Top Medical Billing Companies in the USA

Researched by:Goodfirms Research TeamUpdated:September 14, 2026

Goodfirms has reviewed 972 Medical Billing Companies in the USA as of September 2026. The top-ranked firm is Helpware (4.9 stars, 11 verified reviews, NA, founded 2015, Lexington). Across the category, the median hourly rate is $25, median client rating is 4.7, and 30% of firms employ 50+ members. Explore the vetted Medical Billing Companies in the USA below, compare their strengths, and connect with the provider best suited to your requirements.

Goodfirms has verified 972 Medical Billing Companies in the USA - part of 1,333+ Medical Billing Companies, each passing Goodfirms' 4-step verification process (background check, client interviews, portfolio audit, ongoing quality review). Listings marked "Sponsored" are agencies that pay for premium placement - sponsorship does not affect star ratings or review content.

Top 10 at Glance

Compare the highest-ranked firms first side by side.

Rank
Company
Rating
Reviews
Hourly Rate
Team Size
Founded
Location
Action

List of Top Medical Billing Outsourcing Companies in the USA

Find a Medical Billing Companies Company Near you
Find a Medical Billing Companies Company Near you
Service
Hourly Rate
Employees
ReviewsAll Companies
Industry
Client Type
  • Hi, my name is Tara Beaudoin-Ambrose and I started Alternative Billing Solutions, LLC in 2004. When I was in high school I thought long and hard about becoming a psychologist. My high school guidance counselor was a hero in my eyes and I just adored her. Well, time went by and I realized that while ... read ABS LLC reviews & insights

    $25 - $49/hr
    10 - 49
    Portland, United States
  • We are a family owned and operated Medical Billing company since 2004. We offer a complete Medical Management software that providers can access remotely.We are a family owned and operated Medical Billing company since 2004. We offer a complete Medical Management software that providers can access remotely via the internet, as well as electronic claim ... read Accurate Billing Solutions reviews & insights

    $25 - $49/hr
    10 - 49
    Providence, United States
  • MDS of Kansas, L.L.C. (MDS) is a medical document service company located in the heart of the Midwest providing healthcare billing services, medical transcription services, EHR narrative integration, and education programs for medical scribes. MDS builds on more than 25 years of healthcare documentation experience, exceeding customer expectations. The merging of advanced technology with a ... read MDS of Kansas reviews & insights

    < $25/hr
    10 - 49
    1991
    Wichita, United States
  • Outsource Receivables, Inc. has been the premier receivables management resource for medical offices in the Midwest with offices in Mounds View, Minnesota and Chicago, Illinois. Outsource Receivables Inc. was founded as a medical collections agency. ORI has since shifted its services to provide all facets of medical billing to mid-size independent practices in the Midwest ... read Outsource receivables reviews & insights

    $25 - $49/hr
    10 - 49
    Minneapolis, United States
  • TRINITY is located in Tulsa, Oklahoma. We offer affordable and accurate medical coding and billing services across the nation. As we work with clients, we keep in mind these three guiding principles - remaining client-centered, results-oriented, and time-conscious. Our goal is to consistently provide services that meet our client's needs while ensuring the total accuracy ... read TRINITY MEDICAL CODING reviews & insights

    $25 - $49/hr
    2 - 9
    Tulsa, United States
  • Medical Office Management is a Chiropractic billing Service connecting remotely to your in-house ChiroTouch software so there is no disruption in your normal office workflow. We guarantee that we can help you realize your practice's full potential.

    $25 - $49/hr
    2 - 9
    Tulsa, United States
  • Over time, healthcare reimbursement has become more and more complex. Medical practices are, increasingly, turning to professional medical billing companies to handle and minimize reimbursement issues and accelerate cash flow. Physicians have found it cost effective to outsource their medical billing to professional medical billers. A.R.M.S. provides end –to-end medical billing services for busy physicians. ... read Accounts Receivable Medical Services reviews & insights

    $25 - $49/hr
    2 - 9
    Tulsa, United States
  • In order to use our software, all your practice needs is an internet connection and a web browser. That’s right, no software to download and no third party software. You can even run the program on the operating system of your choice, whether that be Windows ,Mac, iPad, or even Linux. With the technology that ... read AllegianceMD reviews & insights

