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. 

United States × Professional Services × $1,000 - $10,000 ×Clear Filters
  • We Run the Revenue, You Run the Practice

    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
      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
      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
  • Dependable IT Services and Cybersecurity Solutions for Ohio Businesses

    Astute Technology Management delivers IT and cybersecurity solutions that empower people and boost productivity. With expert support, cloud, backup, and compliance, our certified team ensures fast, reliable service through a people-first approach...

    Top Services:

    • Managed Services
    • IT Services
    • Cybersecurity
    • Cloud Consulting
    • IT Compliance Solution
    • Show more
    Location
    Dublin, Ohio
    Number of Employees
    Under 49
    Average Hourly Rate
    $200/hr
    Minimal Budget
    $1,000 - $10,000

    Astute Technology Management Services

    • Managed Services
    • IT Services
    • Cybersecurity
    • Cloud Consulting
    • IT Compliance Solution
    • Staff Augmentation
    • Business Consulting
    • Customer Support
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Commercial Construction
    • Manufacturing
    • Professional Services
    • Healthcare
    Data sourced from the agency's DesignRush profile

    Astute Technology Management Reviews & Testimonials

    • Tiffany
      Tiffany Review from Google
      5.0

      Tiffany's Review Sourced from Google

      I don't use Astute, but I had to review this company because they help my husband's company. I’ve been so impressed I had to share. I often overhear my husband’s calls with the IT team at Astute, and they are consistently friendly, patient, and incredibly knowledgeable. Every issue he’s had has been resolved quickly and professionally. It’s clear they truly care about helping people. I honestly wish I had an IT department like this at my workplace!

    • A. Goff
      A. Goff Review from Google
      5.0

      A. Goff's Review Sourced from Google

      We partnered with Astute Technology Management (Astute) many years ago and the experience has been wonderful for our company. They are great IT partners who care about what they do, and I would recommend them for managed services for anyone. If you need technicians who are knowledgeable and always learning, customer service oriented, reliable, trustworthy and care about what they do, Astute is the right company.

    • Omar Lieves
      Omar Lieves Review from Google
      5.0

      Omar Lieves's Review Sourced from Google

      Astute came to the rescue when we were having major issues. They found a real solution and just a workaround. They installed and cleaned up my previous Spaghetti looking cabling for a professional, great looking install. I would recommend Astute without reservation

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Built For Serious Speed & Visitor Experience

    Neuron Web is what happens when a 20-year managed IT firm gets tired of cleaning up hacked WordPress sites and decides to build websites the right way instead. We craft fast, static-first sites for established Southern California businesses - plumbers, roofers, manufacturers, law firms - then stand behind...

    Top Services:

    • Web Design
    • Web Development
    • Managed Services
    Location
    Los Angeles, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    4 Projects Listed

    Neuron Web Services

    • Web Design
    • Web Development
    • Managed Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Ancla Plumbing
    • Qualified Technologies
    • Full Tech Ahead
    • Step Aside Stables
    • Rite-Way Roof Corp
    • Gun Boss
    • Frosty Fight Club
    Data sourced from the agency's DesignRush profile
  • Managed IT And Cybersecurity For NJ Businesses

    Nexus Ideal Solutions runs IT for businesses that depend on it but do not want to build a department to manage it. We handle managed IT, cybersecurity, network design, cloud, and backup for law firms, medical practices, schools, and professional-services firms across the Northeast and South Florida...

    Top Services:

    • Managed Services
    • IT Services
    • Cloud Consulting
    • Cybersecurity
    • IT Compliance Solution
    • Show more
    Location
    Branchburg, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000

    Nexus Ideal Solutions Services

    • Managed Services
    • IT Services
    • Cloud Consulting
    • Cybersecurity
    • IT Compliance Solution
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Cape May Car Wash
    • Kindle Auto Plaza
    • Rosa Nursing School
    Data sourced from the agency's DesignRush profile
  • Stop threats. Stay Secure

    Vision Quest is a specialized cybersecurity and managed services provider serving the Sacramento professional community. The organization focuses on solving the shortage of high-level technical talent by providing managed detection and response (MDR), endpoint protection, and network security monitoring...

