPO
- Customer Support
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Newport Beach, California
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
The Ashez Group helps healthcare practices simplify medical billing, credentialing, and revenue cycle management while reducing denials and improving collections...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Accounting
- Show more
- Location
- Fairfax, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $36/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Global team of 100+ delivering ERP implementation, outsourced accounting, data analytics, and agentic AI workflows. Certified partners of Odoo, Sage, QuickBooks, and Claude giving growing businesses enterprise-grade expertise...
Top Services:
- Web Design
- eCommerce Development
- WordPress Website Design
- Web Development
- AI Development
- Show more
- Location
- Dover, New Jersey
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
We provide outsourced bookkeeping, accounting, payroll, tax preparation, and property management accounting solutions for CPAs, accounting firms, and small to mid-size businesses across the US and Canada...
Top Services:
- Accounting
- Location
- Miramar, Florida
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $30/hr
- Minimal Budget
- Under $1,000
Fresnel Partners is a Yardley, PA-based financial services firm delivering tax preparation, accounting, and strategic advisory solutions...
Top Services:
- Accounting
- Market Research
- Business Consulting
- Call Centers
- BPO
- Show more
- Location
- Delaware City, Delaware
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $400/hr
- Minimal Budget
- $1,000 - $10,000
At Billing Care Solutions, we help healthcare organizations strengthen their revenue cycle, improve billing efficiency, and gain greater control over financial performance...
Top Services:
- VR/AR
- CRM Consulting
- ERP Consulting
- Business Consulting
- Investment
- Show more
- Location
- Sheridan, Wyoming
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
Accounting Firms by City
Accounting Firms by State
Accounting Specializations in the US
Popular Services
Why companies trust DesignRush
Every agency is independently vetted before it can be listed or ranked
Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.
Frequently Asked Questions About Accounting Companies
At what point should I hire an accounting firm?
Most businesses begin working with one of these companies once financial complexity interferes with daily operations.
While there is no universal threshold, many companies seek professional support when:
- Annual revenue consistently exceeds $100,000-$250,000
- Monthly transaction volume reaches 40-50 or more entries
- Payroll, tax filings, or reporting begin consuming operational time
At those stages, manual bookkeeping becomes inefficient and increases the risk of errors or missed compliance deadlines.
Accounting outsourcing is also driven by efficiency. Around 65% of businesses outsource finance and accounting tasks to free up internal resources and focus on growth.
As requirements expand, they provide structure, accuracy, and regulatory oversight that small internal teams often struggle to maintain.
What accounting services do most top accounting companies offer in the US?
The best accounting firms in the US typically provide a mix of core financial, compliance, and advisory services.
Common offerings include:
- Bookkeeping and bank reconciliations
- Financial statement preparation
- Payroll processing
- Accounts payable and receivable management
- Tax planning and federal, state, and local tax filings
Many firms also offer:
- Budgeting and forecasting
- Cash flow and financial performance analysis
- Audit preparation and internal controls assessments
- Compliance support under U.S. Generally Accepted Accounting Principles (GAAP)
Many businesses outsource several accounting functions at the same time, which is why US companies typically offer these services as bundled, ongoing engagements rather than isolated tasks.
This approach aligns with the scale of the finance and accounting outsourcing market, which stood at $54.79 billion in 2025.
How much does it cost to hire top accounting firms in the United States?
The cost of hiring one of these firms in the United States depends on business size, transaction volume, and service complexity. Typical pricing includes:
- $300-$800 per month for basic bookkeeping and reconciliations
- $150-$400 per hour for specialized CPA services
- $800-$2,500 per month for comprehensive monthly packages (payroll, reporting, tax support)
- $2,500-$5,000+ per month for mid-sized or higher-complexity businesses
At a macro level, the global accounting outsourcing market is expected to exceed $80 billion by 2030, as companies pursue cost efficiencies of 20-60% compared to maintaining full in-house accounting teams.
What additional costs can I expect from these types of companies?
In addition to base retainers, they often charge for specialized or non-recurring services, such as:
- Year-end financial statements
- Multi-state or corporate tax filings
- Audit preparation
- System migrations
- International compliance
- Advisory or consulting projects
Other common add-ons include payroll setup, budgeting assistance, and financial forecasting.
For many growing businesses, these services increase total annual accounting spend by 20-40% beyond base fees.
While this raises short-term costs, outsourcing often reduces overall operating expenses by eliminating the need for full-time internal finance staff and minimizing compliance risks.
What do I need to know before I switch to a top accounting firm?
Switching companies usually involves a transition period of 4-8 weeks. During this time, businesses should be prepared to provide:
- 2-3 years of financial statements
- Prior tax filings
- Payroll records
- Access to accounting software
A brief overlap between outgoing and incoming firms is common and helps:
- Resolve open items
- Prevent reporting gaps
- Ensure continuity of compliance
Planning the transition outside of peak tax or reporting seasons further reduces disruption and operational risk.









































