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

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Hourly Rate
Employees
ReviewsAll Companies
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Client Type
  • Using AI Tools

    • ChatGPTChatGPT

    Revline Medical Solutions provides comprehensive medical billing and revenue cycle management (RCM) services to healthcare practices. We specialize in maximizing revenue, improving operational efficiency, and ensuring compliance through expert billing, coding, and practice optimization solutions. Transform your financial health and focus on patient care with Revline.

    $25 - $49/hr
    50 - 249
    2022
    NYC, United States

    Why REVLINE MEDICAL BILLING SERVICES?

    • Maximizes Reimbursement
    • Reduces Administrative Burden
    • Improves Cash Flow
  • Healthcare medical billing solutions to reduce costs and enhance revenue through expert management with CareMedix.We’re dedicated to revolutionizing healthcare with cutting-edge IT solutions. Our services are designed to lighten administrative loads and boost revenue cycles, allowing you to concentrate on providing exceptional patient care. With our automated systems and expert support, you can achieve greater ... read CareMedix reviews & insights

    NA
    2 - 9
    2024
    Henderson, United States
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude
    • GitHub CopilotGitHub Copilot

    RCMGen is a U.S. revenue cycle management and medical billing company serving hospitals, critical access hospitals (CAHs), rural health clinics (RHCs), FQHCs, and physician groups. We run the full claim-to-cash lifecycle: insurance eligibility verification, prior authorization, medical coding, claim scrubbing, medical billing, denial management, aging A/R recovery, payment posting, and underpayment recovery, delivered end-to-end or ... read RCMGen Medical Billing and Revenue Cycle Management reviews & insights

    $100 - $149/hr
    1,000 - 9,999
    2021
    Houston, United States

    Why RCMGen Medical Billing and Revenue Cycle Management?

    • Top U.S. Revenue Cycle Management Company
    • Alternative to Large Legacy RCM Vendors
    • Medical Billing for All US Hospitals and Clinics
  • Global Tech Billing LLC is a Revenue Cycle Management (RCM) firm committed to providing efficient and accurate billing solutions for healthcare providers across the United States. Our services help medical practices, clinics, and healthcare facilities streamline their billing processes, reduce claim denials, and improve revenue collection. We specialize in end-to-end RCM solutions, including patient registration, ... read Global Tech Billing LLC reviews & insights

    < $25/hr
    2 - 9
    2022
    Beachwood, United States
  • Using AI Tools

    • ClaudeClaude

    Revix MD is a medical billing and revenue cycle management company based in Corona, California, helping U.S. healthcare practices reduce claim denials, accelerate reimbursements, and recover lost revenue through end-to-end RCM solutions across 30+ medical specialties.

    NA
    50 - 249
    2026
    Corona, United States

    Why Revix MD?

    • 97.4 Percent First-Pass Clean Claim Rate
    • More Than 30 Specialties, HIPAA-Compliant
    • Less Than 5 Percent Denial Rate
  • For over 20 years AJ Processing has been devoted to running state of the art services and improving businesses of every genre to bring the world market to the next level in efficiency through consultation and secretarial support. We concentrate on the modernization of word processing and transcription services. These services branch out to almost ... read AJ Processing reviews & insights

    NA
    50 - 249
    Austin, United States
  • Advanced Billing & Consulting Services (ABCS) provides skilled and effective revenue cycle management solutions for healthcare practitioners. Medical billing, credentialing, Waiver provider billing & digital marketing services for a variety of healthcare specialties. Our eWebSchedule software tool allows us to deliver workforce management and billing solutions to Ohio Waiver Provider agencies that deliver services to ... read ABCS reviews & insights

    NA
    10 - 49
    1997
    Worthington, United States
  • BLUEBERRY MEDCORP is a dedicated team of healthcare revenue cycle management experts committed to empowering healthcare providers with streamlined and efficient solutions. With years of experience in the industry, we understand the intricate nuances of medical billing and coding. Our mission is to alleviate the administrative burden placed on healthcare organizations, allowing them to focus ... read BLUEBERRY MEDCORP LLC reviews & insights

    $50 - $99/hr
    10 - 49
    2023
    Lewes, United States
  • Automated Health Systems is the leader in the promotion and management of optimal health care services for low-income families and communities. We partner our expertise in the administration of statewide public health programs with consumers, health professionals, and public and private funding sources.

