Our directory features the top BPO companies in the USA, evaluated using five ranking criteria, 12 expert reviewers, and 263+ verified client reviews, giving you a reliable way to choose the best BPO provider.

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
  • Reliable Truck Dispatch Services in the USA | SD Global Services

    In order to make a trucking business successful, effective dispatching, technology solutions, and customer service play a crucial role. Similarly, in scaling operations, efficient systems and clear communication are key to growth and long-term success...

    Top Services:

    • Digital Services
    • Web Design
    • Web Development
    • WordPress Website Design
    • Affiliate Marketing
    • Show more
    Location
    Milwaukee, Wisconsin
    Number of Employees
    50 - 99
    Average Hourly Rate
    $200/hr
    Minimal Budget
    $1,000 - $10,000
  • GTM and sales advisory for B2B tech companies selling $50K+ deals

    Growth Cab helps B2B tech companies that sell $50K+ contracts build a predictable pipeline. We start from the accounts a client wants to win, sharpen the positioning, then put trained sales professionals in front of decision makers on LinkedIn and email. Since 2022 we have worked with 400+ B2B clients in the...

    Top Services:

    • Business Consulting
    • BPO
    • Digital Marketing
    • Social Media Marketing
    • Email Marketing
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    4 Projects Listed
  • Fixing operational breakdowns and engineering high-revenue partner ecosystems to scale mid-market co

    Amasu Consulting is an enterprise ecosystem architecture and business process re-engineering firm serving high-growth technology, CPG, manufacturing, and e-commerce sectors. We diagnose systemic friction points within 30 days to design aggressive scaling roadmaps. To execute plans flawlessly, we deploy a...

    Top Services:

    • Business Consulting
    • CRM Consulting
    • ERP Consulting
    • ECM Consulting
    • Cloud Consulting
    • Show more
    Location
    Riverview, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $10,000 - $25,000
  • 24/7 HIPAA-Compliant Medical Answering Services

    HealthCare Call Center provides 24/7, HIPAA-compliant medical call answering and appointment support for healthcare practices across the U.S. Our U.S.-based team ensures every patient call is handled with care and confidentiality...

    Top Services:

    • Digital Services
    • Advertising
    • Staff Augmentation
    • BPO
    • Call Centers
    • Show more
    Location
    Sheridan, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Support You Can Trust. Results You Can Measure.

    Optimized EA was built for business owners who need more than a calendar babysitter - we bring brains, strategy, and a get-it-done mindset to your corner...

    Top Services:

    • BPO
    • Business Consulting
    • Branding
    • Logo Design
    • Show more
    Location
    Terra Alta, West Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $38/hr
    Minimal Budget
    Under $1,000
  • AI-Enabled IT and Digital Services Company

    SunTec India is an AI-enabled IT and digital services company with 25+ years of experience, 1,500+ full-time employees, 8500+ clients worldwide, and a full spectrum of IT outsourcing, data solutions, digital engineering, eCommerce support, digital marketing and photo editing services...

    Top Services:

    • Web Development
    • Mobile App Development
    • eCommerce Development
    • SEO
    • Web Design
    • Show more
    Location
    Laguna Beach, California
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Portfolios Count
    6 Projects Listed
  • Elevating Business Efficiency. Driving Success.

    SkyTech Global is a Bangladesh-based global delivery, business process, and technology company powering scalable operations worldwide.Formerly SkyTech Solutions...

    Top Services:

    • BPO
    • Customer Support
    • Call Centers
    Location
    Los Angeles, California
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Consulting That Multiplies Your Success

    WGS2D is a boutique business and technology consulting firm built by experienced leaders from top-tier firms. We're known for moving fast, delivering real outcomes, and putting the client first always. What sets us apart is how we execute. We don't just advise; we own results. Our Say/Do ratio is 100%. if we...

    Top Services:

    • Managed Services
    • Cloud Consulting
    • IT Services
    • DevOps Consulting
    • Cybersecurity
    • Show more
    Location
    Oakland, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Multi Channel eCommerce Management Specialists

    Aurexis Global Commerce helps brands, sellers, retailers, and growing online businesses manage the operational side of e-commerce. From product catalogs and marketplace listings to multi-channel store support, our hands-on team helps keep e-commerce operations accurate, organized, and scalable across Shopify...

    Top Services:

    • BPO
    • eCommerce Development
    • eCommerce
    • SEO
    • Staff Augmentation
    • Show more
    Location
    Los Angeles, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    2 Projects Listed
  • Outsourced B2B cold calling with published pricing

    Outsourced B2B cold calling for US companies that need booked meetings, not another tool. We build the call list, write the script, run the dialer and put qualified meetings on your calendar. The 30 day pilot is $2,997 and guarantees 2,000 dials and 100 live connects, meaning a real person picked up. If we...

    Top Services:

    • Call Centers
    • BPO
    • Direct Marketing
    • Market Research
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • 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
  • Transform Your Revenue Cycle for Faster, Higher Returns!

