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.

United States × Professional Services × Sort by: Avg Hourly Price: High to Low ×Clear Filters
  • Most businesses don't have a finance problem. They have a clarity problem.

    We help growing businesses see clearly with advisory, accounting, tax, and transaction services that turn financial complexity into competitive advantage...

    Top Services:

    • Accounting
    Location
    King of Prussia, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Portfolios Count
    1 Project Listed

    Sataurius Strategic Consulting Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Mkhail Knis
    • Mike Pascale
    • Matt Gehlbach
    • Angela Teagle
    Data sourced from the agency's DesignRush profile
  • Finance Expertise For Growing Businesses

    Most businesses can't afford to interview a full-time accountant or HR person - but they need help right now. FlowFi helps businesses find pre-vetted fractional experts for functions ranging from HR, to compliance, to bookkeeping, to fractional CFOs quickly and based on their needs...

    Top Services:

    • Accounting
    • HR Outsourcing
    • Business Consulting
    Location
    Los Angeles, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000

    Flow Finance Services

    • Accounting
    • HR Outsourcing
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Live Tinted
    • Fatburger
    • Baton
    Data sourced from the agency's DesignRush profile
  • A Chicago tax and accounting firm that stays with you all year

    Heard & Associates LLC is a Chicago tax, accounting and bookkeeping firm founded by Darrel Heard in 2011. From offices in Hyde Park and Olympia Fields, and virtually across the U.S., the team handles individual and business tax preparation, year-round bookkeeping, payroll, IRS notices, business formation...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Chicago, Illinois
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr

    Heard & Associates LLC Services

    • Accounting
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Kenneth L. Dixon Photography
    • Mindful Matters Clinical Counseling
    • Browns Heating & Cooling
    Data sourced from the agency's DesignRush profile
  • Smart Billing Partner

    Nationwide medical billing & revenue cycle management for healthcare providers billing, coding, credentialing, and HIPAA-compliant claims support...

    Top Services:

    • Digital Services
    • AEO
    • SEO
    • PPC
    • Accounting
    • Show more
    Location
    Madera, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000

    Docs Medical Billing Services

    • Digital Services
    • AEO
    • SEO
    • PPC
    • Accounting
    • Phone Answering Services
    • HR Outsourcing
    • Call Centers
    • CRM Consulting
    • Customer Support
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Your Precious Dream
    • Kimberly Riggi
    • Robertson Counselling
    Data sourced from the agency's DesignRush profile

    Docs Medical Billing Reviews & Testimonials

    • Kara Brock
      Kara Brock Review from Google
      5.0★

      Kara Brock's Review Sourced from Google

      Sam has been excellent for my podiatry practice. He responds quickly and follows through on any concerns. My reimbursement has gone up significantly since transitioning to Docs medical. They also provide credentialing services and have been very helpful

    • Hema Majeno
      Hema Majeno Review from Google
      5.0★

      Hema Majeno's Review Sourced from Google

      Docs Medical Billing has been helping my practice since I started last year. They get things done on time. They help my front and back staff to check eligibility, they help me set up.portals for insurances, and do their diligence on claims. They also help me find a web designer.I highly recommend them 👌

    • Catherine Abbaa
      Catherine Abbaa Review from Google
      5.0★

      Catherine Abbaa's Review Sourced from Google

      My experience with Peter and his team and the entire Docs Medical Billing LLC in handling my complex billing was very professional, reliable and smooth. The quality of their services far exceeded my expectations. The services was outstanding. I will continue to work with them and recommend them to anyone

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • All-in-One AI-Powered EHR, Medical Billing & RCM

    FutureMD Solutions is a leading nationwide Revenue Cycle Management (RCM) firm providing end-to-end medical billing services to practices across the United States. While we have a strong footprint in the Texas healthcare market, our certified experts serve providers in all 50 states. We specialize in reducing...

    Top Services:

    • BPO
    • Transcription Services
    • Business Consulting
    • Accounting
    • AI Development
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    12 Projects Listed

    FutureMD Solutions Services

    • BPO
    • Transcription Services
    • Business Consulting
    • Accounting
    • AI Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Healthcare Practices
    • Dental Industry
    • Wellness & Fitness Industry
    • Medical and Diagnostic Laboratories
    • Medical Health Care
    • Medical Hospitals
    • Professional Services Industry
    • HR Industry
    • Software & IT Services Industry
    Data sourced from the agency's DesignRush profile

    FutureMD Solutions Reviews & Testimonials

    • Sarah Ashitey
      Sarah Ashitey Review from Google
      5.0★

      Sarah Ashitey's Review Sourced from Google

      I’m very grateful for the excellent service we’ve received from FutureMD Solutions. Irfan has been professional, responsive, and genuinely committed to helping us with our medical billing and revenue cycle management.What I appreciate most is that Irfan doesn’t just focus on getting the work done. He takes the time to share helpful advice and suggestions that have been valuable to our healthcare business. His dedication and willingness to go the extra mile really stand out.I highly recommend Irfan and the FutureMD Solutions team to healthcare providers looking for dependable medical billing support and a team they can trust.

