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. 

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 × Sort by: Avg Hourly Price: High to Low ×
  • EnlightVision is the partner of choice for many of the worlds leading enterprises, SMEs, and technology innovators. We elevate businesses through custom software development, product design, QA, and consultancy services. Our commitment is to deliver cutting-edge solutions tailored to your unique needs...

    Top Services:

    • Mobile App Development
    • AI Development
    • Software Development
    • IT Services
    • Web Development
    • Show more
    Location
    St. Charles, Illinois
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Built To Secure, Support, And Scale Your Business

    Kevlar IT Solutions, based in Orlando, USA, stands as the fortified shield for your digital landscape, offering unparalleled protection in an increasingly vulnerable cyber world. Founded by a former law enforcement officer turned seasoned system engineer, the company combines law enforcement discipline with...

    Top Services:

    • IT Services
    • Managed Services
    • Cybersecurity
    Location
    Orlando, Florida
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Experience You Can Trust

    Star Billing Solutions is a medical billing and revenue cycle management (RCM) company that helps healthcare providers improve financial performance through accurate, compliant, and efficient billing services. The company specializes in streamlining billing workflows, reducing claim denials, and accelerating...

    Top Services:

    • BPO
    • Customer Support
    • Transcription Services
    • Phone Answering Services
    • CRM Consulting
    • Show more
    Location
    Phoenix, Arizona
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Reliable Telecom and BPO Service Provider!

    A worldwide network of tier-1 Telecom providers and call centers serving USA, Canada, New Zealand, Australia, UK, Europe and GCC with bilingual neutral accent advisors (Arabic, English, Frensh, and Spanish)...

    Top Services:

    • IT Services
    • Managed Services
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $6/hr
    Minimal Budget
    $1,000 - $10,000
  • Delivering ServiceNow IT Expertise to the Worlds Top Companies.

    Expert IT services and solutions that optimize your business's technology investment. We are a prominent national provider of business and IT consulting services, established in 2001 and headquartered in Kirkland, Washington. Expert IT services and solutions that optimize your business's technology...

    Top Services:

    • IT Services
    Location
    Fremont, California
    Number of Employees
    250 - 499
    Average Hourly Rate
    $5/hr
    Minimal Budget
    $1,000 - $10,000
  • Enabling Remote Access, Efficiently & Securely

    Established in 2009, Sagenext Infotech is a US-based IT hosting company with headquarters located in Augusta, Georgia. Sagenext specializes in a comprehensive range of tax and accounting software hosting services that include but are not limited to QuickBooks, Sage Applications, Drake Tax Software, UltraTax...

    Top Services:

    • Managed Services
    Location
    Augusta, Georgia
    Number of Employees
    50 - 99
    Average Hourly Rate
    $5/hr
    Minimal Budget
    Under $1,000
  • Virtual Assistant Services That Give You Your Time Back

    Ellite Assistant is a professional remote staffing and virtual assistant services company that provides dedicated remote support to businesses. The company helps business owners and teams delegate administrative, customer service, sales, marketing, technical, research, and operational tasks to virtual...

    Top Services:

    • Business Consulting
    • Digital Services
    • HR Outsourcing
    • Customer Support
    • Managed Services
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $5/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Imagination encircles the world.

    The Apple Consultants Network partner that solves both internal and client facing technology problems. Creatively!...

    Top Services:

    • Cybersecurity
    • IT Services
    • Managed Services
    Location
    Phoenix, Arizona
    Number of Employees
    50 - 99
    Average Hourly Rate
    $1/hr
    Minimal Budget
    $50,000 & Up
  • Efficient, Secured & Managed Cloud Hosting.

    AccuWeb Cloud provides comprehensive cloud hosting solutions with a wide range of features, all offered at competitive and affordable prices. Our commitment to delivering reliable and scalable cloud infrastructure ensures that businesses of all sizes can access top-tier hosting services without compromising...

    Top Services:

    • Cloud Consulting
    • IT Services
    • Managed Services
    • IT Compliance Solution
    • DevOps Consulting
    • Show more
    Location
    Old Tappan, New Jersey
    Number of Employees
    50 - 99
    Average Hourly Rate
    $1/hr
    Minimal Budget
    Under $1,000
  • Innovating Your Business

    Ray Business Technologies is a global IT Services company providing full-spectrum software development and consulting services...

    Top Services:

    • DevOps Consulting
    • Managed Services
    • CRM Consulting
    • Cloud Consulting
    • IT Services
    • Show more
    Location
    Plano, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $1/hr
  • Performance Driven. Decision Led.

    We are Salesforces #1 Choice to Deliver Outstanding Data Cloud Projects to their Customers...

    Top Services:

    • Cloud Consulting
    • CRM Consulting
    • Big Data Analytics
    • Managed Services
    • Mobile App Development
    • Show more
    Location
    New York City, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $1/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Supply Chain Traceability Software

    TransGenie is an end-to-end supply chain traceability platform that helps businesses track products, ingredients, batches, lots, suppliers, and shipments from source to consumer...

    Top Services:

    • Software Development
    • IT Compliance Solution
    • ERP Consulting
    • Managed Services
    • Logistics
    • Show more
    Location
    Delaware City, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $1/hr
    Minimal Budget
    Under $1,000

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
129,656+
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
686

Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.

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Managed IT Services FAQs

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) 

TypeWhat It CoversBest For
Pure-Play MSPsCore IT operations like monitoring, maintenance, patching, and system support Small to mid-sized businesses needing reliable day-to-day IT management 
Staffing-Led MSPsManaged IT services combined with IT staff augmentationCompanies that need flexible capacity or temporary technical expertise
High-Level (Strategic) MSPsEnd-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: 

  1. Predictable IT costs
    Fixed or subscription-based pricing reduces budget uncertainty and unexpected expenses.
  2. Access to specialized expertise
    On-demand support across infrastructure, cloud, security, and compliance.
  3. 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.
  4. 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. 
  5. Simplified compliance support
    Built-in processes ensure you meet regulatory requirements like HIPAA and PCI DSS.
  6. Optimized technology management 
    Guidance on selecting, maintaining, and updating systems helps you avoid waste.
  7. 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: 

AspectStaff AugmentationManaged Services
Primary purposeFill skill or capacity gapsFully manage defined IT functions 
ControlClient retains full controlProvider owns delivery and outcomes
Engagement typeShort-term or project-basedUsually ongoing, long-term partnership
AccountabilityClient manages performanceProvider accountable via SLAs
Team integrationWorks as part of your in-house teamOperates as an external IT owner
Cost structureHourly or contract-basedTypically 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