    $25 - $49/hr
    2 - 9
    Tulsa, United States
  • You can reach your dedicated representative any time and will always be able to view claim submission, remittance advices, and numerous reports for your patients. Nationwide, mental health, physical therapy, audiology, hormone replacement (testosterone / low-t) therapy, occupational and speech therapy, pain management, physical medicine, and many other types of medical practices trust Midwest Medical ... read Midwest Medical Billing Service reviews & insights

    NA
    10 - 49
    Omaha, United States
  • Summit-Edge, Inc. has been in business since 2002, providing billing solutions to the behavioral health provider community. All solutions are based off of a powerful billing platform, which is easily configured and customized to address the special needs of counseling centers and billing services. The solutions are well-suited to higher volume billers, because of the ... read Summit - Edge Inc reviews & insights

    NA
    10 - 49
    2002
    Omaha, United States
  • We are a small family owned business located in Lincoln Nebraska, that will provide expert level medical billing services for your practice. We have over 30 years of combined experience working with multiple specialties, including certified professional coders on staff. We will ensure your practice will receive the most professional and accurate billing services possible.JKK ... read JKK Medical Billing reviews & insights

    NA
    10 - 49
    Lincoln, United States
  • Clear specializes in providing medical billing services. Let us take the stress and hassle of medical billing out of your hands and allow you to do what you do best: practice medicine and provide high-quality patient care. We have a proven formula to lower your days in A/R. We provide individualized attention to your A/R ... read Clear Healthcare Solutions reviews & insights

    NA
    10 - 49
    Omaha, United States
  • When the doors opened for Orion Healthcare Technology, Inc. in 1992, there was one simple vision…to develop and bring automation to the addictions and mental health field, making the daily tasks and procedures for clinicians easier to make the lives of their patients better. That single vision grew into what Orion is today.

    NA
    10 - 49
    1992
    Omaha, United States
  • Sophisticated Medical is a professional billing service dedicated to meeting all of the insurance and patient billing needs of your practice. We offer a variety of highly personalized services that can improve your cash flow and lower your operating expenses. Our services are specifically designed to meet the needs of individual and small group practices. ... read Sophisticated Medical reviews & insights

    NA
    10 - 49
    Omaha, United States
  • HHS Solutions is a customized billing and consulting company designed to meet your needs in the constant changing healthcare world. Our medical billing consultants understand the complexities involved in the healthcare field today. We formulate a plan that is tailor made to help you achieve your goals in the medical billing industry. This gives you ... read HHS Solutions reviews & insights

    NA
    10 - 49
    2011
    Lincoln, United States
  • Crystal Greene has worked in the medical field for over 15 years. She started as a CNA for the mentally and physically handicapped adults to working private care, traveling CNA, hospitals and nursing homes. She transitioned to medical records to transportation supervisor to medical billing guru. Jenny Carlile is just starting her career in healthcare. ... read Resolve Medical Billing reviews & insights

    NA
    10 - 49
    Omaha, United States
  • Valley Medical Management Services was founded in 2006 and is a leading provider of billing and management services for healthcare organizations. Valley Medical’s comprehensive understanding of operating requirements and healthcare regulations is the foundation of its billing and management services. As experts in healthcare, Valley Medical serves the Midwest with medical billing services and flexible ... read Valley Medical Management Services reviews & insights

    NA
    10 - 49
    2006
    Kearney, United States
  • Precision Medical Billing of Nebraska is one of the most experienced billers of the professional component for physicians in Nebraska. We deal mainly with radiologists but have the expertise to help in any field. Precision Medical Billing of Nebraska, our goal is to provide the best professional billing services for our clients and their patients.

    NA
    10 - 49
    Omaha, United States
  • DC Medical Services is a professional billing service dedicated to meeting all of the insurance and patient billing needs of your practice. We offer a variety of highly personalized services that can improve your cash flow and lower your operating expenses. Our services are specifically designed to meet the needs of individual and small group ... read DC Medical Billing Services reviews & insights

    NA
    10 - 49
    Washington DC, United States
  • CMBTS is consisting of a small team of professionals running by one leader. This team promises to deliver and driven to provide you best results. Our team focuses on providing best solution for revenues and expenses. The purpose is to help medical practices for their long term success.