    < $25/hr
    250 - 999
    1979
    Pittsburgh, United States
  • ApexRCM is a New Jersey-based medical billing company specializing in RCM and BPO since 2009. Our global team helps healthcare specialists ease the burden of back-office work, allowing providers to focus on delivering the best and most attentive patient care. Our team members receive training through Medical Billing courses (AAPC, HBMA, AMBA, etc) and have ... read ApexRCM reviews & insights

    NA
    2 - 9
    2009
    Jersey City, United States
  • MHRCM is a leading provider of technology-driven solutions that transform the financial performance of healthcare providers. With a flexible engagement approach, MHRCM RCM seamlessly enables healthcare organization's infrastructure, driving sustainable improvements to revenue and cash flow while reducing operating costs.

    $25 - $49/hr
    50 - 249
    2018
    Round Rock, United States
  • Primed Billing LLC is a family-owned medical billing & coding company in Florida incorporated in 2003. It started with a small Medical Practice. Primed Billing provides nonparallel professional, personable medical billing that provides the stability and transparency in cash flow that your practice requires. Each client (large or small) receives a personalized service to fit ... read Primed Billing LLC reviews & insights

    NA
    2 - 9
    2003
    Wesley Chapel, United States
  • Novita Management is a medical billing and practice management company envisioned to bring a new approach to revenue cycle management. Our flexible, consultative approach, combined with our end-to-end services and specialized back-office team, meet your needs head-on. Novita Management, the largest consortium catering to diversified specialties across multiple US states has gathered expertise over decades ... read Novita Management Inc. reviews & insights

    NA
    10 - 49
    Fort Lauderdale, United States
  • MediMax Solutions is your go-to option for medical billing services. From accurate medical billing and coding to eligibility checks and practice management, our dedicated team ensures your practice, whether big or small, receives the attention it deserves. Expanding from a one-man operation, our experienced team is now dedicated to effectively solving medical payment challenges. We ... read medimax solutions reviews & insights

    NA
    2 - 9
    2019
    Floral City, United States
  • DoctorsBackOffice is a trusted provider of medical billing, transcription, and EHR data management services, focused on supporting healthcare providers in optimizing their revenue cycles and enhancing operational efficiency. Since our founding in 2000, we have remained dedicated to helping physicians, clinics, and hospitals streamline their administrative processes, reduce costs, and improve cash flow, allowing them ... read DoctorsBackOffice reviews & insights

    < $25/hr
    10 - 49
    0
    North Carolina, United States
  • Prime Doc Billing LLC is a trusted medical billing company in Brooklyn, New York, specializing in revenue cycle management and healthcare administrative solutions. We help healthcare providers maximize reimbursements, reduce claim denials, and streamline operations, allowing them to focus on patient care.

    $25 - $49/hr
    10 - 49
    2022
    Brooklyn, United States
  • At Maximum Health Care Partners, we specialize in providing reliable and accurate medical billing solutions to healthcare providers across the USA. Our dedicated team of medical billing professionals ensures your practice’s revenue cycle runs smoothly, helping you focus more on patient care and less on administrative tasks. Whether you are a doctor’s office, hospital, or ... read Maximum Health Care Partners reviews & insights

    $25 - $49/hr
    10 - 49
    2022
    Covina, United States
  • Karepoint | Your Trusted Partner in U.S. Medical Billing and Healthcare BPO Solutions At Karepoint, we streamline the complexities of healthcare revenue management for clinics, physicians, and providers throughout the United States. Supported by a team of experienced Revenue Cycle Management specialists, we offer comprehensive medical billing services—from patient coordination and eligibility verification to claims ... read Karepoint Billing Service LLP reviews & insights

    < $25/hr
    10 - 49
    2025
    Casper, United States
  • Secure Medical Billing Company Partner with us for expert billing solutions that reduce costs, improve collections, ensure compliance, and support your practice around the clock. Secure Medical Billing Company provides multi-specialty medical billing and revenue cycle management (RCM) with a certified team of ICD-10 coders and billing professionals. Our goal is to enhance your financial ... read Secure Medical Billing Company reviews & insights

    NA
    10 - 49
    2010
    Austin, United States
  • Using AI Tools

    • ChatGPTChatGPT
    • GeminiGemini

    Revex Square Smarter Medical Billing. Stronger Revenue.Revex Square by Good Firm helps healthcare practices simplify medical billing, reduce revenue leakage, and maximize collections without adding unnecessary overhead.From Eligibility Verification and Claims Management to Denial Management, A/R Follow-Up, and Payment Posting, our experienced team handles the billing cycle with precision—so providers can spend less time worrying ... read Revex Square reviews & insights

    NA
    10 - 49
    2020
    Princeton, United States

    Why Revex Square?

