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 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.
Nagog Innovation is a forward-thinking BPO company specializing in customer service solutions that help businesses scale efficiently. We combine skilled agents, smart technology, and a commitment to excellence to deliver seamless customer experiences around the clock...
Top Services:
BPO
Location
Lexington, Massachusetts
Number of Employees
100 - 249
Average Hourly Rate
$30/hr
Minimal Budget
Under $1,000
Nagog Innovation Technology Inc Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
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
International Business Support Solutions for SME's and Large Enterprises
BusinAssist is a trusted global partner for entrepreneurs, startups and established businesses seeking seamless company incorporation, professional virtual offices and a wide range of business support services...
Top Services:
Business Consulting
Phone Answering Services
Accounting
BPO
Translation Services
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Location
Newark, Delaware
Number of Employees
Under 49
Minimal Budget
Under $1,000
BusinAssist Services
Business Consulting
Phone Answering Services
Accounting
BPO
Translation Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
ScionisRCM delivers End-to-End Revenue Cycle Management solutions for Physicians, Hospitals, Medical Practices, Specialty groups and MSO's across the U.S. We specialize in accurate medical coding, denial preventions, and clean claim submission to help practices increase collections while reducing admirative...
Top Services:
Business Consulting
BPO
Location
Fort Worth, Texas
Number of Employees
100 - 249
Average Hourly Rate
$12/hr
Minimal Budget
Under $1,000
Scionis RCM Services
Business Consulting
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?