    NA
    10 - 49
    Alexandria, United States
  • Whether it’s charge entry, payment posting or more complex insurance follow up and denials management, CMedVS can provide you just the right experienced medical billing team to supplement your staff and help improve your operations. Maximum Flexibility – Staff Available On Demand Unlike with on-site staff, you can add or subtract CMed Virtual Staff as ... read Cmed Virtual Staff reviews & insights

    NA
    10 - 49
    Silver Spring, United States
  • Doctors’ Choice Medical Services, Inc. (DCMS) was founded in 1995. DCMS specializes in medical and physician billing services, insurance collections, claims, follow-up and practice analysis. DCMS is experienced in diverse areas of specialty. “Your Practice is Our Business”. The business aspects of a medical practice can be complex, time-consuming, and frustrating. DCMS is committed to ... read Doctors' Choice reviews & insights

    NA
    10 - 49
    Rockville, United States
  • At Physicians Billing Service, we are proud to be recognized by our clients for 5 Star, Award Winning Service. We constantly survey past and present clients, are we are proud to be rated as the #1 Choice for Outsourcing Medical Billing.We would be glad to provide you with a complete reference document of current and ... read Physicians Billing Service reviews & insights

    NA
    10 - 49
    Burke, United States
  • Our medical practice’s success did not go unnoticed for long. In 2004 another medical practice that had problems paying their bills and meeting payroll contacted us for help. We took the medical billing methods and business practices we had developed, applied them to their practice, and took over their medical billing. Within six months we ... read Capture Billing reviews & insights

    NA
    10 - 49
    Leesburg, United States
  • We know how difficult it is to maintain a medical practice, treat patients, oversee staff members and bill clean claims the first time. Let us help you produce more expendable income with lower overhead and no start up fees.We offer personalized service and quickly respond to our customer's needs. We work with you. Our clients ... read Maximus Medical Billing reviews & insights

    NA
    10 - 49
    Silver Spring, United States
  • Health Care Practice Management was founded in 1992 by Cindy Groux, CHBME, a proven Practice Administrator who brings over 28 years of experience in her field. Our executives are experienced professionals possessing comprehensive backgrounds in medical management operations. Collectively they bring over 50 years of combined experience in their field.

    NA
    10 - 49
    1992
    Wilmington, United States
  • Getting reimbursed for the medical care you provide doesn't happen automatically. And without proper attention and billing expertise, it may not happen at all. Instead, you see denied medical claims. Even worse, though, is what you don't see—rejected claims that never made it past the insurance carrier's gate-keeping computers.Let us worry about the staffing, training, ... read Emax Medical Billing LLC reviews & insights

    NA
    10 - 49
    1995
    Manchester, United States
  • Colorado Medical Staffing is a top-rated healthcare recruitment agency in Colorado that provides a wide range of medical staffing solutions for clinics, hospitals, and practices across the U.S. With a team of medical staff recruiters in Colorado, we can help ensure that your open positions are filled with the best and most qualified candidates. Using ... read Colorado Medical Staffing reviews & insights

    NA
    2 - 9
    2019
    Denver, United States
  • Virtual Oplossing Healthcare is a leading service provider offering comprehensive healthcare solutions worldwide. we have been offering a wide range of services including medical billing/coding, revenue cycle management in the USA, etc. Our mission is to assist physicians, DME/HME clinics, and hospitals in smooth cash flow and establishing a sustainable revenue stream. For more information, ... read VO Healthcare reviews & insights

    NA
    2 - 9
    Newark, United States
  • We exist to increase your practice revenue, deliver measurable results, and take your healthcare business off the ground. Medical Billing is at the core of everything we do. Our talented team of Medical Billing experts love leveraging proven techniques to help ensure the growth of medical practices of every size and speciality, driving revenue on ... read Stars Pro Medical Billing reviews & insights

    $25 - $49/hr
    10 - 49
    2020
    Jersey City, United States
  • We are out on a mission to deliver High Quality, Cost-effective Revenue Cycle Services for Dental Practices, DSO's, Medical Practices, Hospitals & Home Health Agencies. Discover the power of outsourcing your Revenue Cycle Services to Astron EHS for Timely, Compliant, and Accurate Billing that not only maximizes your cash flow but also helps in ensuring ... read Astron EHS reviews & insights

    < $25/hr
    50 - 249
    2012
    South Bend, United States
  • Using AI Tools

    • ChatGPTChatGPT

    Physicians Revenue Group, Inc. is a leading medical billing company dedicated to helping healthcare providers streamline operations and maximize revenue. Established in 1997, the company specializes in reducing claim denials, improving cash flow, and offering customized billing solutions tailored to each practice. With a team of certified billing professionals and strict HIPAA compliance, Physicians Revenue ... read Physician Revenue Group, Inc. reviews & insights

    NA
    1,000 - 9,999
    1997
    Downers Grove, United States

    Why Physician Revenue Group, Inc.?

