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 × Health Care × $50,000 & Up × Clear Filters
  • Azumo

    Verified Verified 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
  • Codal

    Verified Verified by the DesignRush team for authenticity and credibility. Award Winner Recipient of a Best Design Award for outstanding work.

    Accelerating growth through cutting-edge, data-driven strategies and solutions

    Codal is based in Illinois, in the United States, delivering digital transformation and managed IT services from its Chicago headquarters. The agency operates across applications, hosting and cloud infrastructure, network security, and IT budgeting with a team of 250-499 employees. Codal built a maintenance...

    Top Services:

    • Web Development
    • eCommerce Development
    • Software Development
    • Web Design
    • UI/UX Design
    • Show more
    Location
    Chicago, Illinois
    Number of Employees
    250 - 499
    Average Hourly Rate
    $145/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    7 Projects Listed

    Codal Services

    • Web Development
    • eCommerce Development
    • Software Development
    • Web Design
    • UI/UX Design
    • Digital Strategy
    • Managed Services
    • CRO
    • Mobile App Development
    • DevOps Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Samsung
    • Pepsi
    • Charles Schwab
    • Mark Cuban Cost Plus Drugs Company
    • Hertz
    • Garrett Popcorn
    • cpap.com
    • Mt. Hood Meadows
    • SITKA Gear
    • CarParts.com
    Data sourced from the agency's DesignRush profile

    Codal Reviews & Testimonials

    • Marco  Omeara
      Marco Omeara Marketing Director at Sports Tech Platform
      5.0

      Web Development Review from Marco Omeara

      Codal is fantastic. They have set up a great platform and then respond quickly and effectively when issues arise.

    • Nicky  Sewart
      Nicky Sewart Project Manager at HEM
      5.0

      Software Development Review from Nicky Sewart

      Great company, have worked with Codal for a number of years. Very smart guys, detail orientated and deliver what they promised. Definitely recommend working with them.

    • Valentino  Stebbings
      Valentino Stebbings CEO at HJ
      5.0

      Software Development Review from Valentino Stebbings

      It was a great experience working with Codal. The team that was assign to me treated me and gave me so much info to help me with my Healthcare Startup. This company was what I was looking for and they mad my ideal come to life.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Full Service - Mobile App, Software & Web Development Company

    Mystic Media is a full-service technology agency specializing in custom software, mobile app, web, and firmware development. Our experienced team works closely with startups, growing businesses, and enterprise organizations...

    Top Services:

    • Mobile App Development
    • Software Development
    • Web Development
    • AI Development
    • Cloud Consulting
    • Show more
    Location
    Sandy, Utah
    Number of Employees
    Under 49
    Average Hourly Rate
    $160/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    12 Projects Listed

    Mystic Media Services

    • Mobile App Development
    • Software Development
    • Web Development
    • AI Development
    • Cloud Consulting
    • Digital Services
    • Web Design
    • Managed Services
    • VR/AR
    • Blockchain
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • KT Tape
    • Tata Chemicals
    • Won-Door
    • BioWave
    • QuickShot Supply
    • Bean Trailer
    • Bingoat
    • Western Line Constructors
    • Huck It
    • Monarch Education
    Data sourced from the agency's DesignRush profile

    Mystic Media Reviews & Testimonials

    • Makaila Malungahu
      Makaila Malungahu Owner at Evntori
      5.0

      Mobile App Development Review from Makaila Malungahu

      Working with Chris and Mystic Media was the best decision. They designed and built our peer-to-peer wedding and event rentals app from scratch, and it looks and works great! We're super happy with our project!

    • Makaila Malungahu
      Makaila Malungahu Review from Google
      5.0

      Makaila Malungahu's Review Sourced from Google

      Working with Chris and Mystic Media has been great for our huge app development project and excited to continue working with them. Don't hesitate to reach out to them!

    • Bryan Pratt
      Bryan Pratt Review from Google
      5.0

      Bryan Pratt's Review Sourced from Google

      Mystic Media has been excellent to work with, offered great value, and their expertise and project management has been evident throughout the development process. We hired Mystic to take an idea and concept drawings through UI/UX and graphic design, programming and development, all the way to the market. They have met or exceeded all milestones, even with significant additions to scope along the way. We're currently in beta testing before release, and we are very satisfied with the entire experience. Mystic has earned my unqualified endorsement for anyone looking to develop their first app with them, as we have done.

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

    Sombra Services

    • AI Development
    • Software Development
    • Mobile App Development
    • Cloud Consulting
    • Big Data Analytics
    • Managed Services
    • DevOps Consulting
    • IT Services
    • Staff Augmentation
    • Cybersecurity
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • ITC Complience
    • International Farming
    • Studio Ninja
    • Wineshipping
    • Datacubed Health
    • Waterford.org
    • On Location
    • Wifinity
    Data sourced from the agency's DesignRush profile

    Sombra Reviews & Testimonials

    • Orysia Marukhno
      Orysia Marukhno Review from Google
      5.0

      Orysia Marukhno's Review Sourced from Google

      A wonderful place for work. The atmosphere is very cozy and comfortable. People and friendly and helpful. Guys, you are great.

