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
8 Companies-Rankings updated: September 07, 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.
US-Based Outbound SDR Agency. Boutique. Multi-Channel. Real Pipeline.
Leadium is a US-based B2B outbound SDR agency running cold email, cold calling, and LinkedIn programs for companies that need qualified pipeline without building an in-house team. Boutique model. 100% US-based execution. Founder-led delivery on every account...
Top Services:
Email Marketing
BPO
CRM Consulting
Business Consulting
Direct Marketing
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Location
Las Vegas, Nevada
Number of Employees
50 - 99
Average Hourly Rate
$50/hr
Minimal Budget
Under $1,000
Leadium Services
Email Marketing
BPO
CRM Consulting
Business Consulting
Direct Marketing
Customer Support
Market Research
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Square
Rackspace
Microsoft
LG
DirecTV
OSRAM
Time Logistics
Palo Alto Networks
Amada Senior Care
brightwheel
Data sourced from the agency's DesignRush profile
Leadium Reviews & Testimonials
Scott Proffitt VP of Sales at Energy Assurance
5.0★
AI Marketing Review from Scott Proffitt
Our monthly leads have gone up by 3x with Leadium. This allows us to focus on production efficiencies.
Sam Jennings Sales Manager at Best Bees Company
5.0★
Call Centers Review from Sam Jennings
Finding Leadium changed the way our team operates. They've been able to fill our pipeline with the people we want to talk to so we can focus on beekeeping.
Marcos Moura Founder and COO at Amada Senior Care
5.0★
Call Centers Review from Marcos Moura
Leadium is able to speak to our prospects as if they're Amada themselves. They're filling our pipeline in a way we couldn't!
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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
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Location
Terra Alta, West Virginia
Number of Employees
Under 49
Average Hourly Rate
$38/hr
Minimal Budget
Under $1,000
Optimized EA Services
BPO
Business Consulting
Branding
Logo Design
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
We are a tech production company that specializes in virtual events. Our team will work with you to plan and coordinate every aspect of your event, ensuring that it runs smoothly and seamlessly...
Top Services:
Video Production
Branding
Audio Production
Translation Services
Digital Marketing
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Location
Middletown, Delaware
Number of Employees
Under 49
Minimal Budget
Under $1,000
Isde Digital Services
Video Production
Branding
Audio Production
Translation Services
Digital Marketing
Business Consulting
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
ExpertCallers, a Flatworld Solutions company, strives to help you build and nurture exceptional relationships with your customers. With over 12 years of experience in providing timely, reliable and efficient call center outsourcing services, we have perfected the art of transforming customer experiences into...
Top Services:
Call Centers
Creative Services
eCommerce
BPO
Customer Support
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Location
Princeton, New Jersey
Number of Employees
500 - 999
Minimal Budget
Under $1,000
Portfolios Count
4 Projects Listed
Expertcallers Services
Call Centers
Creative Services
eCommerce
BPO
Customer Support
Phone Answering Services
Market Research
Business Consulting
Transcription Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
The Peak Hire helps busy founders and growing teams reclaim their time with dependable virtual assistants matched to their actual workflows. Our remote professionals support administration, customer service, sales, recruiting, operations, bookkeeping, CRM management, scheduling, inbox management and lead...
Top Services:
BPO
HR Outsourcing
Phone Answering Services
Customer Support
Call Centers
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Location
Miami, Florida
Number of Employees
Under 49
Average Hourly Rate
$20/hr
Minimal Budget
Under $1,000
The Peak Hire Services
BPO
HR Outsourcing
Phone Answering Services
Customer Support
Call Centers
Accounting
Market Research
Social Media Marketing
SEO
Web Design
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
At Integrate Point, we specialize in empowering medical professionals with custom solutions designed to simplify and optimize medical management by ensuring regulatory compliance. Our services include medical credentialing, revenue cycle management (rcm), prior auth, practice management, healthcare digital...
Top Services:
Digital Marketing
BPO
Location
Wylie, Texas
Number of Employees
Under 49
Average Hourly Rate
$10/hr
Minimal Budget
Under $1,000
Integrate Point Services
Digital Marketing
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Xassure by eDesk is a trusted customer support and back-office solutions provider helping businesses deliver exceptional customer experiences. We specialize in chat support, email support, voice support, and administrative services designed to reduce workload and improve operational efficiency...
Top Services:
SEO
Email Marketing
Branding
Digital Marketing
PPC
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Location
Simi Valley, California
Number of Employees
100 - 249
Average Hourly Rate
$8/hr
Minimal Budget
Under $1,000
Xassure by eDesk Services
SEO
Email Marketing
Branding
Digital Marketing
PPC
Social Media Marketing
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
A Digital Marketing Agency Led by Upworks Top-Rated Freelancers.
We are dynamic and versatile team of digital marketing experts who bring together diverse talents and experiences to deliver exceptional results for our clients...
Top Services:
SEO
PPC
Social Media Marketing
Video Production
BPO
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Location
Los Angeles, California
Number of Employees
Under 49
Average Hourly Rate
$20/hr
Minimal Budget
Under $1,000
Portfolios Count
1 Project Listed
Branding Hosts Services
SEO
PPC
Social Media Marketing
Video Production
BPO
Web Development
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?