Our US-based directory highlights the best call answering service providers, evaluated through five ranking criteria and vetted by 12 experts using 200+ verified client reviews. This gives you a trustworthy way to select the most suitable inbound call center services for your needs.  

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 ×
  • We Focus On Customer Service So You Can Focus On Your Business.

    Five Star Solutions is a premier, mid-sized contact center outsourcer dedicated to delivering world-class customer care. By blending boutique-level agility with enterprise-grade capabilities, the company serves as a seamless extension of its clients' brands...

    Top Services:

    • Business Consulting
    • Call Centers
    • BPO
    • Phone Answering Services
    • Show more
    Location
    Sioux Falls, South Dakota
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $50,000 & Up
  • For Every Voice, We Deliver a Solution

    We help businesses connect with their customers through fast, friendly and reliable communication...

    Top Services:

    • BPO
    • Call Centers
    • Customer Support
    • Phone Answering Services
    • Show more
    Location
    Denver, Colorado
    Number of Employees
    250 - 499
    Average Hourly Rate
    $8/hr
    Minimal Budget
    $1,000 - $10,000
  • When You Succeed, We Succeed

    IT Advisors Online (ITAdOn) is a growing team of technology experts who are passionate about helping companies like yours boost their effectiveness. Join ITAdOn today and grow your business. When you succeed, we succeed!...

    Top Services:

    • IT Services
    • Managed Services
    • HR Outsourcing
    • UI/UX Design
    • IT Compliance Solution
    • Show more
    Location
    Philadelphia, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    1 Project Listed
  • To Increase Communication and Productivity Between Vendors and Practices

    Founded in 2013, MD Internet Marketing has become a trusted partner in providing tailored digital marketing solutions for board-certified plastic surgeons. The company was established by a founder with extensive experience as a practice administrator for multiple successful aesthetic practices, bringing a...

    Top Services:

    • Reputation Management
    • Digital Strategy
    • Digital Marketing
    • Phone Answering Services
    • Social Media Marketing
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $200/hr
    Minimal Budget
    $1,000 - $10,000
  • Best Option For Nearshore Call Center Services

    We provide fully turnkey solutions handling legal setup, HR, payroll, accounting, compliance, facilities, and day-to-day supervision so our clients can focus exclusively on sales, growth, and performance. Write everything around this idea , this is the core service we offer...

    Top Services:

    • BPO
    • Call Centers
    • HR Outsourcing
    • Phone Answering Services
    • Customer Support
    • Show more
    Location
    Chula Vista, California
    Number of Employees
    100 - 249
    Average Hourly Rate
    $15/hr
  • SMEs' Premier Outsourcing Ally: Your #1 Choice

    Big Outsource, a leading BPO company, specializes in outsourcing solutions, from project-based services to virtual captive centers. Our expertise spans creative, technical support, and IT disciplines, making us your trusted partner for outsourcing excellence...

    Top Services:

    • BPO
    • Call Centers
    • Customer Support
    • Phone Answering Services
    • Accounting
    • Show more
    Location
    New York City, New York
    Number of Employees
    250 - 499
    Minimal Budget
    $1,000 - $10,000
  • Our VAs Build Automation For You

    GoJarvis matches growing businesses with pre-trained virtual assistants who handle operations, sales support, and inbox management — while building custom automations that make your business run faster...

    Top Services:

    • BPO
    • HR Outsourcing
    • Customer Support
    • Phone Answering Services
    • Business Consulting
    • Show more
    Location
    Brea, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Caribbean roots, global reach.

    Founded in 2020, Oversea Staffing Solutions LLC has emerged as a leading call center staffing agency in the Caribbean, bridging the gap between world-class bilingual talent and forward-thinking businesses...

    Top Services:

    • BPO
    • Call Centers
    • Market Research
    • Phone Answering Services
    • HR Outsourcing
    • Show more
    Location
    Lithia Springs, Georgia
    Number of Employees
    50 - 99
    Average Hourly Rate
    $11/hr
    Minimal Budget
    $1,000 - $10,000
  • Experience You Can Trust

    Star Billing Solutions is a medical billing and revenue cycle management (RCM) company that helps healthcare providers improve financial performance through accurate, compliant, and efficient billing services. The company specializes in streamlining billing workflows, reducing claim denials, and accelerating...

    Top Services:

    • BPO
    • Customer Support
    • Transcription Services
    • Phone Answering Services
    • CRM Consulting
    • Show more
    Location
    Phoenix, Arizona
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Outsource With Confidence

    Platonics provides cost-effective medical staffing solutions with HIPAA-trained remote staff. Build your ideal team and save up to 75% on staffing costs...