    • Handles billing for over 50 medical specialties
    • Consists of certified billing and coding experts
    • Strictly adheres to HIPAA standards
  • Analytix Solutions offers comprehensive HIPAA-compliant medical billing services tailored to healthcare industry practices. Our HME/DME provider billing services ensure error-free, compliant medical billing that helps ensure claim applications are successful. Analytix Solutions offers outsourcing services that can augment existing in-house resources, or provide comprehensive research and processing of documents needed for medical billing, assistance in ... read Analytix Healthcare Solutions reviews & insights

    < $25/hr
    250 - 999
    2005
    Woburn, United States
  • Medical billing, coding & credentialing services Revenue Cycle Management by MedICD are not just another billing solution to outsource medical billing and transcribe patient data into billing codes. An expert team of medical billers and coders at MedICD ensures timely preparation of the claims and expedite the overall process to ensure that medical practices get ... read MedICD reviews & insights

    $100 - $149/hr
    10 - 49
    2022
    Williamsville, United States
  • NEO MD offers free medical billing audit for all specializations. If you are exploring the web for the best Revenue cycle management companies near me, then visit neomdinc.com. NEO MD Medical Billing has outstanding capabilities and dedication to delivering above the expectations of its clients. We are here to build your practice! With the changing ... read NEO MD INC. reviews & insights

    NA
    50 - 249
    0
    NYC, United States
  • HMS USA's core mission is to help healthcare providers optimize their revenue cycle operations, enabling them to focus on delivering high-quality patient care. The company offers a range of services to achieve this goal, including coding, billing, accounts receivable management, denial management, and patient billing. HMS USA also provides consulting services to help healthcare organizations ... read Hms USA Medical billing company reviews & insights

    NA
    2 - 9
    0
    Reston, United States
  • eClaim Solution specializes in comprehensive medical billing services for healthcare providers and clinics across the USA. Our certified experts manage claim submission, coding verification, insurance follow-ups, and denial management to ensure faster reimbursements and fewer claim rejections. With deep knowledge of Revenue Cycle Management (RCM), HIPAA compliance, and medical coding (CPT, ICD-10, HCPCS), we help ... read eClaim Solution reviews & insights

    < $25/hr
    250 - 999
    2008
    Lewes, United States
  • Quintessence is an offshore medical billing and coding service company, wired to maximize reimbursements for the healthcare provider markets. We help medical billing companies and other healthcare service providers optimize reimbursement, save costs, scale operations, build and deploy technology and grow revenues.

    NA
    1,000 - 9,999
    2011
    Dallas, United States
  • Unify Healthcare Services is a modern age Medical Billing Company, that specializes in all the billing intricacies. We excel at comprehensive technologies, business processes and workflows, helping Healthcare Facilities manage their revenue cycle. Our major USP lies in 90% prevention of claim denials, as the experienced medical billing professionals at Unify Healthcare Services know the ... read Unify RCM reviews & insights

    $50 - $99/hr
    1,000 - 9,999
    2016
    Cuyahoga Falls, United States
  • Jindal Healthcare provides healthcare management solutions with RCM, medical billing and coding services, patient access, denial management services and much more. We make high quality primary health care accessible, affordable, convenient and equal for patients.

    $100 - $149/hr
    250 - 999
    2010
    Houston, United States
  • Our team of dedicated billing experts, based in Boulder, CO, are trained to be your full-service medical billing solution. We provide comprehensive Medical Billing, Coding, and Revenue Cycle Management Services to a wide range of physician and non-physician specialties nationwide.

