Looking for a managed IT service provider in the USA? DesignRush simplifies the process for you by showcasing top managed services, supported by a 4.5-star average rating from 800+ verified reviews. Browse trusted companies and filter by pricing or reviews to confidently choose the best option for your business.
Discover the Best Managed Services Companies Across the USA
8 Companies-Rankings updated: September 06, 2026
Managed IT service providers on DesignRush are reviewed for technical expertise, service reliability, and real client feedback. Some managed IT services listings may be paid partnerships.
Zoho consulting, development and integration services for operationally complex organizations.
CodeStringers helps growth-stage and small-to-mid-market companies implement, integrate, and operate Zoho-centered digital enablement solutions by combining senior executive consulting, cost-effective delivery teams, and custom software capabilities when needed...
Top Services:
Software Development
AI Development
Web Development
CRM Consulting
ERP Consulting
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Location
Santa Cruz, California
Number of Employees
50 - 99
Average Hourly Rate
$55/hr
Minimal Budget
$50,000 & Up
CodeStringers Services
Software Development
AI Development
Web Development
CRM Consulting
ERP Consulting
Managed Services
Mobile App Development
Software Testing
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Tübr Storage
Addiction Rep
True Pet Kitchens
MasterControl
Tonal
MindTRAK Golf
Mido Play
Inboard Technology
SiteOne Services
KnowledgeDesk
Data sourced from the agency's DesignRush profile
CodeStringers Reviews & Testimonials
Lori Feld Oakley Executive VP at MasterControl
5.0★
Software Development Review from Lori Feld Oakley
Our Services organization is scaling quickly and we urgently needed a custom software application to automate our workflows, without breaking our annual budget. CodeStringers was the perfect fit, supporting us from ideation through go-live and everything in between. They innovated, hit their deadlines and released an amazingly high quality application that decreases our internal costs and improves our reputation with our customers. It would not have happened without CodeStringers.
Christian Schraga CEO at Tabula Learning
4.8★
Enterprise Review from Christian Schraga
CodeStringers is the perfect outsourcer to call If you have a solid software business idea but don’t know exactly how to bring it to life. They have both a top-notch development team as well as an executive staff with expertise in marketing, finance, and general business acumen. So they can not only build a product for you but they can make sure that the product you want to build is likely to succeed in the marketplace.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
MedHeave is a U.S. focused medical billing and revenue cycle management (RCM) company helping healthcare providers improve reimbursements, reduce administrative burden, and take control of their revenue cycle...
Top Services:
IT Services
Managed Services
Location
Boston, Massachusetts
Number of Employees
250 - 499
Average Hourly Rate
$25/hr
Minimal Budget
$1,000 - $10,000
MedHeave Medical Billing Services
IT Services
Managed Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Medical Industry
Nutrition Industry
Pharmaceutical Industry
Healthcare Providers
Healthcare Industry
Data sourced from the agency's DesignRush profile
MedHeave Medical Billing Reviews & Testimonials
Minelys Sànchez Luperón Manager at Vita Counseling Services
4.5★
Medical Billing Review from Minelys Sànchez Luperón
I am very satisfied with the billing services. The process has been efficient, organized, and professional. I especially appreciate the excellent communication, prompt responses to my questions, and consistent follow-up. Having reliable billing support gives me peace of mind and allows me to focus more on my clinical work.
Julia Balanova VP Strategy at Graviton
5.0★
Medical Billing Review from Julia Balanova
We highly recommend this medical billing company for its exceptional commitment to timely delivery and outstanding quality. The team consistently meets deadlines, ensuring that our billing processes stay on track and that claims are submitted and reimbursed efficiently. Their work quality is superb, with minimal errors and a keen attention to detail, which has positively impacted our revenue cycle and patient satisfaction. We appreciate their proactive communication and thorough follow-ups, making complex billing issues easier to navigate. Overall, their professionalism and reliability make them a valuable partner for any healthcare provider.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Powering businesses with cutting-edge IT solutions. Your success, our mission.
Techx4u, Inc is a leading IT solutions provider, specializing in managed IT services, cybersecurity, and cloud computing. We empower businesses with innovative technology solutions tailored to their unique needs, ensuring seamless operations and robust security. Based in Sri Lanka with branches in the United...