    Code Cure AI is a medical billing and revenue cycle management company dedicated to helping healthcare providers across the USA get paid faster and reduce claim denials. We combine certified medical billing expertise with AI-driven automation to simplify every step of the billing process, from patient...

    Top Services:

    • BPO
    • Digital Marketing
    Location
    Brea, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
  • Delegate Everything But Leadership.

    Wing is a managed assistant service that places dedicated, AI-trained assistants inside growing companies and healthcare practices. Wing handles recruiting, training, and oversight, so clients get coverage they direct without managing performance, replacements, or continuity themselves. Assistants work inside...

    Top Services:

    • BPO
    Location
    Berkeley, California
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $8/hr
  • Dedicated Workforce Solution

    Online VA Team supports businesses with virtual assistant and customer service solutions. Our team helps organizations manage day-to-day administrative and client support needs with dependable, professional service...

    Top Services:

    • Call Centers
    • BPO
    • Phone Answering Services
    • Customer Support
    • HR Outsourcing
    • Show more
    Location
    Ann Arbor, Michigan
    Number of Employees
    Under 49
    Average Hourly Rate
    $7/hr
    Minimal Budget
    $1,000 - $10,000

Why companies trust DesignRush

Every agency is independently vetted before it can be listed or ranked

1

Identity Check

We verify businesses and reviewer LinkedIn profiles for integrity.

Agencies vetted
129,495+
2

Portfolio Review

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

Applicants rejected
47%
3

Ongoing Audit

We monitor listings regularly; outdated agencies are removed.

Agencies verified
14

Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.

See how rankings and monetization work.

BPO Services FAQs

What services do BPO companies in the USA typically provide?

US BPO providers support businesses across front-office, back-office, and operational functions, including: 

  • Customer support and call center services across phone, chat, and email. 
  • Back-office services such as data entry, billing, payroll, and document processing. 
  • Finance and accounting support, including bookkeeping, AP and AR, and reporting. 
  • Human resources outsourcing covering recruitment support, onboarding, and HR administration. 
  • IT and technical support, including help desk and application support. 
  • Sales and lead generation service,s such as appointment setting and CRM management. 
  • Marketing operations support, including campaign execution and analytics. 
  • Industry-specific services for healthcare, legal, and financial operations. 

How much does it cost to hire a BPO company in the USA?

Based on DesignRush portfolio data, hiring a BPO company in the USA costs between $90 and $100 per hour, depending on service type, specialization, and delivery model. 

Project-based pricing: 

  • Small projects: $20,000 to $25,000 for short-term or limited-scope support, usually 2 to 6 months. 
  • Mid-range contracts: $25,000 to $100,000 for ongoing back office, customer support, or healthcare billing over 6 to 18 months. 
  • Large-scale programs: $100,000 to $500,000+ for long-term, multi-team operations such as customer service, sales support, or medical billing. 
  • Enterprise-level BPO: $1 million+ annually for high-volume, regulated, or fully managed operations. 

In practice, most US BPO contracts fall between $25,000 and $250,000, with pricing driven by workload volume, service complexity, and contract duration. 

Which industries most commonly use BPO services in the US?

BPO companies most commonly serve: 

  • Information technology, with 77% of organizations outsourcing IT infrastructure and 72% outsourcing application and software development. 
  • Healthcare and medical billing, including claims processing, coding, and patient support. 
  • Finance and accounting, where 54% outsource finance functions, and 60% outsource tax-related processes. 
  • Legal services, with 68% of organizations are outsourcing legal and compliance tasks. 
  • Customer service and helpdesk operations, supported by 65% outsourcing of helpdesk and end user computing. 
  • Human resources, with 57% outsourcing HR functions such as payroll and benefits administration. 
  • Data and analytics are outsourced by 72% of organizations to improve reporting and decision-making. 
  • Retail, ecommerce, and back-office operations, including order management, procurement at 49%, and supply chain support at 52%. 

What outsourcing models do US-based companies typically offer?

They typically offer these outsourcing models: 

  • Onshore outsourcing with US-based teams. 
  • Nearshore outsourcing using teams in nearby regions. 
  • Offshore outsourcing for cost-sensitive, high-volume work. 
  • Dedicated team models for long-term operations. 
  • Project-based outsourcing for fixed scope work. 
  • Hybrid models combining multiple delivery locations and pricing structures. 

How do businesses measure ROI when outsourcing to a BPO partner?

Businesses measure performance and ROI by tracking: 

  • Service level agreements such as response time, resolution time, and accuracy. 
  • Cost savings compared to in-house staffing and operations. 
  • Productivity metrics like volume handled per agent or per hour. 
  • Quality scores including error rates, compliance, and customer satisfaction. 
  • Revenue impact for sales, retention, or collections focused programs. 
  • Regular reporting, benchmarking, and quarterly performance reviews.Â