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 × Social Networks ×
  • Optimizing Revenue Systems For Scale

    Pisces Growth helps founder-led B2B technology companies fix positioning, sales process, pipeline, and revenue operations so growth no longer depends on founder heroics...

    Top Services:

    • Content Marketing
    • Digital Marketing
    • Branding
    • Web Design
    • Logo Design
    • Show more
    Location
    Orlando, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    25 Projects Listed
  • Scale Your Team. Scale Your Business.

    Enshored is the leading outsourcer for start-ups. Were here for the innovators, for the scalers. Were here for the creators, for the makers, for the horizon scanners who saw it and then went out there and built it. We have offices in the Philippines, Portugal, and Malaysia in addition to our California...

    Top Services:

    • BPO
    Location
    Signal Hill, California
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $15/hr
    Portfolios Count
    5 Projects Listed
  • Hire A Remote AI Specialist, Not Another VA Stuck In 2015.

    We help overwhelmed founders and scaling teams hire AI-trained LATAM specialists fluent in tools like OpenClaw, Claude Code, Claude Cowork, Vibecoding, ChatGPT, and more, in your time zone and at up to 80% less than a US AI hire...

    Top Services:

    • BPO
    Location
    Clearwater, Florida
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Do What You Do Best, Go Hire The Rest

    At Go Hire Virtual, we help busy entrepreneurs and businesses scale without burnout. Our team of highly skilled virtual assistants handle the day-to-day, so you can focus on growth...

    Top Services:

    • BPO
    • Phone Answering Services
    Location
    South Salt Lake, Utah
    Number of Employees
    50 - 99
    Average Hourly Rate
    $12/hr
    Minimal Budget
    $1,000 - $10,000
  • Transforming Healthcare Practices

    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
  • Transforming Ideas into Innovation: A Holistic Services Provider You Can Trust

    Softech Systems has been delivering excellence to the world since 1998. We have served every continent with our expert services and competence. For utmost satisfaction of our clients, we ensure tailored and contemporary services...

    Top Services:

    • Software Development
    • Software Testing
    • Cloud Consulting
    • Digital Marketing
    • SEO
    • Show more
    Location
    Virginia, Washington
    Number of Employees
    100 - 249
    Average Hourly Rate
    $35/hr
  • Build Automated, AI Powered Processes for Scale

    ConsultEvo helps service businesses and fast moving teams streamline operations with ClickUp systems, CRM automation, AI implementation, and custom workflows...

    Top Services:

    • Business Consulting
    • HR Outsourcing
    • CRM Consulting
    • IT Services
    • ERP Consulting
    • Show more
    Location
    Casper, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $75/hr
    Minimal Budget
    $1,000 - $10,000

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
7

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