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 × Health Care ×
  • AI, Cloud, Cybersecurity & Enterprise Software Solutions

    Medro Inc is a technology consulting and software development company helping businesses accelerate growth through AI, Cloud computing, cybersecurity, managed IT services, and enterprise software solutions. Operating across the United States and India Through Medro Hi-Tech Symbol Private Limited, we partner...

    Top Services:

    • AI Development
    • Software Development
    • Cloud Consulting
    • Cybersecurity
    • IT Services
    • Show more
    Location
    Austin, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • WNY's Premier Provider of Professional Business Technology Services

    Network Services, LLC is a business technology solutions provider and IT support company in the Western New York area...

    Top Services:

    • IT Services
    Location
    Buffalo, New York
    Number of Employees
    Under 49
  • Your Valuable Productivity & Collaboration Partner

    Worksighted stands at the crossroads of productivity and collaboration. With fresh insights, reliable processes, and unwavering support, we transform challenges into growth opportunities. Trusted since 2000, our Holland-based team is the go-to IT partner for Michigan businesses...

    Top Services:

    • IT Services
    Location
    Holland, Michigan
    Number of Employees
    100 - 249
  • Indiana's top IT services provider

    As a trusted leader in technology consulting, software development, and managed IT services, Accent Consulting specializes in serving small and mid-sized businesses...

    Top Services:

    • IT Services
    • Software Development
    Location
    Lafayette, Indiana
    Number of Employees
    50 - 99
  • Empowering Your Business with Modern IT Solutions.

    WYRE is an IT managed services provider built for the modern world. We enable businesses like yours to thrive by eliminating IT concerns. Rather than offer traditional security solutions and clunky support, WYRE provides a full suite of best-of-breed security, monitoring, and management tools that ensure data...

    Top Services:

    • IT Services
    Location
    Chattanooga, Tennessee
    Number of Employees
    Under 49
  • Bringing your vision to life through the power of technology.

    Nuvodia is a technology services organization that creates, manages, secures and supports mission-critical IT environments...

    Top Services:

    • IT Services
    • Cybersecurity
    Location
    Spokane, Washington
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000
  • We have prime focus towards our customers need.

    Prime is founded by group of highly talented IT professional. Prime develop business applications and offers outsourcing solutions. Prime Consulting goal is to to bridge the gap between right talent with right requirement...

    Top Services:

    • IT Services
    • Staff Augmentation
    • Software Development
    Location
    Tacoma, Washington
    Number of Employees
    50 - 99
  • We Make The Complexity Of IT Invisible

    STR Technologies is an IT services and managed service provider (MSP) based in Union, Missouri, serving businesses across Missouri. Founded in 2006, the company provides comprehensive IT management through a flat monthly fee and a month-to-month, no-contract model. Its approach emphasizes proactive IT...

    Top Services:

    • IT Services
    • Cybersecurity
    Location
    Union, Missouri
    Number of Employees
    Under 49
  • Experts solutions, just for you!

    A boutique cyber security consultancy firm that specializes in application security, cloud security, DevSecOps, threat modelling with focus on small businesses and startups. Also, provide multiple unique solutions like CyberRISK4Board and cyber risk management consulting...

    Top Services:

    • Cybersecurity
    • Cloud Consulting
    • Blockchain
    • Managed Services
    • Software Testing
    • Show more
    Location
    Nashua, New Hampshire
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $10,000 - $25,000
  • Accelerating TrustedAI adoption.

    DataCouch is a global AI capability partner delivering AI consulting, enterprise training, managed services, and TrustedAI solutions for Fortune 500 organizations worldwide...

    Top Services:

    • Big Data Analytics
    • Cloud Consulting
    • DevOps Consulting
    • IT Services
    • AI Development
    • Show more
    Location
    Cheyenne, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $99/hr
    Minimal Budget
    $1,000 - $10,000
  • Think-Do-Achieve

    Emorphis Technologies is a software development company having offices in the USA, UK, in India, offering its services for Digital transformation in enterprise mobility solutions, cloud computing services, backend development, salesforce consulting services, healthcare software development and more...

    Top Services:

    • Software Development
    • Software Testing
    • Mobile App Development
    • Wearables
    • IT Services
    • Show more
    Location
    Broadlands, Virginia
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Dream It, Code It, Conquer It

    FX31 Labs is a technology innovation partner specializing in AI, Blockchain, IoT, and custom software development. With 25+ years of leadership, we help startups, scale-ups, and enterprises accelerate growth through MVP development, scalable tech teams, and software outsourcing. Our agile approach ensures...

    Top Services:

    • Staff Augmentation
    • IT Services
    • HR Outsourcing
    • IT Compliance Solution
    • Managed Services
    • Show more
    Location
    Millburn, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $25,000 - $50,000
  • 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
  • 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
  • One Ecosystem Every Salesforce Possibility

    BM Cloud Consultancy is ultimate solution provider of salesforce cloud services, staffing and augmentation and Salesforce Training and Development...

    Top Services:

    • CRM Consulting
    • ERP Consulting
    • Staff Augmentation
    • Cloud Consulting
    • IT Services
    • Show more
    Location
    California City, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    1 Project Listed
  • 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
  • Turn Your Digital Dreams Into Reality

    PIT Solutions is a technology-driven digital services provider with a people-first culture and a proven track record of delivering impactful solutions...

    Top Services:

    • Web Development
    • UI/UX Design
    • IT Services
    • Managed Services
    • Mobile App Development
    • Show more
    Location
    Bellevue, Washington
    Number of Employees
    500 - 999
    Average Hourly Rate
    $35/hr
  • Your Strategic IT Consulting & Technology Partner

    Iqra Technology is a leading IT consulting and software development company delivering cost-effective, high-quality, and scalable technology solutions that help organizations accelerate their digital transformation. Since 2016, we have successfully delivered 1,000+ projects...

    Top Services:

    • CRM Consulting
    • ERP Consulting
    • Big Data Analytics
    • Managed Services
    • IT Services
    • Show more
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Average Hourly Rate
    $15/hr
  • Transform Your Business with Our End-to-End IT Solutions.

    Chipsy Information Technology Services Pvt Ltd. offers comprehensive IT solutions, including expert consulting, mobile app development (VitalBase is an ABDM-enabled hospital management information system), application development, school management systems, and DevOps services...

    Top Services:

    • Mobile App Development
    • IT Services
    • Cloud Consulting
    • DevOps Consulting
    • Software Development
    • Show more
    Location
    San Francisco, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $12/hr
  • Data Activated. Solutions Delivered

    Data and AI engineering at exchange-grade scale enterprise data platforms, cloud, and production AI from a Cloudera Premier Partner with 250+ engineers...

    Top Services:

    • AI Development
    • Big Data Analytics
    • Software Development
    • Cloud Consulting
    • IT Services
    • Show more
    Location
    Newark, Delaware
    Number of Employees
    100 - 249
    Minimal Budget
    $25,000 - $50,000
  • Driving Next Generation Innovation.

    Techechelons provides expert digital solutions in DevOps, Mobile & Web, Startup Services, eCommerce, Staff Augmentation, and more, leveraging over 12 years of experience to empower client success. With our comprehensive suite of services, we ensure that your digital needs are met efficiently and effectively...

    Top Services:

    • Mobile App Development
    • Web Development
    • eCommerce Development
    • WordPress Website Design
    • Software Development
    • Show more
    Location
    McLean, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $45/hr
    Minimal Budget
    $10,000 - $25,000
  • 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

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
129,495+
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
408

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

See how rankings and monetization work.

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