    NA
    2 - 9
    Boulder, United States
  • I started Rocky Mountain Medical Solutions in 2010 after spending several years working in administrative positions for small dental and mental health practices. Once I realized that my love for working with all things insurance related was not the industry norm I launched RMMS and haven't looked back. Now, a full time working mother of ... read Rocky Mountain Medical Solutions reviews & insights

    NA
    2 - 9
    Boulder, United States
  • Delia Popovich Taylor is the owner and operator behind DPT Medical Billing & Consulting. Delia has more than 37 years of medical administration experience. For 28 of those years, she has been directly involved with medical billing and accounts receivable follow-up (collections) as well as consulting for a variety of medical practices. Delia’s experience also ... read DPT Billing & Consulting reviews & insights

    NA
    2 - 9
    New Orleans, United States
  • Healthcare Billing Professionals LLC is a professional billing service dedicated to meeting all of the insurance and patient billing needs of your practice. We offer a variety of highly personalized services that can improve your cash flow and lower your operating expenses. Our services are specifically designed to meet the needs of individual and small ... read Healthcare Billing Professionals LLC reviews & insights

    NA
    2 - 9
    New Orleans, United States
  • Doctor Papers functions as a comprehensive Medical Billing & Collections Services Company, providing top-notch solutions to physicians in various medical fields. Our holistic medical billing services aim to optimize revenue for our clients while simultaneously reducing overall costs.

    NA
    250 - 999
    Glendale, United States
  • ADS Medical Billing & Consulting is a 100% U.S. woman and veteran owned & operated Practice Management and Revenue Cycle Management company. Our PM/RCM team is AAPC and AHIMA certified. ADS provides “White Glove” medical billing, coding, credentialing, and AR management services. We are a “High Touch” practice partner, and our goal is to help ... read ADS Medical Billing & Consulting reviews & insights

    $25 - $49/hr
    2 - 9
    2021
    Austin, United States
  • Zmed Solutions stands as a leading and trusted provider of comprehensive medical billing solutions, boasting over 8 YEARS of invaluable industry experience. While some medical billing companies may settle for satisfactory outcomes, we hold ourselves to the highest standards. This means that our team of medical billing specialists is unwavering in their pursuit of all ... read Zmed Solutions reviews & insights

    NA
    250 - 999
    2015
    Minneapolis, United States
  • We are The Patriot Group, a unique company that brings together medical billing, collections, and legal services under one roof. Our integrated team comprises experts who offer customized, personal attention to each client, along with an extensive support staff. With our proven track record, we can help you overcome complex issues and changes in the ... read patriot Group reviews & insights

    NA
    2 - 9
    NYC, United States

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The Magical Quadrant

Hover any bubble for the firm's exact scores. Filter the view using the controls on the right.

360-PERFORMANCE VIEW (Y) →
0255075100
Industry ContendersIndustry LeadersUpcoming AchieversMarket Influencers
0255075100
CORE COMPETENCIES (X) →

The four quadrants explained

Each card shows the count of firms in that quadrant and the top 5 by composite score.

Industry Contenders
Top-left · Y ≥ 50, X < 50
1FIRMS

Strong execution but broader service mix. High-quality generalists - good fit if your project crosses multiple disciplines in one engagement.

Top 5 by composite score

1Vserve Ebusiness Solutions46 / 51
The Industry Leaders in detail

The 8 highest-scoring firms in the Industry Leaders quadrant. Each has both Core Competencies and 360-Performance ≥ 50. Click any card for the full profile.

How firms are placed on the matrix

Every position on this chart is the output of the Goodfirms ranking algorithm - a weighted composite of signals across two axes. The algorithm is recomputed regularly and is fully documented.

Sponsorship does not affect placement. PRO members receive visible badges and ad placements, but their algorithmic scores are calculated identically to free listings.

Read the full methodology
Algorithm at a glance
1
X-axis (Core Competencies): Service Focus Ratio + Portfolio Depth + Quality + Experience
2
Y-axis (360-Performance): Client Reviews + Market Presence + Goodfirms Score
3
Missing signals are excluded from a firm's score, not substituted with defaults - weights redistribute across remaining inputs
4
Recency decay over the last 18 months keeps stale reviews from dominating
5
Eligibility floor: ≥ 1 published review in this category scope

Where the firms are.

Bubble size shows how many firms each country has; colour shows its average hourly rate. Tap any country for its firm count, average rate, rating, and Value Score.

Loading map…

All states ranked by Value Score.

Every state in scope, ranked by Value Score.

