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
  • Mars RCM Inc is a U.S.-based medical billing and revenue cycle management (RCM) company helping healthcare providers improve financial performance and reduce administrative workload. We deliver accurate, compliant, and cost-effective medical billing services to clinics, physician practices, and healthcare organizations across the United States. Our core services include medical billing and coding, credentialing and insurance ... read MARS RCM INC reviews & insights

    NA
    2 - 9
    2025
    Park Ridge, United States
  • Using AI Tools

    • ChatGPTChatGPT

    Quantum Health Services is a top-rated medical billing company in the United States. Since 2010, we’ve supported practices of all sizes with specialized medical billing and coding services that eliminate administrative headaches and improve financial performance. With over 1,100 certified billers and coders, and headquarters in Albuquerque, New Mexico. Our team delivers personalized support to ... read Quantu Health Services reviews & insights

    $50 - $99/hr
    50 - 249
    2024
    Albuquerque, United States

    Why Quantu Health Services?

    • Reliable Medical Billing and Coding Services
    • Reliable Revenue Cycle Management Services
    • Reliable Denial Management Services
  • Alliance Service Partners LLC is a trusted medical billing and revenue cycle management (RCM) services provider delivering reliable healthcare outsourcing solutions to medical practices across the United States. We specialize in end-to-end medical billing services, RCM optimization, virtual front desk support, and healthcare administrative assistance, helping providers improve cash flow, reduce claim denials, and stay ... read Alliance Service Partners LLC reviews & insights

    < $25/hr
    10 - 49
    2024
    Sarasota, United States
  • When you have the right App that makes it easy to work with efficiency and fast delivery without any complications that’s when you know you are headed towards the right direction with developing Applications. We design only the best based on client requirement with a team of IT experts. From Developments to Improvements of the ... read ACP BILLING SERVICES INC reviews & insights

    $25 - $49/hr
    50 - 249
    2008
    Orlando, United States
  • Bright Vision Transcription Services established in 1999 with its office at Black tern Way Carmel Indiana, USA, with Head office at Robbins Place, Austin TX, USA. Bright Vision Transcription now have operations in Canada & Pakistan. Bright Vision has established it’s a continental office in Adelaide Australia. The offshore office is in Lahore Pakistan. BVSTP ... read Bright Vision Transcription Services reviews & insights

    NA
    50 - 249
    1999
    Austin, United States
  • GoSoft provides a comprehensive portfolio of Practice Management and Software Services. Our services include Medical Billing and Coding, Prior Authorizations and Eligibility Verifications, Transcription, Phone Receptionists, Data Entry and Software services. At GoSoft, our mission is to provide medical offices with a comprehensive portfolio of revenue cycle management and software services. Our business idea supports ... read GoSoft reviews & insights

    < $25/hr
    50 - 249
    2007
    Encinitas, United States
  • Digital Growth Catalyze LLC is a digital marketing business that has won awards and provides a wide range of data-driven web marketing services. We help businesses grow by creating online marketing strategies that are focused on growth. At Digital Growth Catalyze LLC our purpose is to assist the small and medium-sized agencies to develop online. ... read Digital Growth Catalyze LLC reviews & insights

    < $25/hr
    10 - 49
    2009
    NYC, United States
  • MedsIT Nexus offers complete Revenue Cycle Management services at very affordable rates. Our rates are as low as 2.69% of your monthly collections. If you're handling the billing in-house or outsourcing, we can typically reduce your billing dept. expenses by 30-50%. At MedsIT Nexus you will receive the special attention that your practice deserves with ... read MedsIT Nexus Inc. reviews & insights

    NA
    50 - 249
    2014
    NYC, United States
  • Using AI Tools

    • ClaudeClaude
    • ChatGPTChatGPT

    Astral Medical Billing provides end-to-end medical billing and revenue cycle management for independent practices, solo practitioners, and small groups across the United States.What we handle: insurance eligibility verification before every visit, claims submission within 24 hours, denial management and appeals, accounts receivable follow-up, payment posting, provider credentialing, and transparent monthly reporting on the numbers that ... read Astral Medical Billing reviews & insights

    $25 - $49/hr
    2 - 9
    2025
    Harrisonville, United States

    Why Astral Medical Billing?