    • Expert Medical Billing Support
    • Higher Collections
    • Fewer Denials
  • Using AI Tools

    • ClaudeClaude

    We offer HIPAA compliant revenue cycle management services to medical practices of all sizes. Docs Medical billing utilizes AI technologies under strict supervision of billing experts. This approach allows us to let healthcare providers maximize reimbursements, reduce denials, and improve the bottom line with our medical billing company in the USA.

    < $25/hr
    50 - 249
    2023
    Madera, United States

    Why Docs Medical Billing?

    • We deal with medical practices of all sizes
    • utilizes AI technologies under strict supervision
    • we let maximize reimbursements & reduce denials
  • Using AI Tools

    • ClaudeClaude
    • GeminiGemini

    Health Med Affairs is a professional healthcare solutions company dedicated to helping medical practices streamline billing operations, optimize revenue cycles, and reduce administrative burdens. We provide comprehensive services, including medical billing and coding, credentialing and provider enrollment, denial management, AR follow-up, payment posting, eligibility verification, prior authorization, charge entry, patient statements, medical virtual assistants, and ... read Health Med Affairs reviews & insights

    NA
    50 - 249
    2024
    Austin, United States

    Why Health Med Affairs?

    • Accurate & Efficient Billing Solutions
    • Reduce Denials & Improve Collections
    • Experienced Healthcare Support Team
  • Using AI Tools

    • EHR SoftwareEHR Software

    MBS Texas is a physician-owned medical billing company serving healthcare practices across Texas. We handle the full revenue cycle — billing, coding, credentialing, denial management, A/R follow-up, and RPM/CCM billing — for 50+ specialties including cardiology, orthopedics, neurology, and behavioral health.Why choose us:HIPAA-compliant, Texas-based teamCertified coders (AAPC/AHIMA)98% clean claims rateDedicated account manager, no call centersIntegrates ... read Medical Billing Services Texas - MBS Texas reviews & insights

    NA
    50 - 249
    2017
    Dallas, United States

    Why Medical Billing Services Texas - MBS Texas?

    • HIPAA-compliant, Texas-based team
    • Certified coders
    • Performance-based pricing
  • To exclusively provide medical professionals with an affordable and efficient billing experience to ensure accurate and timely payments. Our experienced staff is dedicated to ensuring that we increase cash flow along with high quality service so that we can retain the highest return to each practice. Progressive Billing is committed to conducting our business practices ... read Progressive Billing reviews & insights

    NA
    10 - 49
    1997
    San Antonio, United States
  • Thinking about having an in-house transcription service? CrescereMed, we’re a medical transcription service provider and we offer a variety of services. The turnaround time for your reports is 12hours with an assured accuracy of 99.5% and we offer a FREE3 day trial. Even if you do use a Voice Recog software, you’d still need humans ... read CrescereMed reviews & insights

    < $25/hr
    50 - 249
    2018
    Albany, United States
  • abeo is a nationwide medical billing and software company focused on delivering revenue-enhancing services to private practices, hospitals and surgery centers. We bridge the gap between the constant change in healthcare and your changing needs as a result. We know the healthcare landscape; we know the complexities and regulations. Our professional management services, medical billing ... read abeo reviews & insights

    < $25/hr
    250 - 999
    2007
    Dallas, United States
  • Cosentus is a leading medical billing company that stands out in the industry for its exceptional services and unwavering commitment to excellence. With a specialized focus on E&M codes, healthcare KPIs, and evaluation and management codes, we are dedicated to optimizing your billing processes and maximizing your revenue potential.

    NA
    2 - 9
    Orange County, United States
  • Dallas-based Talisman Solutions has been providing comprehensive solutions and services to the US healthcare industry since 2004. Along with excellent customer service, we are known for our quality delivery and reasonable cost. The range of services we offer includes medical billing, mental health billing, neurology medical billing, medical transcription, medical coding, audit services, security, and ... read Talisman Solutions reviews & insights

    NA
    2 - 9
    2004
    Dallas, United States
  • Precision Hub recalibrates the focus of healthcare providers towards high growth, timely decision-making and patient centered care. It is on a continual quest to translate cross-industry expertise from management, technology and healthcare into tangible value for healthcare practitioners.