Top Services:
Cybersecurity
IT Services
Cloud Consulting
Managed Services
IT Compliance Solution
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Location
Albuquerque, New Mexico
Number of Employees
250 - 499
Average Hourly Rate
$15/hr
Techx4u, Inc Services
Cybersecurity
IT Services
Cloud Consulting
Managed Services
IT Compliance Solution
Web Development
WordPress Website Design
Business Consulting
Staff Augmentation
Web Design
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
RDKRevenue
Infopride Solutions
ZecureRight PTY LTD
Janathakshan Gte Ltd
ADRiMP Sri Lanka
Duryog Nivaran
World Tech University
Data sourced from the agency's DesignRush profile
Techx4u, Inc Reviews & Testimonials
Mohammed Muneef CEO at RDKREVENUE
5.0★
Managed Services Review from Mohammed Muneef
Techx4u has been an exceptional partner in managing our server infrastructure, ensuring that our systems remain secure, reliable, and up-to-date. Their comprehensive approach to server administration and patch management has significantly enhanced our IT operations.In terms of server administration, Techx4u excels in monitoring and maintenance. They provide continuous oversight of our server performance and health, which has minimized downtime and ensured that our servers operate at optimal levels. Their expertise in configuration management has been evident as they have tailored our server settings to meet our specific business needs and compliance requirements, streamlining our operations and improving overall efficiency.One of the standout features of Techx4us service is their robust backup and recovery solutions. Regular backups and efficient recovery processes have given us peace of mind, knowing that our data is well-protected against loss or corruption. This aspect of their service has been particularly valuable, as it ensures that we can quickly recover from any unexpected data loss incidents.When it comes to patch management, Techx4us automated patch deployment system ensures that our systems are always up-to-date with the latest security fixes and improvements. This proactive approach has significantly reduced the risk of vulnerabilities. Additionally, their thorough vulnerability management process identifies and addresses potential security threats in our server infrastructure, helping to prevent breaches before they occur.Techx4u also places a strong emphasis on compliance assurance. Through regular patch updates and security assessments, they ensure that our servers comply with industry standards and regulations. This has been crucial in maintaining our compliance posture and avoiding potential penalties.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Perimattic is a technology partner specializing in AI development, software development, cloud solutions, DevOps, MLOps, and enterprise technology services. The company helps startups, growing businesses, and enterprises build secure, scalable, and high-performance digital solutions...
Top Services:
AI Development
DevOps Consulting
Cloud Consulting
Software Testing
Software Development
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Location
San Francisco, California
Number of Employees
Under 49
Average Hourly Rate
$25/hr
Perimattic Services
AI Development
DevOps Consulting
Cloud Consulting
Software Testing
Software Development
Big Data Analytics
IT Services
Managed Services
Cybersecurity
Mobile App Development
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Taygo Cloud
Paysafe
ITCAN
Data sourced from the agency's DesignRush profile
Perimattic Reviews & Testimonials
Neeraj Mishra Founder at TCP Creations
5.0★
UI/UX Design Review from Neeraj Mishra
The dashboard Perimattic delivered is minimal, well-structured, and very user-friendly. Small touches like the layout, flow, and clarity of controls make a big difference. Great work by Gaurav and his team.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Technology and RevOps for PE-backed portfolio companies
DevriX is a technology and revenue operations consultancy for private equity-backed companies between $50M and $500M in revenue. We work with sponsors across the full hold period: technology and data diligence before a deal, systems and RevOps execution after close, and exit readiness end-to-end...
Top Services:
CRM Consulting
Big Data Analytics
Business Consulting
Managed Services
WordPress Website Design
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Location
New York City, New York
Number of Employees
Under 49
Average Hourly Rate
$140/hr
Minimal Budget
$25,000 - $50,000
DevriX Services
CRM Consulting
Big Data Analytics
Business Consulting
Managed Services
WordPress Website Design
ERP Consulting
Cloud Consulting
Digital Marketing
CRO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Moolay Media is about communicating the essence of your brand to the world. From websites to social campaigns, we are passionate about connecting with our clients to give their vision a voice...
