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
7 Companies-Rankings updated: September 05, 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.
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
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
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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
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 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 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
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
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
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 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 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 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
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
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 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 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 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
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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