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.
Select the Best BPO Company in the USA
4 Companies-Rankings updated: September 06, 2026
DesignRush evaluates the BPO companies listed based on expertise, credentials, and client satisfaction ratings, using objective data and verified reviews. Some placements are sponsored.
IDS Healthcare helps providers improve cash flow, reduce errors, and achieve faster reimbursements. Their technology driven approach ensures accuracy, compliance, and efficiency, making them a trusted partner for end-to-end revenue cycle management...
Top Services:
BPO
Location
New York City, New York
Number of Employees
1000 & Up
Average Hourly Rate
$500/hr
Minimal Budget
$10,000 - $25,000
IDS Healthcare Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Get Professional Medical Billing and Coding Services that eliminate headaches and maximize your Revenue. Let us handle the complexity while you concentrate on delivering exceptional care...
Top Services:
BPO
Location
Webster, Texas
Number of Employees
250 - 499
Average Hourly Rate
$20/hr
Minimal Budget
$10,000 - $25,000
Pro MBS LLC Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Mediknocx is a trusted medical billing company offering professional medical billing services to streamline revenue, reduce errors, and support practice growth...
Top Services:
BPO
Location
Franklin Square, New York
Number of Employees
50 - 99
Average Hourly Rate
$50/hr
Minimal Budget
$10,000 - $25,000
Mediknocx Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Touch To is an Austin-based development and design consultancy, providing innovative solutions to technically challenging initiatives for enterprises, SMBs, startups, and nonprofits. With expertise in UX/UI design, full-stack web and mobile development, interactive installations, hardware/software...
Top Services:
Software Development
BPO
Location
Austin, Texas
Number of Employees
Under 49
Average Hourly Rate
$149/hr
Minimal Budget
$10,000 - $25,000
Touch To Services
Software Development
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
What services do BPO companies in the USA typically provide?
US BPO providers support businesses across front-office, back-office, and operational functions, including:Â
Customer support and call center services across phone, chat, and email.Â
Back-office services such as data entry, billing, payroll, and document processing.Â
Finance and accounting support, including bookkeeping, AP and AR, and reporting.Â
Human resources outsourcing covering recruitment support, onboarding, and HR administration.Â
IT and technical support, including help desk and application support.Â
Sales and lead generation service,s such as appointment setting and CRM management.Â
Marketing operations support, including campaign execution and analytics.Â
Industry-specific services for healthcare, legal, and financial operations.Â
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.Â
Project-based pricing:Â
Small projects: $20,000 to $25,000 for short-term or limited-scope support, usually 2 to 6 months.Â
Mid-range contracts: $25,000 to $100,000 for ongoing back office, customer support, or healthcare billing over 6 to 18 months.Â
Large-scale programs:Â $100,000 to $500,000+ for long-term, multi-team operations such as customer service, sales support, or medical billing.Â
Enterprise-level BPO:Â $1 million+ annually for high-volume, regulated, or fully managed operations.Â
In practice, most US BPO contracts fall between $25,000 and $250,000, with pricing driven by workload volume, service complexity, and contract duration.Â
Which industries most commonly use BPO services in the US?