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

459 Companies - Rankings updated: April 23, 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.

United States ×
  • Trusted By Leading Healthcare Providers

    Trusted By Leading Healthcare Providers

    Right on Time Billing Services is a Houston-based medical billing company offering coding, claims submission, and full revenue cycle management. We help Home Health, Hospice, and Behavioral Health practices reduce denials and increase revenue.  [... view Right On Time Billing profile ]
    Location
    Houston, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $9/hr
    Minimal Budget
    $1,000 - $10,000
  • Accounting>>Taxation>>Consulting

    Accounting>>Taxation>>Consulting

    Global FPO is one of the leading Bookkeeping Accounting Outsourcing firms in USA, UK, Canada & Australia. Our firm has provided services in this industry for 7+years with 500+ Happy clients  [... view Global FPO profile ]
    Location
    Scottsdale, Arizona
    Number of Employees
    500 - 999
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • MindSpace was founded in 2007 and offers bookkeeping outsourcing and accounting outsourcing services to individuals and SME’s who are based in the US, UK, Canada, Ireland, and Australia.  [... view MindSpace profile ]
    Location
    New York City, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • One Stop Virtual Shop

    One Stop Virtual Shop

    VA Talks is the best virtual assistant company in the USA, offering expert online personal assistant services to manage tasks, scheduling, admin support and more.  [... view VA Talks profile ]
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Realise your potential

    Realise your potential

    We are one of India's leading contact centre company catering to US, UK, Australia, India, Middle East & South East Asia markets. Our core domains are Fintech, Healthtech, Edtech, Wellness, Healthcare, Ecommerce, FMCG, BFSI, Education among other domains.  [... view Altius profile ]
    Location
    Lewisville, Texas
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • IT Outsourcing Services Company with Dedicated IT Professionals

    IT Outsourcing Services Company with Dedicated IT Professionals

    Our IT Outsourcing Services Company provides reliable offshore staffing services. For your customized business needs, our offshore profesionals helps you generate higher ROI.  [... view Abacus Data Systems profile ]
    Location
    Dallas, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
  • Driven by Excellence

    Driven by Excellence

    iRapidO Global is a Business Process Management organization delivering scalable back-office and operational support to growing businesses worldwide. We combine domain expertise, structured process frameworks, automation, and AI-enabled tools to help companies improve efficiency, control costs, and focus on  [... view IRapidO Global profile ]
    Location
    Raleigh , North Carolina
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $50,000 & Up
  • Transform Your Business With Artificial Intelligence

    Transform Your Business With Artificial Intelligence

    Cognic Systems, your trusted Digital Transformation Enabler! At Cognic, we are committed to driving innovation and excellence as we embark on a transformative journey together. Our expertise in Mobile app development, Software solutions, Robotic process automation (RPA), MS Power Plateform and digital  [... view Cognic Systems profile ]
    Location
    Cedar Park, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
  • Digital Transformation, Delivered On Time

    Digital Transformation, Delivered On Time

    Nimap Infotech: Leading IT solutions provider specializing in web development, mobile app development, and software services. With a focus on innovation and client satisfaction, Nimap offers scalable and customized solutions to meet diverse business needs.  [... view Nimap Infotech Pvt. Ltd. profile ]
    Location
    Jersey City, New Jersey
    Number of Employees
    500 - 999
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000

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. 

About The Author and Expert Reviewer

Bojana Trajcheva is a seasoned content editor and innovation researcher with extensive experience in the tech and marketing industries. Formerly Editor-in-Chief at Studentsko Eho, she developed a strong foundation in content creation and editorial leadership. Bojana further honed her skills in senior innovation research roles and now brings this combined expertise to her work as an editor at DesignRush.

Gianluca Ferruggia is a seasoned digital marketer with over ten years of experience. Starting with PPC, he effectively expanded his expertise to include SEO, sales, business development, and product. He is currently the General Manager at DesignRush, where he leads a team of over 100 professionals, oversees business operations, and develops strategies that achieve business goals. In just a few years, he grew the company's agency network to over 30,000, making it one of the leading B2B marketplaces that connect businesses with agencies.