    Top Services:

    • Call Centers
    • BPO
    • IT Compliance Solution
    • Transcription Services
    • Phone Answering Services
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $5/hr
    Minimal Budget
    Under $1,000
  • Flexible. Scalable. Exceptional

    ContactWorks is high value / high touch contact center outsourcing business that has a 20+ year history of providing great customer support. We deliver value in a wide range of services including customer service, technical support and client acquisition...

    Top Services:

    • Customer Support
    • Managed Services
    • IT Services
    • BPO
    • Call Centers
    • Show more
    Location
    Austin, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $28/hr
    Minimal Budget
    $1,000 - $10,000
  • AI systems and custom websites for service businesses. Built for you, owned by you.

    SuperDupr is an Austin, TX studio that builds AI systems and custom websites for service businesses. We build AI voice agents and receptionists, lead follow-up that responds in under 60 seconds, scheduling AI, workflow automation, and multi-agent systems, plus hand-coded websites built for speed and AI...

    Top Services:

    • AI Development
    • Software Development
    • Mobile App Development
    • Web Development
    • AEO
    • Show more
    Location
    Austin, Texas
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Montana built websites and AI agents that turn visitors into booked calls.

    Black Peak Studio is a Kalispell, Montana web design and AI studio that builds fast, custom websites and AI agents for small businesses. We hand code every site (no templates) for speed, mobile performance, and clean SEO, then layer in AI chat and voice assistants that answer questions and book appointments...

    Top Services:

    • Web Design
    • Web Development
    • AI Development
    • SEO
    • Software Development
    • Show more
    Location
    Kalispell, Montana
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $1,000 - $10,000
  • Intelligence. Forged

    Gradient Forge Studio builds intelligent automation and digital infrastructure for contractors and home-service businesses.We identify the friction that costs businesses time, leads, and revenuethen engineer systems to eliminate it. Our flagship platform, FORGE Assist, provides 24/7 intelligent call and...

    Top Services:

    • AI Development
    • Business Consulting
    • Digital Services
    • Digital Strategy
    • Video Production
    • Show more
    Location
    Schaumburg, Illinois
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    Under $1,000
  • Specialty-Focused Medical Billing That Boosts Revenue Fast and Easily

    At Billing Care Solutions, we help healthcare organizations strengthen their revenue cycle, improve billing efficiency, and gain greater control over financial performance...

    Top Services:

    • VR/AR
    • CRM Consulting
    • ERP Consulting
    • Business Consulting
    • Investment
    • Show more
    Location
    Sheridan, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000
  • Where Ideas Turn Into Scalable Products.

    CoderzHub is a digital agency that offers services ranging from website development, mobile app development, custom software developement and digital marketing...

    Top Services:

    • Mobile App Development
    • Web Development
    • eCommerce Development
    • Software Development
    • WordPress Website Design
    • Show more
    Location
    Plano, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • Intugo is an Employer of Record and Infrastructure provider that enables companies to establish an extension of their existing operations with dedicated talent from Mexico and recruited to their specific requirements...

    Top Services:

    • BPO
    • Business Consulting
    • Market Research
    • Call Centers
    • HR Outsourcing
    • Show more
    Location
    Tucson, Arizona
    Number of Employees
    1000 & Up
  • Boost Your Customer Reviews Today

    At Convuent, we understand that reviews and mentions can make or break a business. That's why we offer a suite of tools designed to help you get more customer reviews, showcase your best ones, and mitigate any negative ones already out there...

    Top Services:

    • BPO
    Location
    San Clemente, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • World-class outbound solutions in the US

    Since 2015, SSR Techvision has provided top-quality outsourcing services, including Back Office Support, Call Center Operations, Sales & Business Development, Healthcare Support, and E-commerce Solutions, across India and the US...

    Top Services:

    • BPO
    • Call Centers
    • Phone Answering Services
    • Business Consulting
    • Customer Support
    • Show more
    Location
    Tupelo, Mississippi
    Number of Employees
    100 - 249
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
  • Outsourced Answering Service For Dispatch

    Dispatching Answering Service provides 24/7/365 dispatch support and phone answering support for transport and service-based businesses. We help small and mid-sized businesses stay connected with their customers while also offering free digital marketing services to improve online visibility and growth...

    Top Services:

    • Phone Answering Services
    • Call Centers
    • Customer Support
    • Digital Marketing
    • SEO
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $6/hr
    Minimal Budget
    $1,000 - $10,000
  • Realise your potential

    We are one of India's leading contact centre company catering to US, UK, Australia, India, Middle East & South East Asia markets. Our core domains are Fintech, Healthtech, Edtech, Wellness, Healthcare, Ecommerce, FMCG, BFSI, Education among other domains...

    Top Services:

    • Call Centers
    • BPO
    • Phone Answering Services
    • Customer Support
    • Business Consulting
    • Show more
    Location
    Lewisville, Texas
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Driven by Excellence

    iRapidO Global is a Business Process Management organization delivering scalable back-office and operational support to growing businesses worldwide. We combine domain expertise, structured process frameworks, automation, and AI-enabled tools to help companies improve efficiency, control costs, and focus on...