    • Texas Medical Supply.
      Texas Medical Supply. Review from Google
      5.0★

      Texas Medical Supply.'s Review Sourced from Google

      FutureMD Solutions is exceptional for compleating our credentialing process in 100 days 5/5 ! Now they are helping us with our DME billing for fast 5 monthes so far very satisfied . our denials are at an all-time low. Highly professional and efficient—highly recommended for any medical equipment supplier!"

    • Leandro Ansart
      Leandro Ansart Review from Google
      5.0★

      Leandro Ansart's Review Sourced from Google

      "Switching to FutureMD Solutions completely transformed our medical billing process. Our claim approval rate increased, payments arrive faster, an their EHR system is very easy to use. If you're lookin for reliable medical billing and EHR services in the U this company delivers real results."

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Your Trusted Outsourcing Partner

    Aone Outsourcing helps businesses and CPA firms across the United States manage their accounting operations more efficiently through dedicated bookkeeping, payroll, tax, and financial management services. Our team combines industry expertise, advanced technology, and a commitment to accuracy to deliver...

    Top Services:

    • Accounting
    Location
    Alameda, California
    Number of Employees
    250 - 499
    Average Hourly Rate
    $20/hr

    Aone Outsourcing Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Rick
    • Sam
    • Olive
    Data sourced from the agency's DesignRush profile

    Aone Outsourcing Reviews & Testimonials

    • Akash sharma
      Akash sharma Review from Google
      5.0★

      Akash sharma's Review Sourced from Google

      Aone Outsourcing Solutions has been a reliable partner for our accounting needs. Their outsourced accounting and bookkeeping services helped us reduce costs while maintaining accuracy and compliance. Communication is smooth, and the team is very responsive.Definitely recommend Aone Outsourcing to Australian businesses looking to scale efficiently.

    • Abhishek Rohela
      Abhishek Rohela Review from Google
      5.0★

      Abhishek Rohela's Review Sourced from Google

      Aone Outsourcing Services is highly professional and reliable. Their timely delivery, quality work, and excellent customer support make them a great choice for outsourcing needs. Highly recommended !

    • EC Hawaii
      EC Hawaii Review from Google
      5.0★

      EC Hawaii's Review Sourced from Google

      I had an exceptional experience with Aone Outsourcing! Their team is highly professional and knowledgeable, providing top-notch service with a personal touch. They made the entire process smooth and efficient, exceeding my expectations in every way. Communication was seamless, and their expertise in handling complex tasks was evident from the start. I highly recommend Aone Outsourcing for anyone looking for reliable and quality outsourcing services.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Real Estate Accounting Outsourcing Specialist Since 2006

    OHI delivers dependable Property Management accounting Services that simplify financial management, improve reporting accuracy, and help property managers stay focused on growing their portfolios...

    Top Services:

    • Accounting
    Location
    Texas City, Texas
    Number of Employees
    500 - 999
    Average Hourly Rate
    $5/hr

    OHI - Real Estate Accounting Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Finance Industry
    • Professional Services Industry
    • Real Estate Industry
    Data sourced from the agency's DesignRush profile

    OHI - Real Estate Accounting Reviews & Testimonials

    • aditya soni
      aditya soni Review from Google
      5.0★

      aditya soni's Review Sourced from Google

      I recently had the pleasure of working with OHI, and I must say, it was an exceptional experience from start to finish. The team was incredibly professional, attentive, and dedicated to ensuring that all my needs were met.

    • Kunwarpreet Singh
      Kunwarpreet Singh Review from Google
      5.0★

      Kunwarpreet Singh's Review Sourced from Google

      As I wrap up my time at OHI, I wanted to take a moment to reflect on my journey and share my appreciation for this incredible company. Working with OHI has been nothing short of a transformative experience, and I am truly grateful for the opportunity.From day one, OHI has been more than just a workplace—it’s been a vibrant community of passionate and dedicated individuals. The collaborative spirit and unwavering support from every team member have made my tenure here immensely rewarding. The

    • Naveen Sharma
      Naveen Sharma Review from Google
      5.0★

      Naveen Sharma's Review Sourced from Google

      Working at OHI has been an enriching experience. I have been with the company since December 2022, and I can confidently say that it is one of the best places to work.The company culture here is second to none. The leadership team genuinely cares about the well-being and development of every employee. They foster a supportive and collaborative environment where everyone's ideas and contributions are valued. This positive atmosphere makes coming to work every day a pleasure.Professional growth is a key focus at OHI. There are numerous opportunities for learning and advancement, and the company invests in the professional development of its staff through training programs, workshops, and continuous feedback. I have personally grown so much in my role and have been encouraged to pursue my career goals.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews

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Agencies vetted
128,769+
2

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We review agency work, case studies, and results to confirm skill.

Applicants rejected
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Agencies verified
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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.