    • 95 percent plus clean claims, days in AR under 40
    • We bill inside your EHR, data stays yours
    • Percentage pricing, no staffing overhead
  • VOCIS is a 13-year-old organization, with over 150 clients across the globe. VOCIS is a leading IT company, focused on delivering the most cost-effective solutions in the fields of Revenue Cycle Management, Medical Coding, Transcription, Website and Application Development, Internet Marketing, Medical Scribe and Virtual Staffing. VOCIS is a quality driven company. We focus on ... read Vocis reviews & insights

    $25 - $49/hr
    50 - 249
    2000
    Louisville, United States
  • ITCube Solutions is a Global Business Process Management (BPM), Knowledge Processing and Technology Company. We provide a range of services to cater to clients from different lines of business, including (but not limited to) Robotic Process Automation services along with Smart Back Office solutions to any business dealing in transactions that require accuracy and consistency. ... read ITCube Solutions Inc. reviews & insights

    < $25/hr
    250 - 999
    2003
    Cincinnati, United States
  • Formerly Public Sector Partners, Inc., UHealthSolutions manages the business operations of your health care organization — while you focus on improving outcomes for your clients. We take care of the day-to-day administrative tasks, so you don’t have to. As a nonprofit affiliate of UMass Medical School, we have access to a wealth of expertise in ... read UHealthSolutions reviews & insights

    $50 - $99/hr
    50 - 249
    2001
    Shrewsbury, United States
  • Since 1992, the GMS CONNECT team has become an industry leader, providing call center services to health care organizations. Our roster of clients in the Health Plan and Association Industry includes many Fortune 500 companies. Our Corporate Headquarters are conveniently located at the Fort Lauderdale Executive Airport Center and operate call center facilities in Ft. ... read GMS Connect reviews & insights

    NA
    250 - 999
    1992
    Ft. Lauderdale, United States
  • Connext Global Solutions is a business process outsourcing firm that builds customized offshore teams for mid sized businesses. Connext allows clients to start at any size and spec the service to their needs. Connext prides itself on making the outsourcing process as easy and reliable as possible while maintaining it's #1 mission: Enabling Client Growth. ... read Connext Global Solutions reviews & insights

    < $25/hr
    250 - 999
    2014
    Honolulu, United States
  • A team consists of Clinicians, Data Analysts, Project Managers, Medical Billers, Finance Managers, Patient Care Specialists, and Population Experts. They work together to tackle healthcare challenges in an effective and efficient way. It is a Population Management company that focuses on a diverse range of services, including AWV, Chronic Care Management, TCM, BHI, front desk ... read Vital Health Services reviews & insights

    NA
    50 - 249
    2009
    Kingman, United States
  • Aristo Law specializes in providing highly skilled virtual assistants tailored to the needs of law firms and individual lawyers. Aristo Law helps law professionals streamline their operations, improve efficiency, and reduce costs by offering administrative and legal support remotely. Sourcing top virtual assistants who are well-versed in the legal industry, offering services such as legal ... read Aristo Law reviews & insights

    NA
    2 - 9
    2023
    Jackson, United States
  • Welcome to Greenhive Billing Solutions! We are a leading provider of medical coding and billing services. With years of experience in the industry, we have developed a deep understanding of the unique challenges faced by healthcare providers. Our mission is to simplify the billing process and maximize revenue for our clients. We pride ourselves on ... read Greenhive Billing Solutions reviews & insights

    NA
    10 - 49
    2021
    Tempe, United States
  • Paymedics is an all-in-one AI-Powered and Physician-owned Medical Billing Company. We don’t just handle billing stuff; we are here to make our clients’ everyday work lives easy. We, as experts, understand the complexities and complications that come with managing a medical practice.

    $25 - $49/hr
    50 - 249
    2022
    Sheridan, United States
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude
    • GeminiGemini

    Phoenix Virtual Solutions places dedicated virtual medical assistants with US home health agencies, hospice organizations, and medical practices. Built by healthcare operators with 75+ years of experience. HIPAA-trained, performance-managed, zero-risk replacement. Clients save up to 60% on labor. Phoenix places dedicated virtual medical assistants with US healthcare providers including home health agencies, hospice organizations, and ... read Phoenix Virtual Solutions reviews & insights

    < $25/hr
    50 - 249
    2020
    Las Vegas, United States

    Why Phoenix Virtual Solutions?