StateFirmsAvg RateAvg RatingValue ScoreAction
USArizona81$33/hr585View firms
USNew York179$37/hr585View firms
USLouisiana25$30/hr583View firms
USOregon24$35/hr582View firms
USDelaware55$40/hr582View firms
USIllinois95$36/hr4.982View firms
USVirginia54$43/hr581View firms
USWashington74$49/hr580View firms
USMissouri59$40/hr4.980View firms
USGeorgia73$52/hr580View firms
USMontana5$33/hr580View firms
USMassachusetts49$51/hr579View firms
USCalifornia367$43/hr4.779View firms
USUtah38$51/hr579View firms
USKansas24$47/hr579View firms
USFlorida236$45/hr4.778View firms
USWyoming49$51/hr4.977View firms
USKentucky21$50/hr4.976View firms
USTennessee41$29/hr-76View firms
USTexas277$51/hr4.675View firms
USNew Jersey90$42/hr4.675View firms
USWisconsin32$32/hr-74View firms
USIowa11$25/hr-74View firms
USMaryland52$38/hr-73View firms
USIdaho8$25/hr-73View firms
USMaine11$30/hr-72View firms
USArkansas16$33/hr-72View firms
USNew Mexico20$35/hr-72View firms
USConnecticut36$39/hr-72View firms
USNebraska34$41/hr-71View firms
USOhio84$47/hr-71View firms
USOklahoma27$40/hr-71View firms
USNorth Carolina56$49/hr4.571View firms
USMinnesota49$45/hr-70View firms
USMississippi2$25/hr-70View firms
USHawaii2$25/hr-70View firms
USAlaska1$25/hr-69View firms
USIndiana40$54/hr-66View firms
USRhode Island6$44/hr-65View firms
USSouth Carolina17$56/hr-63View firms
USWashington DC14$56/hr-63View firms
USNevada57$37/hr3.862View firms
USMichigan78$33/hr3.762View firms
USAlabama8$57/hr-61View firms
USPennsylvania82$41/hr3.658View firms
USColorado78$38/hr2.948View firms
USNorth Dakota5$25/hr2.847View firms
USNew Hampshire4$125/hr-33View firms
USOntario1--8View firms
USArizona
81 firms$33/hr5
Value Score85 / 100
USNew York
179 firms$37/hr5
Value Score85 / 100
USLouisiana
25 firms$30/hr5
Value Score83 / 100
USOregon
24 firms$35/hr5
Value Score82 / 100
USDelaware
55 firms$40/hr5
Value Score82 / 100
USIllinois
95 firms$36/hr4.9
Value Score82 / 100
USVirginia
54 firms$43/hr5
Value Score81 / 100
USWashington
74 firms$49/hr5
Value Score80 / 100
USMissouri
59 firms$40/hr4.9
Value Score80 / 100
USGeorgia
73 firms$52/hr5
Value Score80 / 100
USMontana
5 firms$33/hr5
Value Score80 / 100
USMassachusetts
49 firms$51/hr5
Value Score79 / 100
USCalifornia
367 firms$43/hr4.7
Value Score79 / 100
USUtah
38 firms$51/hr5
Value Score79 / 100
USKansas
24 firms$47/hr5
Value Score79 / 100
USFlorida
236 firms$45/hr4.7
Value Score78 / 100
USWyoming
49 firms$51/hr4.9
Value Score77 / 100
USKentucky
21 firms$50/hr4.9
Value Score76 / 100
USTennessee
41 firms$29/hr
Value Score76 / 100
USTexas
277 firms$51/hr4.6
Value Score75 / 100
USNew Jersey
90 firms$42/hr4.6
Value Score75 / 100
USWisconsin
32 firms$32/hr
Value Score74 / 100
USIowa
11 firms$25/hr
Value Score74 / 100
USMaryland
52 firms$38/hr
Value Score73 / 100
USIdaho
8 firms$25/hr
Value Score73 / 100
USMaine
11 firms$30/hr
Value Score72 / 100
USArkansas
16 firms$33/hr
Value Score72 / 100
USNew Mexico
20 firms$35/hr
Value Score72 / 100
USConnecticut
36 firms$39/hr
Value Score72 / 100
USNebraska
34 firms$41/hr
Value Score71 / 100
USOhio
84 firms$47/hr
Value Score71 / 100
USOklahoma
27 firms$40/hr
Value Score71 / 100
USNorth Carolina
56 firms$49/hr4.5
Value Score71 / 100
USMinnesota
49 firms$45/hr
Value Score70 / 100
USMississippi
2 firms$25/hr
Value Score70 / 100
USHawaii
2 firms$25/hr
Value Score70 / 100
USAlaska
1 firms$25/hr
Value Score69 / 100
USIndiana
40 firms$54/hr
Value Score66 / 100
USRhode Island
6 firms$44/hr
Value Score65 / 100
USSouth Carolina
17 firms$56/hr
Value Score63 / 100
USWashington DC
14 firms$56/hr
Value Score63 / 100
USNevada
57 firms$37/hr3.8
Value Score62 / 100
USMichigan
78 firms$33/hr3.7
Value Score62 / 100
USAlabama
8 firms$57/hr
Value Score61 / 100
USPennsylvania
82 firms$41/hr3.6
Value Score58 / 100
USColorado
78 firms$38/hr2.9
Value Score48 / 100
USNorth Dakota
5 firms$25/hr2.8
Value Score47 / 100
USNew Hampshire
4 firms$125/hr
Value Score33 / 100
USOntario
1 firms
Value Score8 / 100

