Our directory of the top business consulting firms in the U.S. is built on five main ranking criteria and reviewed by a team of 12 experts, supported by more than 500 verified client reviews. This gives you a clear and reliable way to choose the best business consulting companies for your needs.

Discover The Top Management Consulting Firms Across the U.S.

4 Companies - Rankings updated: September 05, 2026

Each listed business consulting service is evaluated for strategic expertise, advisory capabilities, and verified client reviews to support confident decision-making. Some placements may be paid.

United States × Insurance × $25,000 - $50,000 × Clear Filters
  • Billing Excellence Healthier Finances

    MedBilling RCM is a trusted medical billing and revenue cycle management company dedicated to helping healthcare providers improve their financial performance. With a skilled team of certified billing and coding experts, we streamline claim submissions, reduce denials, and ensure faster reimbursements...

    Top Services:

    • Business Consulting
    Location
    Irvine, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $25,000 - $50,000

    MedBilling RCM Services

    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Finance Industry
    • Insurance Industry
    Data sourced from the agency's DesignRush profile

    MedBilling RCM Reviews & Testimonials

    • Imran Khan
      Imran Khan Review from Google
      5.0

      Imran Khan's Review Sourced from Google

      I recently referred a client to Medbilling RCM for medical billing services. The team was incredibly helpful throughout the onboarding process, and the physician is exceptionally happy with the services provided. I am posting this review directly based on my client's positive feedback.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Built On Recommendation

    We are an award-winning B2B agency, working with international technology, industrial & professional services companies. We exist to change that. Velo delivers strategic counsel and end-to-end campaign execution that makes our clients value visible, compelling, and undeniably recommendable. Our work blends...

    Top Services:

    • Business Consulting
    • Branding
    • Digital Strategy
    • Digital Marketing
    • Content Marketing
    • Show more
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $25,000 - $50,000

    Velo Services

    • Business Consulting
    • Branding
    • Digital Strategy
    • Digital Marketing
    • Content Marketing
    • Event Marketing
    • Advertising
    • Email Marketing
    • AEO
    • Social Media Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Cisco
    • Sage
    • Halma
    • JM
    • McGraw Hill
    • ABM
    • Anaplan
    Data sourced from the agency's DesignRush profile

    Velo Reviews & Testimonials

    • Derya Bayir
      Derya Bayir Review from Google
      5.0

      Derya Bayir's Review Sourced from Google

      I ordered three caps and I’m really impressed — the quality is excellent 👌🏼. I’ve had so many people asking where I got them from 😄. I’ll definitely be ordering more, and thank you as well for the extra treats that came with my order! 😊

    • Tunc
      Tunc Review from Google
      5.0

      Tunc's Review Sourced from Google

      I have been there today with my wife to show her awesome stickers has been created for hat/shoes/bags …etc . This little gem has unique designs for anyone looking something great . Got a Veloyou design shirt it’s fantastic!!!!

    • Aydeniz Aydin
      Aydeniz Aydin Review from Google
      5.0

      Aydeniz Aydin's Review Sourced from Google

      It has great quality products and different styles. I have been wearing the sweatshirt I brought for 2 years by washing it 3 times a week. You are the BEST! 😍

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • International Platinum Award Winning Creative Design & Development Team

    The Viva edge is cultural intelligence, we conceptualize, we create, we analyze date & optimize for performance. By designing & Implementing streamlined, strategic solutions, we help our clients find more customers and connect with their surrounding communities online. We're aggressive with our tactical...

