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 × $25,000 - $50,000 ×
  • Empathy Meets Efficiency in Healthcare Revenue Cycle.

    Valerion Health is a U.S.-based healthcare outsourcing agency that partners with hospitals, physician groups and clinics to optimize revenue cycle management through medical coding, billing, auditing and telemedicine support. Blending innovative solutions with deep industry experience, Valerion empowers...

    Top Services:

    • BPO
    Location
    Palm Harbor, Florida
    Number of Employees
    500 - 999
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $25,000 - $50,000
  • Streamlining Processes, Maximizing Potential

    A global provider of innovative contact center and BPO solutions specializing in inbound and outbound services for B2B and B2C clients. The agency enables businesses to focus on their core competencies while delivering seamless operational support to drive growth and efficiency...

    Top Services:

    • BPO
    Location
    New York City, New York
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $25,000 - $50,000
  • Trusted Expertise Proven Results

    Medical Lien Management, Inc. is a specialized revenue cycle firm focused exclusively on workers' compensation billing and lien recovery. Since 1989, the company has helped medical providers accelerate collections, resolve disputes, and navigate complex regulatory frameworks with end-to-end and proprietary...

    Top Services:

    • BPO
    Location
    Corona, California
    Number of Employees
    250 - 499
    Minimal Budget
    $25,000 - $50,000
  • Healthcare IT engineering partner with 10+ years of experience for connected MedTech

    Empeek is a healthcare technology engineering partner for connected MedTech and software-led digital health companies...

    Top Services:

    • Software Development
    • Mobile App Development
    • BPO
    • Web Development
    • Web Design
    • Show more
    Location
    Austin, Texas
    Number of Employees
    250 - 499
    Average Hourly Rate
    $28/hr
    Minimal Budget
    $25,000 - $50,000
    Portfolios Count
    8 Projects Listed
  • Make your product worth the fight.

    We are a team of experienced professionals with an outstanding expertise in various fields...

    Top Services:

    • Software Development
    • Web Design
    • eCommerce Development
    • Web Development
    • IoT
    • Show more
    Location
    Sheridan, Wyoming
    Number of Employees
    100 - 249
    Average Hourly Rate
    $45/hr
    Minimal Budget
    $25,000 - $50,000
    Portfolios Count
    6 Projects Listed
  • Congruent is the specialist partner the retirement industry trusts to be ready for tomorrow.

    Congruent Solutions has been a specialist technology solutions and outsourced plan administration provider to the retirement industry since 2004...

    Top Services:

    • Business Consulting
    • Cloud Consulting
    • AI Development
    • BPO
    • Show more
    Location
    Canada, Kentucky
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $70/hr
    Minimal Budget
    $25,000 - $50,000
  • Most trusted Technology Partner

    Mysoft Heaven (BD) Ltd. is a Top Software Development Company with 15+ years of excellence. We specialize in enterprise-grade solutions like ERP, FinTech, e-Governance, and HRMS (HR Sheba). Our scalable SaaS platforms and Cyber Security solutions empower global organizations...

    Top Services:

    • Web Development
    • Digital Marketing
    • Mobile App Development
    • Software Development
    • Staff Augmentation
    • Show more
    Location
    Miami, Florida
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $25,000 - $50,000
  • KnowCode A Unit of DigitalSquad LLC.

    KnowCode, a unit of DigitalSquad LLC, provides web development, mobile app development, custom software, UI/UX design, branding, and digital marketing solutions to help businesses strengthen their digital presence and achieve growth...

    Top Services:

    • Digital Services
    • WordPress Website Design
    • SEO
    • Software Development
    • CRM Consulting
    • Show more
    Location
    Georgia, Vermont
    Number of Employees
    Under 49
    Average Hourly Rate
    $1000/hr
    Minimal Budget
    $25,000 - $50,000

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
129,105+
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
8

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