    Top Services:

    • Cybersecurity
    • Managed Services
    • IT Compliance Solution
    • IT Services
    • Cloud Consulting
    • Show more
    Location
    Citrus Heights, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $200/hr
    Minimal Budget
    $1,000 - $10,000

    Vision Quest Cyber Services

    • Cybersecurity
    • Managed Services
    • IT Compliance Solution
    • IT Services
    • Cloud Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Town of Loomis
    • CFM Equipment Distributors
    • Connect Point Search Group
    Data sourced from the agency's DesignRush profile

    Vision Quest Cyber Reviews & Testimonials

    • Gabriel
      Gabriel Review from Google
      5.0

      Gabriel's Review Sourced from Google

      VisionQuest Information Services shows strong professionalism and attention to detail, especially in cybersecurity and information protection. Their commitment to secure and reliable service makes them stand out as a top-quality company.

    • James Hanley
      James Hanley Review from Google
      5.0

      James Hanley's Review Sourced from Google

      My office network crashed on Friday. VQIS was there the same day to diagnose the problem. They got it up and running the same day, and recommended a couple upgrades to insure it would not continue happening. They were out the following Monday to repair/replace the equipment.A+ for these guys, all of them know what they are doing and they had me up and running within hours of the initial phone call.THANK YOU VQIS!

    • Donna McCoy
      Donna McCoy Review from Google
      5.0

      Donna McCoy's Review Sourced from Google

      Top notch all the way! Professional yet personable. Extremely good at what they do (Mac or PC) and they explain everything in a way I can understand. VQIS does remote monthly maintenance on my work laptop (windows), as well as takes care of my family’s non-work iMacs when we have issues. I trust them so much that I’m willing to drive an hour and a half to bring them my computers if they need to fix hardware issues. Fast turn around with status updates along the way. All with a friendly attitude and a great sense of humor, which is always a plus!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • A Business Transformation And Marketing Company

    The Peña Company is an Orlando Based Business Transformation and marketing agency helping small businesses caled with enterprise grade infrastructure. True to our ethos as builders, not just consultants, we don't hand off advice we actively design, implement, and automate customized Sales, Marketing, and...

    Top Services:

    • CRM Consulting
    • Business Consulting
    • Digital Marketing
    • Email Marketing
    • Digital Strategy
    • Show more
    Location
    Winter Garden, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000

    The Pena Company Services

    • CRM Consulting
    • Business Consulting
    • Digital Marketing
    • Email Marketing
    • Digital Strategy
    • CRO
    • Managed Services
    • ERP Consulting
    • Social Media Marketing
    • Content Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Skills Therapy Clinic
    • Vince Alexander Basketball Academy
    • WholyU
    Data sourced from the agency's DesignRush profile
  • Microsoft Solutions For Smarter Growth

    Powercret is a Microsoft consulting and implementation partner helping businesses accelerate digital transformation. We specialize in Dynamics 365, Power Platform, AI & Copilot, Microsoft Azure, and SharePoint & M365. From CRM and ERP implementation to managed support and staff augmentation, we deliver...

    Top Services:

    • CRM Consulting
    • ERP Consulting
    • IT Services
    • Web Development
    • Web Design
    • Show more
    Location
    Dover, Delaware
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000

    Powercret Solutions Services

    • CRM Consulting
    • ERP Consulting
    • IT Services
    • Web Development
    • Web Design
    • UI/UX Design
    • eCommerce Development
    • Managed Services
    • Staff Augmentation
    • Software Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • iGreen
    • Revolutionary Solar
    • RADIN
    Data sourced from the agency's DesignRush profile

    Powercret Solutions Reviews & Testimonials

    • Manav Dalsania
      Manav Dalsania Review from Google
      5.0

      Manav Dalsania's Review Sourced from Google

      I've been at Powercret Solutions for a while now, and honestly, it's been a good run. There's always a mix of projects to work on so things rarely feel repetitive, and I've picked up quite a few new skills along the way. Being part of a growing company means there's always something new happening, which keeps things interesting. Overall, it's been a solid place to grow.

    • Neel Panchal
      Neel Panchal Review from Google
      1.0

      Neel Panchal's Review Sourced from Google

      Not a good company to work for. In my experience, nepotism, poor management, unnecessary pressure, and unrealistic deadlines created a toxic work environment.

    • Arpit Patel
      Arpit Patel Review from Google
      5.0

      Arpit Patel's Review Sourced from Google

      Working at Powercret Solutions has been a wonderful experience. The company provides excellent opportunities to learn, grow, and work on a variety of challenging projects, helping employees continuously enhance their technical and professional skills.One of the standout aspects of the organization is its supportive and approachable management team. The leadership encourages innovation, values employee feedback, and creates an environment where individuals are empowered to take ownership of their work.

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

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 

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