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

    Supercharge Services

    • Software Development
    • AI Development
    • Digital Services
    • Product Design
    • Mobile App Development
    • Digital Strategy
    • IoT
    • UI/UX Design
    • Software Testing
    • Managed Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Britned
    • Eleclink
    • gateretail
    • OTP Bank
    • Kodak Alaris
    • Deutsche Telekom
    • Vodafone
    • Santander
    • VYRD
    • Cambridge Mobile Telematics
    Data sourced from the agency's DesignRush profile
  • 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

    SPsoft Services

    • AI Development
    • Software Development
    • Big Data Analytics
    • Cloud Consulting
    • DevOps Consulting
    • Web Development
    • Mobile App Development
    • Staff Augmentation
    • Managed Services
    • Cybersecurity
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • WellStack
    • Ciba Health
    • Quintuple Aim Solutions
    • Vironix Health
    • Psytech International
    • SwitchBack
    • Healthie
    • Observia
    Data sourced from the agency's DesignRush profile
  • 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

    FortéNext Services

    • Managed Services
    • Staff Augmentation
    • Creative Services
    • Product Design
    • CRM Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • SoundOff Signal
    • First Call Parts
    • ManocoBlue
    • Ovation Medical
    • Upland
    • Procure Impact
    • Zesco
    • Armor Express
    • MyCo
    • PTI Security Systems
    Data sourced from the agency's DesignRush profile
  • Enterprise-Level Custom Software Development

    Aptera is a custom software development company which specializes in developing programs, websites, and mobile apps for enterprise-level companies. The company has worked closely with many different businesses and has successfully helped its clients move forward with all of their digital pursuits...

    Top Services:

    • Big Data Analytics
    • IT Services
    • Managed Services
    • Cybersecurity
    • UI/UX Design
    • Show more
    Location
    Fort Wayne, Indiana
    Number of Employees
    50 - 99
    Minimal Budget
    $50,000 & Up

    Core BTS Services

    • Big Data Analytics
    • IT Services
    • Managed Services
    • Cybersecurity
    • UI/UX Design
    • Software Development
    • Web Design
    • IoT
    • eCommerce Development
    • Mobile App Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Zip's
    • Nashville Wraps
    • The Papers
    • Nucor
    • Tenet Health
    • VolCorp
    • Do it Best
    • PHP
    • Franklin Electric
    • Red Gold Tomatoes
    Data sourced from the agency's DesignRush profile

    Core BTS Reviews & Testimonials

    • Corey Rader
      Corey Rader Review from Google
      5.0

      Corey Rader's Review Sourced from Google

      An awesome company that gives back to Fort Wayne. Their kindness and skill is sometimes hard to find.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Empowering Enterprises With Next-Generation Automation Solutions

    Auxiliobits is a global software consulting and artificial intelligence advisory company. Auxiliobits drives digital transformation by reinventing enterprise operations through hyper automation and AI-enabled applications...

    Top Services:

    • DevOps Consulting
    • Business Consulting
    • Market Research
    • Managed Services
    • IT Services
    • Show more
    Location
    Mechanicsburg, Pennsylvania
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $50,000 & Up

    Auxiliobits, Inc. Services

    • DevOps Consulting
    • Business Consulting
    • Market Research
    • Managed Services
    • IT Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Thrivelab
    • AppDirect, Inc.
    • Forvia
    • My Water Filter
    Data sourced from the agency's DesignRush profile
  • 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

    Persistent Services

    • AI Development
    • Software Development
    • Web Development
    • Mobile App Development
    • Blockchain
    • Cybersecurity
    • Managed Services
    • IT Services
    • Big Data Analytics
    • Cloud Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • GB Bank
    • Qapita
    • Vermont
    Data sourced from the agency's DesignRush profile

    Persistent Reviews & Testimonials

    • Sundeep Patel
      Sundeep Patel Review from Google
      5.0

      Sundeep Patel's Review Sourced from Google

      Persistent Systems Ltd is a global software company that provides innovative software solutions to clients worldwide. The Bhageerath office is one of the company's offices located in Pune, India. As an employee of Persistent Systems Ltd, I have had the opportunity to work at this office and experience its work culture, facilities, and environment. Work Culture: The work culture at Persistent Systems Ltd Bhageerath office is excellent. The company values its employees and provides a supportive environment that encourages creativity, innovation, and collaboration. The office has an open-door policy, and employees are encouraged to share their ideas and opinions freely. The management is approachable and provides ample opportunities for career growth and development. Facilities: The Bhageerath office has excellent facilities that cater to the needs of its employees. The office is spacious and well-equipped with state-of-the-art technology and infrastructure. The office has a modern cafeteria that serves a variety of delicious food and beverages. The office also has a gymnasium, a recreation room, and a meditation center, which are available to employees to use during their free time. Environment: The environment at Persistent Systems Ltd Bhageerath office is conducive to work. The office is located in a peaceful and quiet area, away from the hustle and bustle of the city. The office is surrounded by lush greenery and has a beautiful view of the nearby hills. The office has an eco-friendly policy and encourages its employees to adopt sustainable practices. Employee Experience: As an employee of Persistent Systems Ltd Bhageerath office, my experience has been excellent. The company provides a supportive and inclusive work environment that values its employees. The facilities and amenities provided by the company are top-notch, which makes it a great place to work. The company also provides ample opportunities for career growth and development. Conclusion: In conclusion, Persistent Systems Ltd Bhageerath office is a great place to work. The work culture is excellent, and the company values its employees. The facilities and amenities provided by the company are top-notch, which makes it a comfortable and enjoyable place to work. The environment is conducive to work, which makes it an ideal location for an office. Overall, it is a highly recommended place to work.

    • Harshad N
      Harshad N Review from Google
      5.0

      Harshad N's Review Sourced from Google

      Well known IT company in Pune. Founded and managed by Dr Deshpande. Persistent family known for their social service along with the core business in IT sector..

    • Praveen Soni
      Praveen Soni Review from Google
      5.0

      Praveen Soni's Review Sourced from Google

      One of the best IT company in pune. Location and offices are best. Personally I likes the name of buildings.

    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) 

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: 

  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: 

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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