    • Proven result and satisfied clients
    • Skilled team with industry expertise
    • Reliable support and fast turnaround
  • Using AI Tools

    • ChatGPTChatGPT

    Welcome to RCMByte, a trusted medical billing and healthcare consultancy company headquartered in Austin, Texas. Our mission is to simplify healthcare revenue cycle management while helping healthcare providers maximise their financial performance.RCMByte offers comprehensive revenue cycle management solutions designed for clinics, hospitals, and speciality medical practices across the United States. From insurance verification to claims ... read RCMByte Medical Billing & Consultancy reviews & insights

    NA
    50 - 249
    2024
    Austin, United States

    Why RCMByte Medical Billing & Consultancy?

    • Accurate Medical Coding
    • Patient Billing & Statements
    • Healthcare Digital Marketing
  • Using AI Tools

    • ClaudeClaude

    Rockstar Global partners with private practice owners to remove the operational weight of running a practice. The company provides healthcare-experienced virtual assistants, now paired with AI through its Freedom Engine, along with payroll, benefits, replacements, and success planning handled outside the practice owner's day-to-day.

    < $25/hr
    250 - 999
    2023
    Chandler, United States

    Why Rockstar Global?

    • 100 HIPAA-compliant, highly skilled support
    • 20,000 saved in annual profits per solution
    • 7-14 day average implementation timeline
  • Folio3 Digital Health is one of the leading healthcare software development service provider in the USA. Our services help you reach the goal of converting challenges into opportunities in the healthcare sector.

    NA
    250 - 999
    Pleasanton, United States
  • Revenue Cycle Management delivers comprehensive medical billing and revenue cycle solutions to healthcare providers throughout New York City. Located at 41 W 72nd St, New York, NY 10023, we specialize in optimizing billing processes, minimizing claim denials, and maximizing reimbursements for medical practices of all sizes. Our experienced team ensures precision, compliance, and transparency at ... read Revenue Cycle Management reviews & insights

    < $25/hr
    10 - 49
    2020
    NYC, United States
  • Using AI Tools

    • ChatgptChatgpt

    CodeCureAI – Trusted Medical Billing Company in the USACodeCureAI is a leading medical billing and revenue cycle management company serving healthcare providers, physicians, and clinics across the USA. Our services include medical coding, claims submission, AR follow-up, denial management, and insurance eligibility verification, all designed to boost collections and minimize errors. As a reliable medical ... read CodeCure AI reviews & insights

    < $25/hr
    10 - 49
    2025
    California City, United States

    Why CodeCure AI?

    • Accurate coding, HIPAA-compliant billing.
    • Fast claims, better revenue cycle (RCM).
    • Affordable billing services, real results.
  • With nine call centers located in America, El Salvador, Nicaragua, the Dominican Republic and the Philippines, Bernard works with some of America's largest companies to provide excellent customer experiences and sales results.

    $100 - $149/hr
    250 - 999
    1989
    Jacksonville, United States
  • Golden Gate BPO Solutions provides multi-channel contact center, customer engagement and business process outsourcing services. In addition, we provide strategic consulting, legal, and advisory services for many clients spanning business and operational improvement and restructuring, financial analysis and planning, technology procurement and implementation, and sales, marketing and brand enhancement. Our customer engagement centers are located ... read Golden Gate BPO Solutions reviews & insights

    $25 - $49/hr
    10 - 49
    2006
    Weston, United States
  • Atlantis RCM is a leading provider of Revenue Cycle Management Services, dedicated to supporting healthcare providers in streamlining their financial processes and maximizing revenue. With a team of highly experienced professionals, Atlantis RCM collaborates closely with medical practices, hospitals, and healthcare organizations to address the challenges of managing complex billing systems, claims, and collections. The ... read Atlantis RCM reviews & insights

    < $25/hr
    10 - 49
    2019
    Goodyear, United States
  • Dunedain Technologies is a forward-thinking IT solutions provider specializing in software development, business process outsourcing (BPO), and digital transformation services which include but are not limited to; customer support, website/application development and medical billing. We help businesses streamline operations, enhance productivity, and scale efficiently through innovative technology and dedicated support.

    < $25/hr
    10 - 49
    2020
    Cheyenne, United States
  • EZMed Professionals was founded by a team of veteran healthcare administrators and billing specialists who observed a critical gap in the industry. We saw countless talented medical providers burdened by the ever-increasing complexities of billing, credentialing, and payer regulations. Their focus was being pulled away from patient care and toward administrative fires, while impersonal, large-scale ... read EZ Med Professionals reviews & insights

    NA
    10 - 49
    2020
    Minneapolis, United States
  • Elite MedBilling Solutions & Revenue Cycle Management provides end-to-end medical billing services that cover the complete revenue cycle, from charge entry and coding to claims submission and payment posting. Our integrated approach helps reduce denials, improve collections, and keep your reimbursements flowing.