Top Services:
Software Development
Mobile App Development
AI Development
Business Consulting
Cloud Consulting
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Location
Sheboygan, Wisconsin
Number of Employees
Under 49
Average Hourly Rate
$250/hr
Minimal Budget
$10,000 - $25,000
Portfolios Count
1 Project Listed
Moolay Media Services
Software Development
Mobile App Development
AI Development
Business Consulting
Cloud Consulting
CRM Consulting
Big Data Analytics
DevOps Consulting
Managed Services
Web Development
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
FIT Technologies is a full-service Managed IT and Cybersecurity Provider that develops long-term technology partnerships with our clients to increase efficiency, productivity, and security. We provide services to tens of thousands of users throughout Ohio and across the country...
Top Services:
Managed Services
Cybersecurity
IT Services
IT Compliance Solution
Big Data Analytics
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Location
Cleveland, Ohio
Number of Employees
100 - 249
FIT Technologies Services
Managed Services
Cybersecurity
IT Services
IT Compliance Solution
Big Data Analytics
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
The Albert M. Higley Company.
Growth Opps
True Digital
Data sourced from the agency's DesignRush profile
FIT Technologies Reviews & Testimonials
Kate Ingersoll Review from Google
5.0★
Kate Ingersoll's Review Sourced from Google
FIT provided incredible customer service and technology recommendations that were right-sized for our capabilities and non-profit budget. Thank you to Jack and the FIT Team for being such a great community partner and making the arduous task of purchasing and setting up technology systems seamless. Highly recommend!
sparkle1961eb Review from Google
5.0★
sparkle1961eb's Review Sourced from Google
Kevin helped me fix my issue with care, quality, and professionalism and was very polite while doing it, excellent customer service!!
Leah McGregor Review from Google
5.0★
Leah McGregor's Review Sourced from Google
Dom offered his help despite the fact that I had a call with FIT scheduled later in the day to resolve the issue. I appreciate his willingness to go out of his way to ensure that any problems we have are resolved quickly and efficiently. Thanks, Dom!
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
We're a collection of innovative cybersecurity engineers, and we believe that our ideas can help shape a better future for your company. We pride ourselves on offering unmatched, devoted service while offering clever solutions for businesses of all sizes...
Top Services:
IT Services
Cybersecurity
Managed Services
IT Compliance Solution
Cloud Consulting
Show more
Location
Warren, Michigan
Number of Employees
Under 49
Minimal Budget
Under $1,000
Cyber Protect LLC Services
IT Services
Cybersecurity
Managed Services
IT Compliance Solution
Cloud Consulting
Staff Augmentation
AI Development
Software Development
WordPress Website Design
CRM Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Small Business Industry
Finance Industry
Healthcare Industry
Data sourced from the agency's DesignRush profile
Cyber Protect LLC Reviews & Testimonials
Alicia Review from Google
5.0★
Alicia's Review Sourced from Google
We have been a client of Cyber Protect for the last 10 months, and I am very happy with our security services so far. Chey and his team are promt and professional and have handled anything that has come up within minutes. They go above and beyond!
Cheyanne Brown Review from Google
5.0★
Cheyanne Brown's Review Sourced from Google
Cyber Protect, and its owner Cheyenne Harden, is a wonderful company to work with. Not only is Cheyenne Harden extremely knowledgeable in information, technology, and cybersecurity, but he is also is kind and easy to work with. Him and his company will do everything they can to ensure that your data is secure, protected, and that your technology is running properly. I highly recommend him and his company.
Cindy L Review from Google
1.0★
Cindy L's Review Sourced from Google
Terrible service. I trusted Cyber Protect LLC to help secure my data, but I still got hacked while under their protection. When I reached out for help, their support was slow, unresponsive, and offered no real solution. They took no accountability and left me to deal with the damage on my own. Completely unreliable and not worth the money. Would never recommend.Edit: Your response is disappointing and frankly evasive. If you have no record of me as a client, maybe that explains why your “protection” failed so miserably. Your slow, unresponsive support and complete lack of accountability left me to deal with the consequences alone. Claiming that neither you nor your clients have ever experienced a breach sounds more like a PR line than reality.If you want to prove otherwise, then start by owning up to your failures instead of brushing off legitimate concerns. Until then, your “enterprise-grade solutions” are nothing but empty words.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
What can a managed IT service provider do for business?