    Top Services:

    • Web Design
    • Branding
    • Logo Design
    • Graphic Design
    • UI/UX Design
    • Show more
    Location
    Brownsville, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $200/hr
    Minimal Budget
    $25,000 - $50,000

    Viva Network, LLC Services

    • Web Design
    • Branding
    • Logo Design
    • Graphic Design
    • UI/UX Design
    • Digital Marketing
    • SEO
    • PPC
    • Social Media Marketing
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Brownsville Museum of Fine Art
    • NeuRepair Brain & Spine Clinics
    • Advanced Panelized Systems
    • Costa Azul Development
    • Brownsville Crime Stoppers
    • Cameron County Workforce Solutions
    • Housing Authority City of Brownsville
    • Mas Natural
    • Dr. Patrick Ellis
    • University of Texas at Brownsville
    Data sourced from the agency's DesignRush profile

    Viva Network, LLC Reviews & Testimonials

    • Mas Natural
      Mas Natural Founder & Franchise Owner at Mas Natural
      5.0

      Web Design Review from Mas Natural

      Working with Viva is the only way to go when you need real expert help. As a new restaurant from coming from Mexico, we expected a learning curve but Viva made it easy. Viva developed our Brand, designed our website and developed our mobile app and we're happy to announce we continue to receive over 30k in-store app transactions per month at our 3 in-town franchise locations. If you want to invest in your business for growth, we recommend Viva, their expertise & professionalism will impress you!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Crema is a design consultancy that helps forward-thinking leaders discover, understand, and execute.

    Crema is a design consultancy that helps companies build the custom software they need to compete in todays market. Our product teams blend business strategy and technical expertise to create solutions for our clients most pressing needs...

    Top Services:

    • UI/UX Design
    • Software Development
    • AI Development
    • Software Testing
    • Mobile App Development
    • Show more
    Location
    Kansas City, Missouri
    Number of Employees
    Under 49
    Average Hourly Rate
    $175/hr
    Minimal Budget
    $25,000 - $50,000

    Crema Services

    • UI/UX Design
    • Software Development
    • AI Development
    • Software Testing
    • Mobile App Development
    • Product Design
    • Digital Services
    • Business Consulting
    • Digital Strategy
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • TILR
    • Select Quote
    • Tria Health
    Data sourced from the agency's DesignRush profile

    Crema Reviews & Testimonials

    • Alana Muller
      Alana Muller Review from Google
      5.0

      Alana Muller's Review Sourced from Google

      WOW! Working with Crema was a dream come true -- literally! Rarely have I had the opportunity to engage with a partner who so actively listens to its client's vision, considers ways address the request, then magically brings it to life with such finesse... that's exactly what Crema did. With a tight turnaround time and a very public launch, Crema created a beautiful user interface, backend database, and promotional display that activated my product and made it fun and easy to use while perfectly representing my brand. I am so grateful to Crema and will continue to seek opportunities to work with this innovative, creative, and positive group of professionals.

    • Evan Harmon
      Evan Harmon Review from Google
      5.0

      Evan Harmon's Review Sourced from Google

      Every experience I've had with Crema has always been a positive one. And every employee I've met there have been incredibly nice, thoughtful, and great to talk to. They have a very cool office space in the Crossroads with great views of KC that just makes you want to hang out there! Crema seems to highly prioritize their company culture by putting on events and having a heathy work/life balance. In short, they seem to really care about people and that carries into their work, judging by how I was able to see their process for developing solutions for their clients at a workshop they held. Using the design sprint methodology, and healthy doses of design thinking, humanistic perspectives, diversity, and pragmatism, they clearly have spent a great deal of effort honing a highly efficient development strategy that makes finding creative solutions a reliable science. It gave me a lot of ideas to bring back to my own projects and meetings! I definitely recommend their design sprint workshop and can only imagine they would be a great company to have tackling your company's challenges.

    • Travys Keto
      Travys Keto Review from Google
      5.0

      Travys Keto's Review Sourced from Google

      The Crema office is very cool. Lots of modern touches with a great view of the Kauffman Center for Performing Arts. I recently attended a Design Sprint workshop and had a great time! It was a unique experience and a great tool for solving even the most complex problems. I'm hoping to utilize it in my current role. Justin was a great facilitator and I would recommend using Crema for any Design Sprint needs or even attending the workshop yourself. It was also a great networking opportunity. Highly recommended!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews

Frequently Asked Questions about Consulting Firms

What services do these types of agencies typically offer in the US?

US management consulting firms provide a comprehensive range of services designed to improve organizational performance across multiple dimensions.