    NA
    50 - 249
    2025
    Brentwood, United States

    Why Elite MedBilling Solutions?

    • Proven RCM expertise & faster reimbursements
    • Transparent processes with real-time reporting
    • Scalable solutions tailored to your practice
  • Using AI Tools

    • ClaudeClaude

    Ijoba BPO is a US-based business process outsourcing company delivering call center operations, virtual assistant services, administrative outsourcing, and back-office support to organizations across multiple industries nationwide.Unlike offshore BPO providers, every agent, every virtual assistant, and every placed professional we deploy is US-based — no communication barriers, no time zone friction, no compromise on quality ... read Ilera Source reviews & insights

    NA
    10 - 49
    2023
    Raleigh, United States

    Why Ilera Source?

    • US-Based. No Exceptions.
    • Enterprise Capability. Boutique Responsiveness.
    • One Partner. Every Operational Need.
  • Using AI Tools

    • GrammarlyGrammarly
    • CanvaCanva
    • ChatGPTChatGPT

    LegitMedBilling & IT Solutions LLC is a U.S.-registered company based in Sheridan, Wyoming, providing medical billing, revenue cycle management, and IT services. We support healthcare providers across the United States with eligibility verification, prior authorization, medical coding, claims submission, payment posting, denial management,accounts receivable follow-up, and provider credentialing across multiple specialties. In addition to healthcare ... read LegitMedBilling & IT solutions reviews & insights

    $25 - $49/hr
    2 - 9
    2022
    Wyoming, United States

    Why LegitMedBilling & IT solutions?

    • 98 percent clean claims rate on first submission
    • Free 2 week trial with a full billing audit
    • We only get paid when you get paid
  • Using AI Tools

    • ClaudeClaude

    About Billix HealthBillix Health is a trusted medical billing company in Dublin, California, dedicated to helping healthcare providers simplify their billing processes, improve cash flow, and maximize revenue. We provide reliable, accurate, and HIPAA-compliant medical billing services that reduce administrative workload, allowing physicians and healthcare professionals to focus on delivering exceptional patient care.With years of ... read Billix Health Medical Billing reviews & insights

    $50 - $99/hr
    2 - 9
    2025
    Dublin, United States

    Why Billix Health Medical Billing?

    • HIPAA-Compliant Billing We follow strict HIPAA sta
    • Experienced Billing Experts Our skilled profession
    • Faster Reimbursements We streamline the billing pr
  • Allzone Management Services is a premier provider of medical billing, medical coding, and revenue cycle management services. They specialize in helping healthcare providers in the United States streamline their billing processes, improve claim accuracy, and maximize revenue. Here are some key features of Allzone Management Services: Medical Billing: Handles the entire billing process, including claim ... read Allzone Management services inc reviews & insights

    NA
    250 - 999
    0
    Glendale, United States
  • "Transform your healthcare practice with Tech Med Solutions! Our expert medical billing and revenue cycle management services ensure accurate coding, reduced claim denials, and optimized cash flow. Let us handle the complexities of billing, so you can focus on delivering exceptional patient care. Partner with us for efficiency, compliance, and financial growth."

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

    • ClaudeClaude

    Medronix provides Revenue Cycle Management (RCM), Medical Billing, Medical Coding, Virtual Medical Scribing, and Healthcare IT Solutions to help healthcare providers improve cash flow, reduce claim denials, optimize operations, and deliver better patient care.

    < $25/hr
    10 - 49
    2002
    Sugar Land, United States

    Why Medronix?

    • Boost Revenue & Reduce Claim Denials
    • Maximize Reimbursements Efficiently
    • Accurate Medical Billing & Coding
  • Customer Elation provides call center services for clients who want the capabilities of a large call center but the attention of a boutique shop.

    < $25/hr
    250 - 999
    1993
    Minneapolis, United States
  • Using AI Tools

    • ClaudeClaude

    MD Revenue Group is a HIPAA-compliant medical billing and revenue cycle management company based in Jersey City, NJ. We handle claims, coding, denials, payer enrollment, and collections for healthcare providers who want fewer headaches and more revenue in the door. Our team works behind the scenes so providers can focus on patients instead of paperwork. ... read MD Revenue Group reviews & insights

    $25 - $49/hr
    2 - 9
    2023
    Jersey City, United States

    Why MD Revenue Group?

