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
2 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
Offering Contact & Call Center Services. Experience is everything. At NexRep, we know that creating exceptional experiences for our Marketplace Contractors inspires them to create exceptional customer experiences...
Top Services:
Call Centers
Phone Answering Services
BPO
Location
Portland, Maine
Number of Employees
250 - 499
Minimal Budget
Under $1,000
NexRep Services
Call Centers
Phone Answering Services
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?