    Top Services:

    • Accounting
    • BPO
    • Business Consulting
    • Call Centers
    • HR Outsourcing
    • Show more
    Location
    Raleigh , North Carolina
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $50,000 & Up
  • Get ahead of the competition

    On a transformational day in 2016, Virtusa Corporation joined forces with Polaris Consulting & Services Limited to form the powerful new brand - VirtusaPolaris. With this union, we have combined diamond-sharp software engineering skills and deep industry knowledge that is sure to unlock groundbreaking...

    Top Services:

    • Call Centers
    • Customer Support
    • Cloud Consulting
    • UI/UX Design
    • Web Design
    • Show more
    Location
    Westborough, Massachusetts
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000

Phone Answering Services by City

Phone Answering Services by State

Phone Answering Services Specializations in the US

Popular Services

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
129,437+
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
73

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

See how rankings and monetization work.

Call Answering Services FAQs

What types of businesses usually use professional call answering services in the USA?

Establishments that handle a lot of time-sensitive calls often rely on inbound call center services, including: 

  • Small businesses: According to Dialzara, each missed call can cost small businesses anywhere from $100 to $1,200, depending on the industry. Over time, missed calls can quickly add up to significant lost revenue and missed growth opportunities. 
  • Healthcare clinics: Heavy patient call volume and strict HIPAA requirements drive demand for reliable call handling. Answer Our Phone reports that healthcare providers make up about 17% of all answering service users. 
  • Legal firms: Quick responses to new client inquiries are critical to securing new cases. As users, legal practices represent 32% of phone answering service providers. 
  • Home services: Trades like plumbers and electricians often handle urgent service requests. Phone calls convert to revenue 10 to 15 times more than traditional web leads. 
  • eCommerce: Retailers use phone support to resolve product and order issues quickly, helping reduce cart abandonment. 
  • Startups: Early-stage companies need reliable call coverage despite limited staff to capture leads and inquiries. 
  • B2B service providers: They rely on timely phone responses for scheduling, support, and lead qualifications. 
  • Real estate agencies: Agents use call support to manage inquiries and book property viewings when unavailable. 

What services do most phone answering providers offer?

Most providers offer: 

  • Live call answering: Responding to callers in real time instead of voicemail, ensuring callers reach a real person. 
  • Message taking: Capturing caller details accurately when staff are unavailable, so no inquiries or leads are lost. 
  • Call routing: Directing calls to the correct person or department to reduce delays and miscommunication. 
  • Appointment scheduling: Booking meetings or service appointments on behalf of the business for call-driven operations. 
  • After-hours support: Covering calls outside regular business hours when internal teams are unavailable. 
  • Overflow handling: Managing extra call volume during peak periods to prevent long wait times and missed calls. 
  • Basic customer support: Answering common questions and providing general assistance to maintain a consistent customer experience.

How much do inbound call center services cost in the US?

Pricing in the US varies depending on call volume, features, and the level of support a business needs. On average, an answering service provider will charge between $0.80 per minute and $1.17 per minute. 

The figures below are averages compiled from multiple industry sources. 

  • Entry-level:$75–$200 per month, typically covering basic live call answering and limited minutes. 
  • Mid-tier: $100–$600 per month, offering more minutes along with services like call routing, message taking, and appointment scheduling. 
  • Premium/high-volume: $1,500+ per month, usually for businesses that require extensive coverage, custom workflows, dedicated agents, or complex call handling. 

The pricing schemes you can choose from when using an answering service include:  

  • Pay by the minute 
  • Pay per call 
  • Monthly subscription 

What additional costs should I expect from these providers?

Beyond the base monthly fee, many providers charge for add-ons or higher usage. Extra costs may include: 

  • Call volume overages: Fees are applied when you exceed the number of minutes or calls included in your plan. 
  • Bilingual support: Often English-Spanish in the US, typically priced as a premium due to specialized staffing. 
  • CRM integration: Additional charges for syncing call data or setting up custom workflows with customer management systems. 
  • Appointment booking: Higher fees because booking calls require more agent time and detailed handling. 
  • Weekend or after-hours coverage: Coverage outside standard business hours is sometimes billed separately. 
  • Dedicated agents: A significant cost increase for businesses that require consistent or specialized representatives. 

How quickly can a professional phone answering service be set up?

Most inbound call centers can onboard new clients within a few days to about one week for straightforward setups, including basic scripts, call handling instructions, routing rules, and testing.  

This timeline suits businesses with minimal customization.  

More complex requirements, such as detailed scripts, multi-step call flows, CRM or scheduling integrations, or compliance needs, can extend onboarding to one to two weeks or more, particularly in regulated industries like healthcare or legal.