    NA
    250 - 999
    2003
    Pearland, United States
  • FC Billing is a leading U.S.-based medical billing and coding company, trusted by providers nationwide for delivering 99% first-pass claim accuracy and maximum reimbursements. With over 20 years of proven expertise, we provide end-to-end revenue cycle management tailored to your specialty—ensuring faster payments, fewer denials, and a stronger cash flow. Our comprehensive services include Medical ... read FC billing LLC reviews & insights

    $100 - $149/hr
    50 - 249
    2017
    Leesburg, United States
  • Prospect Healthcare Solutions is dedicated to transforming the financial health of healthcare practices through expert medical billing and RCM services. Our certified professionals meticulously handle coding, claims submission, and denial management, ensuring maximum reimbursement and minimal errors. We offer specialized support for high-complexity fields like cardiology and pediatrics, as well as comprehensive services like credentialing ... read prospect healthcare solution reviews & insights

    $100 - $149/hr
    50 - 249
    2018
    Providence, United States
  • Innovative Healthcare Business Solutions (IHBS) is your trusted partner in medical practice management. We offer tailored MSO services, including billing, credentialing, virtual management, and revenue optimization. Our Boca Raton-based team brings decades of experience and cutting-edge solutions to healthcare professionals nationwide. We help physicians focus on patient care while we handle the administrative and business ... read Innovative Healthcare Business Solutions reviews & insights

    $50 - $99/hr
    10 - 49
    2021
    Boca Raton, United States
  • Using AI Tools

    • ChatGPTChatGPT

    It takes time and good tracking to combine the claims and payments. In its absence, one might easily miss things. Medical Billing and Collections Services are concerned with both sides under one roof; hence, nothing is lost. This is to keep the flow and reduce the confusion.

    < $25/hr
    10 - 49
    2010
    Unalaska, United States

    Why Medical Billing Collections?

    • Customers choose us for accuracy, transparency.
    • Our experienced team reduces claim denials.
    • Boost revenue with reliable medical billing.
  • Using AI Tools

    • ClaudeClaude

    Medonix is an AI-native medical billing and revenue cycle management (RCM) company serving U.S. healthcare providers exclusively. Founded in 2019 by a team of RCM operators and applied-AI engineers, Medonix exists to close the gap between what U.S. practices earn and what they actually collect. According to MGMA's 2024 Cost and Revenue Survey, U.S. practices ... read Medonix MSO reviews & insights

    $50 - $99/hr
    50 - 249
    2019
    Delaware, United States

    Why Medonix MSO?

    • AI agents, AAPC-certified human oversight
    • 35 plus specialty playbooks, no generalists
    • We get paid when you get paid. SLAs in writing.
  • Using AI Tools

    • ChatGPTChatGPT

    Zenith Assistance is a trusted healthcare outsourcing partner specializing in Medical Billing, Medical Coding, Revenue Cycle Management (RCM), and Virtual Assistant services for healthcare providers across the United States. Headquartered in St. Petersburg, Florida, our ISO 9001 and ISO 27001 certified team brings over 15 years of experience helping practices improve revenue, reduce administrative burdens, ... read Zenith Assistance reviews & insights

    $25 - $49/hr
    10 - 49
    2015
    St. Petersburg, United States

    Why Zenith Assistance?

    • 15 Plus Years of Healthcare Expertise
    • Certified and Secure Operations
    • Higher Collections, Fewer Denials
  • Practolytics is a 20+ year old healthcare technology and management company. We partner with healthcare practices to provide end-to- end solutions including medical billing, healthcare consulting and practice analytics, allowing practices to eliminate revenue cycle management inefficiencies. Our diverse background in every aspect of healthcare allows us to maximize revenue and consistently deliver optimum results.

    NA
    250 - 999
    2000
    Columbia, United States
  • blueBriX is a comprehensive digital health platform designed to optimize revenue cycle management (RCM) for healthcare organizations. Our fully integrated RCM module and services simplify billing, coding, claims management, and revenue tracking, enhancing operational efficiency and financial performance. Currently, we support over 120 hospitals and clinics across more than 30 specialties in the U.S. with ... read blueBriX Health reviews & insights

    NA
    250 - 999
    2008
    Bethesda, United States
  • Since 1969, Nationwide Credit & Collection, Inc. has been a leader in revenue collection providing unsurpassed results. Our commitment to performance, integrity, and service has resulted in significant increases and consistent results in Revenue Recovery and a Reduction of Aged Accounts.We take pride in our longstanding reputation in healthcare and the relationships that are forged ... read Nationwide Credit & Collection reviews & insights