    • HIPAA-compliant billing, zero guesswork
    • Faster claims, fewer denials, more revenue
    • Real support, not a call center queue
  • Using AI Tools

    • ChatGPTChatGPT

    Lemedix is a trusted partner for post-acute care facilities and medical practices, unifying on-site diagnostic testing, portable imaging, and expert revenue cycle management into a single system. By offering same-day lab results, mobile bedside diagnostics, and dedicated denial management, they reduce administrative burdens so healthcare teams can focus entirely on patient care.Comprehensive Brand DescriptionLemedix redefines ... read Lemedix reviews & insights

    NA
    50 - 249
    2019
    Pleasanton, United States

    Why Lemedix?

    • Unified all-in-one platform.
    • Fast mobile bedside diagnostics.
    • Maximized financial revenue capture.
  • Premier BPO LLC was established in 2003. It strives to combine customer needs with technology and people to produce a synergistic blend of customized solutions that produce higher profits, reduced costs, greater customer satisfaction and lasting client relationships. Premier BPO LLC’s business philosophy is inspired by the vision that, “Our customer’s customer is Our Customer”, ... read Premier BPO reviews & insights

    < $25/hr
    250 - 999
    2003
    Clarksville, United States
  • Cabilyt is reshaping the future of outsourcing by offering tailored solutions that empower businesses to thrive. We’re here to deliver exceptional BPO services by investing in top global talent and cutting-edge technology. In an industry where outsourcing has become essential to growth, we stand out by providing specialized support in areas like lead generation, customer ... read Cabilyt reviews & insights

    < $25/hr
    250 - 999
    2020
    Sheridan, United States
  • Liberty Liens is a firm which grows with growth of its client. We believe that our client’s success is our success. We always put our clients on top of everything. We swiftly determine the workload of our client and accordingly distribute it among our team to make sure that all operations are carried out duly. ... read Liberty Liens reviews & insights

    NA
    50 - 249
    2023
    Corona, United States
  • Using AI Tools

    • ClaudeClaude
    • ChatGPTChatGPT
    • GeminiGemini

    DOCS MD CREDENTIALING AND BILLING SERVICES LLC Company OverviewDOCS MD CREDENTIALING AND BILLING SERVICES LLC is a U.S.-based healthcare Revenue Cycle Management (RCM), medical billing, dental billing, provider credentialing, and healthcare consulting company dedicated to helping healthcare organizations optimize financial performance, streamline administrative operations, and achieve regulatory compliance. The company delivers comprehensive end-to-end revenue cycle ... read Docs MD Credentialing and Billing Services LLC reviews & insights

    $25 - $49/hr
    250 - 999
    2025
    Atlanta, United States

    Why Docs MD Credentialing and Billing Services LLC?

    • End-to-End Revenue Cycle Management
    • End-to-End Credentialing and Contracting Managemen
    • End-to-End Technology Management
  • Etech Global Services, headquartered in Nacogdoches, Texas and with branches in Lufkin, Dallas, Texas, West Palm Beach, Florida, Jamaica and India, is a leading provider of customer engagement solutions for many of the world’s most trusted brands. They trust Etech with their most precious assets – their customers. Why? Because Etech’s commitment to continuous improvement, ... read Etech Global Services reviews & insights

    $25 - $49/hr
    1,000 - 9,999
    2003
    Nacogdoches, United States
  • Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

    $25 - $49/hr
    250 - 999
    2003
    NYC, United States
  • Accu-Call located in Wilmington, North Carolina has provided answering services and call center solutions on a nationwide scale for over 24 years. We are a leader in the call center industry with our knowledgeable staff we can guarantee your company the most dependable, efficient and professional call center solutions available.

    < $25/hr
    2 - 9
    Wilmington, United States
  • We fill in that gap. We take your non profitable tasks such as Data Entry, Bookkeeping, Customer Relationship Management, Transcription, Medical/Dental Billing and many more and ensure that they are completed in an accurate and timely manner. Plus, our License Office Division will keep your fleet management simple for you and keep your employees working ... read Beacon Virtual Assistants reviews & insights

    < $25/hr
    2 - 9
    2009
    St. Louis, United States
  • At Precision, we believe best-in-class technology and revenue cycle processes are essential in order for hospitals and medical practices to succeed in the healthcare industry of tomorrow. Precision provides software solutions that have been carefully tested and successfully deployed at many hospitals and medical practices across the country, and Precision applies its proven medical billing ... read Precision Practice Management reviews & insights

    < $25/hr
    50 - 249
    St. Louis, 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.

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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