Match by work-hour overlap with your team.

Cost matters - but so does being able to actually talk to your developer during your workday. Here are the best destinations for each major hub.

If you're in US (PT/ET)Recommended

Look for nearshore LATAM partners - same-day collaboration, similar time zones, and 50-60% cost savings vs domestic.

MXMexico~7h overlap
ARArgentina~6h overlap
BRBrazil~5h overlap
CACanada~8h overlap
If you're in Europe (CET/GMT)Recommended

Eastern Europe is your sweet spot - 1-2h time zone shift, EU GDPR alignment, and 40-50% lower rates than Western Europe.

PLPoland~8h overlap
UAUkraine~7h overlap
RORomania~7h overlap
ZASouth Africa~8h overlap

How firms are placed on the matrix

Every position on this chart is the output of the Goodfirms ranking algorithm - a weighted composite of signals across two axes. The algorithm is recomputed regularly and is fully documented.

Sponsorship does not affect placement. PRO members receive visible badges and ad placements, but their algorithmic scores are calculated identically to free listings.

Read the full methodology
Algorithm at a glance
1
X-axis (Core Competencies): Service Focus Ratio + Portfolio Depth + Quality + Experience
2
Y-axis (360-Performance): Client Reviews + Market Presence + Goodfirms Score
3
Missing signals are excluded from a firm's score, not substituted with defaults - weights redistribute across remaining inputs
4
Recency decay over the last 18 months keeps stale reviews from dominating
5
Eligibility floor: ≥ 1 published review in this category scope

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States with the best Value Score for bpo services hiring.

Ranked by a composite score blending firm count (supply), average rating (quality), and median hourly rate (cost). Affordability is weighted highest (50%), so this list surfaces actually affordable destinations rather than just-big markets.

Budget leader
California · $0-24/hr

153 firms in this tier - more than any other state, averaging 4.6 ★. Top picks: OBI Services LLC, CallZent, Virtual Assistant India.

Mid-tier leader
California · $50-99/hr

30 firms in this tier - more than any other state, averaging 5.0 ★. Top picks: App Maestros, Information Process Solutions, Magellan Solutions Outsourcing.

Top tier leader
California · $150+/hr

8 firms in this tier - more than any other state. Top picks: Collective Solution, Leads Janitorial, Beyond Codes.

Loading heatmap…
Cell intensity (firm density):
Low
High
Best Value marks the densest, highest-rated, most-affordable cell per row

How the heatmap is built

Every cell in the grid above is the count of firms in (place × hourly-rate tier). Firms are placed by their published hourly rate; those without a disclosed rate are not plotted.

Top company names per cell are surfaced by Value Score - a weighted blend of affordability (50%) + rating (35%) + review volume (15%).

The "Best" ribbon marks the cell in each row where firm density, ratings, and affordability line up best - the densest, highest-quality combination.

Read the full methodology
Value Score · per firm
ValueScore = 0.50 × Affordability
+ 0.35 × Rating
+ 0.15 × Review Volume
// All sub-scores normalized 0-100
// Affordability = (1 - rate/$200) × 100
// Rating = (rating - 3) / 2 × 100
// Volume = log10(reviews+1)/log10(200) × 100

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