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 × Fintech × $50,000 & Up ×Clear Filters
  • Azumo

    VerifiedVerified by the DesignRush team for authenticity and credibility.

    Build Intelligent Apps for Web, Mobile, Data, AI and Cloud

    Azumo is based in California, in the United States, delivering AI development and nearshore engineering for managed IT services. Founded in 2016 with 100-249 employees, the firm maintains partnerships averaging 3.2 years with clients including Facebook, Omnicom, United Health and Discovery Channel.The San...

    Top Services:

    • AI Development
    • Software Development
    • Staff Augmentation
    • Mobile App Development
    • Big Data Analytics
    • Show more
    Location
    San Francisco, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $55/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    9 Projects Listed

    Azumo Services

    • AI Development
    • Software Development
    • Staff Augmentation
    • Mobile App Development
    • Big Data Analytics
    • DevOps Consulting
    • Cloud Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Discovery Channel
    • Meta
    • Zynga
    • Jostens
    • Assembled Brands
    • NGL
    • NCSoft
    • Twitter
    • Horoscope.com
    • Bento
    Data sourced from the agency's DesignRush profile

    Azumo Reviews & Testimonials

    • Michael S.
      Michael S. Director at Software Development Company
      5.0★

      Software Development Review from Michael S.

      We selected Azumo to develop our software. We transitioned from another development company, so Azumo was initially responsible for migrating our existing code and environments. We are currently still working with Azumo as our nearshore software development team on adding new items to our software.

    • Anonymous
      Anonymous CTO at Healthcare Company
      5.0★

      UI/UX Design Review from Anonymous

      Azumo helped us migrate our existing UIs into a new framework, creating reusable components and the infrastructure needed for future development. The developer they assigned became a seamless part of our team, always punctual, responsive, and a great fit overall.

    • Anonymous
      Anonymous VP Product & Engineering at Sales & Mktg Software Company
      5.0★

      Software Development Review from Anonymous

      Thanks to Azumo’s work, our product is now more scalable, optimized, and ready for a growing user base. Their team has managed the engagement effectively, keeping us updated and addressing any challenges along the way. We’ve appreciated their constant availability and proactive communication.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Your Trusted IT Consulting Partner

    When US enterprises need rapid incident response and cybersecurity program design, CyberSec Op delivers threat hunting, digital forensics, and managed security from its New York headquarters. Ranked Top 2 Cybersecurity Consulting Worldwide by Gartner Peer Insights, the firm serves healthcare, fintech...

    Top Services:

    • Cybersecurity
    • IT Services
    • Managed Services
    Location
    New York City, New York
    Number of Employees
    50 - 99
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    5 Projects Listed
  • A global AI-first software firm focused on transforming tech challenges into business successes

    Sombra is a global AI-first software development and AI consulting partner. With 400+ experts across the US, Europe, Latin America, Canada, India, and the Middle East, we design, build, and deliver IT solutions in AI, financial services, healthcare, e-commerce, energy, logistics, and...

    Top Services:

    • AI Development
    • Software Development
    • Mobile App Development
    • Cloud Consulting
    • Big Data Analytics
    • Show more
    Location
    Denver, Colorado
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    7 Projects Listed
  • Brining symphony and development together!

    Sonatafy Technology offers a range of nearshore software development services, specializing in cloud solutions, web and mobile software applications, Google app engine development, e-commerce, big data, DevOps practices, quality assurance (QA), Internet of Things (IoT), and machine learning...

    Top Services:

    • Software Development
    • Mobile App Development
    • UI/UX Design
    • IT Services
    • Managed Services
    • Show more
    Location
    Las Vegas, Nevada
    Number of Employees
    100 - 249
    Average Hourly Rate
    $60/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    6 Projects Listed
  • Supercharge - Innovating Digital Product Development

    At Supercharge, we partner with our clients to turn disruption into opportunity by creating transformative digital solutions. With over 200 digital experts across New York, London, Amsterdam, Helsinki, Vienna, and Budapest, we develop digital strategies, design delightful interfaces, and build robust software...

    Top Services:

    • Software Development
    • AI Development
    • Digital Services
    • Product Design
    • Mobile App Development
    • Show more
    Location
    New York City, New York
    Number of Employees
    100 - 249
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    6 Projects Listed
  • Healthcare Software Development Company - AI Voice Agents

    Healthcare Software Development company. AI Solutions, Voice AI Agents, GenAI platform development, HL7 FHIR Software Development, and more...

    Top Services:

    • AI Development
    • Software Development
    • Big Data Analytics
    • Cloud Consulting
    • DevOps Consulting
    • Show more
    Location
    Wilmington, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $70/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    3 Projects Listed
  • Tech too complex? We keep it simple.

    IT teams and business leaders are often at odds. This is in large part because technologists focus on technology rather than the underlying business issue. This company was founded to bridge that gap and to allow business owners the ability to fully leverage their tech stack. We offer near shore resources...

    Top Services:

    • Managed Services
    • IT Services
    • DevOps Consulting
    • Staff Augmentation
    • AI Development
    • Show more
    Location
    Bellingham, Washington
    Number of Employees
    100 - 249
    Average Hourly Rate
    $80/hr
    Minimal Budget
    $50,000 & Up
  • Trusted By The USA's Leading B2B Brands

    FortéNext is a certified Salesforce partner based in the USA, delivering over two decades of expertise in implementing, augmenting, and managing Salesforce solutions for industries including manufacturing, healthcare, retail, distribution, and fintech. Alongside its core implementation, managed services, and...

    Top Services:

    • Managed Services
    • Staff Augmentation
    • Creative Services
    • Product Design
    • CRM Consulting
    • Show more
    Location
    Boca Raton, Florida
    Number of Employees
    100 - 249
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $50,000 & Up
  • 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
  • See Beyond, Rise Above.

    Persistent Systems, a renowned global leader in software product development and technology services. Delve into our innovative offerings to stay ahead in the ever-evolving landscape of technology...

    Top Services:

    • AI Development
    • Software Development
    • Web Development
    • Mobile App Development
    • Blockchain
    • Show more
    Location
    Santa Clara, California
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $50,000 & Up

Why companies trust DesignRush

Every agency is independently vetted before it can be listed or ranked

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We review agency work, case studies, and results to confirm skill.

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Agencies verified
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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