    $25 - $49/hr
    50 - 249
    1969
    Oakbrook, United States
  • HHRG Services (OQAT, Coding and QA Services) Our home health coding experts are dedicated to crafting each code with meticulous precision, ensuring that your healthcare information is not just accurately represented but optimized for seamless functionality. Complemented by our quality assurance services, we go beyond industry standards to provide a level of confidence that transforms ... read HHRG Services reviews & insights

    NA
    50 - 249
    Burlingame, United States
  • One of the US's top medical billing and coding firms, HMS Medical Billing Company aims to help practitioners increase their cash flow. Clean claim submissions, aggressive follow-ups, and refunds are all guaranteed by our team of medical billing and coding specialists. Don't panic if you're concerned about the backlog of denied claims and revenue cycle ... read HMS USA - Medical Billing Company reviews & insights

    NA
    10 - 49
    0
    Abingdon, United States
  • Cantumtech Billing offers a flexible portfolio of medical billing services ranging from simple follow-ups to comprehensive revenue cycle management without disrupting the existing processes of your practice.Our mission is therefore to increase your revenue by following up on any claims, denials, resubmissions and rejections, further coming up with the best professional and technical advice to ... read Cantum Tech reviews & insights

    NA
    50 - 249
    Houston, United States
  • RCM Centric Medical Billing Service is an end-to-end revenue cycle management solution geared towards more than 45+ specialties. With 9+ years of medical billing experience our team is equipped with advanced technology and operational excellence to take your billing operations forward, whether you are a multi-specialty group or a solo practice. Outsource your medical billing ... read RCM Centric Inc. reviews & insights

    < $25/hr
    50 - 249
    2014
    San Jose, United States
  • Prima Systems is a leading provider of healthcare business process outsourcing services. With a team of highly skilled professionals and state-of-the-art technology, we specialize in offering a wide range of BPO solutions tailored to our client's unique needs. Our Cost-effective and highly personalized healthcare BPO solutions let our clients focus on quality patient care with ... read Prima Systems reviews & insights

    NA
    250 - 999
    2020
    Jersey City, United States
  • Do you want to decrease your medical practice expenses? Then your primary goal should be approaching medical billing internal medicine in El Paso, TX. We are Quick Claimers, reputed medical billers in El Paso, TX, who are experts in providing medical billing, medical coding, medical credentialing, medical stat-up support and medical practice management in El ... read Quick Claimers Medical Billing & Credentialing reviews & insights

    NA
    50 - 249
    1999
    El Paso, United States
  • Welcome to EmdeonMD, your dedicated source of medical billing excellence. Specializing in medical billing, we cater to practices of all sizes with affordable solutions and industry-leading expertise for optimized Revenue cycles.

    NA
    10 - 49
    2023
    Sheridan, United States
  • MediBill RCM is a forward-thinking revenue cycle management firm dedicated to transforming the financial health of healthcare providers. With a keen focus on optimizing billing processes and enhancing cash flow, we blend cutting-edge technology with expert analysis to streamline operations and reduce administrative burdens. Our tailored solutions ensure that healthcare professionals can concentrate on what ... read MediBill RCM LLC reviews & insights

    NA
    50 - 249
    2023
    Houston, United States
  • Med Brigade is a premier medical billing company dedicated to helping healthcare providers streamline their revenue cycle management. We understand the complexities of medical billing and coding, which is why we offer comprehensive solutions that maximize reimbursements, reduce claim denials, and ensure compliance with industry regulations. Our team consists of experienced billing specialists, coders, and ... read Med Brigade reviews & insights

    $25 - $49/hr
    50 - 249
    2019
    NYC, United States
  • We help practices minimize expenses with our unbeatable pricing. Leverage our expertise to avoid common pitfalls, maximize revenue, and achieve profitability faster. End-to-End Revenue Cycle Management We have been providing medical billing services for all medical specialties for more than 20 years.

    $25 - $49/hr
    250 - 999
    2005
    Birmingham, 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.

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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.

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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

Found your target region?

Browse all firms in your chosen country - or let us hand-pick matches based on your project, budget, and time-zone preference.

Get matched firms

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

Found your target region?

Browse all bpo services firms in your chosen country - or let our AI hand-pick 3 matches based on your project, budget, and time-zone preference.

Get 3 AI-Matched Firms