A managed service provider (MSP) is an external partner that manages and supports your IT systems so your team can focus on running the business instead of fixing tech issues.
MSPs typically handle:
IT infrastructure management (networks, servers, hardware, and cloud systems)
Proactive monitoring and maintenance to prevent downtime
Cybersecurity and data protection, including threat detection and incident response
Backup and disaster recovery to protect business-critical data
Help desk and technical support for day-to-day issues
IT planning and advisory, aligning technology with business goals
As IT environments grow more complex, more U.S. businesses are turning to managed services.
The U.S. managed services market reached $69.9 billion in 2024 and is projected to grow at a 10.5% CAGR through 2033, driven by remote work, cloud adoption, and rising cybersecurity threats.
What types of MSPs are there?
Managed service companies can be categorized in two ways:
1. By provider model (how the MSP operates and partners with your business)
Type
What It Covers
Best For
Pure-Play MSPs
Core IT operations like monitoring, maintenance, patching, and system support
Small to mid-sized businesses needing reliable day-to-day IT management
Staffing-Led MSPs
Managed IT services combined with IT staff augmentation
Companies that need flexible capacity or temporary technical expertise
High-Level (Strategic) MSPs
End-to-end IT management, cybersecurity, cloud strategy, and long-term planning
Enterprises with complex infrastructure and strategic IT needs
2. By service focus (what specific IT functions they manage)
Most specialize in one or more of the following areas:
IT support: Ongoing monitoring, troubleshooting, and system maintenance
Security services: Threat detection, vulnerability management, and compliance support
Cloud services: Cloud migration, optimization, and ongoing management
Network services: Network monitoring, performance optimization, and connectivity management
Backup & disaster recovery: Data protection, backups, and business continuity planning
Industry-specific: Tailored IT support for regulated sectors like healthcare, finance, retail, and legal
What benefits can businesses expect from managed IT service providers?
MSP services are designed to reduce operational strain and create more stability. Here’s what they bring to the table:
Predictable IT costs Fixed or subscription-based pricing reduces budget uncertainty and unexpected expenses.
Access to specialized expertise On-demand support across infrastructure, cloud, security, and compliance.
Proactive system oversight Performance issues now carry the same business impact as outages. According to Catchpoint’s SRE Report 2025, 53% of organizations agree that “slow is the new down,” reinforcing why proactive monitoring and performance management are core managed services benefits.
Stronger security foundations Continuous threat monitoring, patching, and security controls reduce exposure to cyber risks. This is an increasing priority as the FBI recorded 859,532 cyberattacks in the U.S. in 2024, marking a 144% increase since 2018.
Simplified compliance support Built-in processes ensure you meet regulatory requirements like HIPAA and PCI DSS.
Optimized technology management Guidance on selecting, maintaining, and updating systems helps you avoid waste.
More focus on core work Internal teams spend less time on IT operations and more on business priorities.
What is the difference between staff augmentation and managed services?
Staff augmentation providers and managed service providers both offer IT outsourcing solutions, but they differ in several key ways:
Aspect
Staff Augmentation
Managed Services
Primary purpose
Fill skill or capacity gaps
Fully manage defined IT functions
Control
Client retains full control
Provider owns delivery and outcomes
Engagement type
Short-term or project-based
Usually ongoing, long-term partnership
Accountability
Client manages performance
Provider accountable via SLAs
Team integration
Works as part of your in-house team
Operates as an external IT owner
Cost structure
Hourly or contract-based
Typically fixed or subscription-based
How much do managed service providers in the USA charge?
On average, managed service firms charge $150-$400 per user per month or $175-$300 per hour. For enterprise-level projects, pricing can start at $10,000 per month.
Main factors that influence MSP pricing:
Number of users or devices
Scope of managed services
Infrastructure complexity and data volume
Contract length and service hours
Common MSP pricing models:
Per-user pricing: Predictable costs tied to headcount
Per-device pricing: Charges based on supported hardware
Tiered plans: Different service levels at increasing prices
Flat-rate pricing: Unlimited support for a fixed monthly fee
À la carte services: Pay only for specific IT needs
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