Core competencies include: 

  • Business strategy: Developing long-term competitive positioning, market expansion plans, and corporate growth initiatives
  • Management consulting: Advising on organizational structure, leadership development, and governance frameworks
  • Operations optimization: Streamlining processes, improving supply chain efficiency, and implementing lean methodologies
  • Financial advisory: Supporting M&A transactions, capital allocation, valuation, and financial restructuring
  • Digital transformation: Guiding technology adoption, AI implementation, cloud migration, and data modernization
  • Market entry: Facilitating geographic expansion, new product launches, and competitive analysis 
  • Organizational change management: Leading cultural transformation, workforce restructuring, and communication strategies

According to Mordor Intelligence, operations consulting held 29.28% of the global consulting market share in 2024, while technology advisory is forecast to grow at a 6.48% CAGR through 2030. 

How much do business consulting services in the US cost?

Business consulting fees vary based on experience level, firm size, and project complexity. General management consulting hourly rates range from $75 for less experienced consultants to $175-$325 for those with 15+ years of experience.

According to Consulting Success's 2023 survey of nearly 1,000 consultants, 29% of consultants use hourly rates as their primary pricing model. McKinsey senior partners charge $1,193.57 per hour according to the 2024 General Services Administration federal supply lists, while engagement managers cost $834.40 per hour.

Common pricing models include:

Pricing model  Description  Typical range 
Hourly rate  Charged per hour worked $75-$300+ per hour 
Daily rate  Hourly rate multiplied by working hours  $1,500-$3,000+ per day 
Project-based  Fixed fee for defined scope  $10,000-$500,000+ 
Retainer  Monthly fee for ongoing access  $2,500-$25,000+ per month 
Value-based  Fee tied to outcomes delivered  Varies by engagement 

Should I hire a large consulting firm or a boutique agency?

The choice between the two depends on your specific needs, budget, and project scope.

Type of firm  Expertise  Why to hire it
Large consulting firm 
  • Extensive global resources 
  • Deep industry expertise across multiple sectors 
  • Established methodologies
  • Ability to deploy large teams for complex, multi-faceted engagements 
  • Broad capabilities 
  • Global reach
  • Recognized brand credibility for stakeholder buy-in 
Boutique consulting agency 
  • More personalized attention
  • Specialized niche expertise
  • Greater flexibility in engagement models
  • More competitive pricing
  • Deep specialization
  • Hands-on partner attention
  • More cost-effective engagement structure

According to Mordor Intelligence, large enterprises accounted for 71.29% of 2024 consulting spend, yet small and medium-sized enterprises are projected to record the fastest growth at 7.04% CAGR through 2030, driven by fractional consulting models and subscription-based advisory. 

How long do business consulting projects usually take?

Project timelines vary significantly based on scope, complexity, and organizational readiness. 

  • Quick diagnostic assessments and targeted analyses typically take 2-6 weeks.
  • Standard strategy development, operational improvement, or organizational design projects generally require 2-4 months.
  • Large-scale transformation initiatives, including digital transformation, M&A integration, or enterprise-wide change programs, often span 6-18 months or longer.

According to McKinsey research, only 30% of transformation efforts succeed overall, with digital transformations being even more challenging, often requiring sustained commitment over multiple years.

What is the typical consulting process?

Most consulting engagements follow a structured methodology designed to ensure thorough analysis and actionable outcomes.

The typical process includes:

  1. Discovery and analysis: Understanding your business context, gathering data, conducting stakeholder interviews, and diagnosing root causes
  2. Strategy development: Synthesizing findings, developing options, and creating strategic recommendations aligned with your objectives
  3. Recommendations presentation: Delivering insights and proposed solutions with supporting rationale and expected outcomes
  4. Implementation support: Assisting with execution, change management, and overcoming organizational barriers
  5. Performance review: Measuring results against objectives, refining approaches, and ensuring sustainable impact

According to Consulting Success, 51% of consultants using value-based fees have an average project value of $10,000 or more, compared to 39% of consultants using hourly fees.

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