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
  • Pert Transcription Services is a Healthcare Back Office that specializes in providing Medical Transcription, Medical Billing, and Medical Coding solutions to multiple Medical Service Providers in United States of America and Canada and also some European Countries. Having been initiated into the domain in the year 1997, the core enthusiastic and well qualified professional team ... read Pert Transcription Services reviews & insights

    $50 - $99/hr
    2 - 9
    1997
    Charlotte, United States
  • Medical Revenue Associates, Inc. (MRA) was founded by Rob Levin as a natural progression of his involvement in healthcare medical billing services since 1984. Originally a provider of healthcare services, Rob’s expertise was in revenue cycle management and medical credentialing. When it became apparent to him that a dedicated unit to provide physician billing services ... read Medical Revenue Associates reviews & insights

    NA
    10 - 49
    1984
    Bensalem, United States
  • Physicians Management Network Inc. (PMN Inc.) is a full-service medical coding and billing company located in Southern California serving healthcare providers since 2000. PMN Inc. offers medical practices a wide range of services including: Medical Coding and Billing Provider Credentialing and Contracting Billing Process Audits Accounts Receivable (AR) Management Insurance and Patient Collection & Management ... read PMN INC reviews & insights

    < $25/hr
    10 - 49
    2000
    Orange County, United States
  • At MedStates, we are dedicated to provide top-notch medical billing and revenue cycle management services to our esteemed clientele with the aim to increase revenue of healthcare practitioners by rationalising the process of medical billing. As a leading service provider in the industry, the professionals at MedStates assist in timely payments to its clients considering ... read MedStates Medical Billing Services reviews & insights

    NA
    2 - 9
    2023
    NYC, United States
  • Medetec specializes in providing comprehensive medical billing and coding solutions, aimed at improving practice efficiency and revenue cycle management for healthcare providers. With expertise in practice management consulting, staff training, provider enrollment, and credentialing services, Medetec ensures optimal handling of claims, denial management, and payment posting. Their solutions cater to various medical specialties, from pediatrics ... read Medetec reviews & insights

    NA
    50 - 249
    2000
    NYC, United States
  • Welcome to Physician Cure, your trusted partner in the world of medical billing. At Physician Cure, we are dedicated to simplifying and streamlining the complex process of medical billing, allowing healthcare providers to focus on what truly matters – delivering exceptional patient care. Mission Our mission is to revolutionize the medical billing industry by providing ... read Physician Cure reviews & insights

    NA
    2 - 9
    2014
    NYC, United States
  • Medi-Solutions Management provides expert medical billing, credentialing, and revenue cycle management services to healthcare providers. We ensure accurate reimbursements, streamline credentialing, and manage claims, insurance verification, and compliance. Our tailored solutions help maximize revenue and efficiency, allowing healthcare professionals to focus on patient care.

    $25 - $49/hr
    10 - 49
    2020
    Princeton, United States
  • Qodoro is a business process management and offshore support company founded in 2018, headquartered in New York City, with operations centered in Ahmedabad, India456. The company specializes in providing high-quality, cost-effective outsourcing solutions primarily in Recruitment Process Outsourcing (RPO), talent acquisition, medical and dental billing, accounting, and business process management services125. Qodoro serves clients across ... read Qodoro reviews & insights

    $25 - $49/hr
    50 - 249
    2018
    New Albany, United States
  • At Connectica Solutions, our main focus is to help you “Connect”. Connect with your customers, your employees, providers and partners using the most efficient communication channels and the latest technology to your advantage.

    $50 - $99/hr
    250 - 999
    2009
    Houston, United States
  • Velan Healthcare services delivers the trusted choice for Medical billing and coding. Outsourced HCS managed Patient services & billing services. Engaging Velan's reliable healthcare services free up providers' staff and allow them to focus on value-added services to patients.Claims are processed and submitted within two business days. Delight follow-up with insurance companies ensure quicker revenue ... read Velan Healthcare Services reviews & insights

    < $25/hr
    250 - 999
    2007
    Dover, United States
  • Through MERIDIAN REMOTE TEAMS, we provide a sustainable resource of talent that can assist your business to achieve goals and, in turn, help build communities and improve lives.

    NA
    50 - 249
    2020
    San Francisco, United States
  • CALLMAX is an innovative call center and Business Process Outsourcing (BPO) services provider headquartered in New York. This firm has been providing cost-effective inbound and outbound call services for businesses since 2006. This BPO company prioritizes delivering solutions for businesses that want to expand and enhance their customer service, sales, back office or technical support ... read Callmax Solutions USA Division Inc. reviews & insights

    NA
    1,000 - 9,999
    2012
    Brooklyn, United States
  • RemotelyScale.com, is a trusted expert in Business Process Outsourcing (BPO) and Virtual Assistance solutions. We specialize in providing businesses with highly skilled remote professionals to scale business, streamline operations, increase efficiency, and drive growth. Who We Are At RemotelyScale.com, we understand the evolving needs of modern businesses. Our mission is to help companies of all ... read RemotelyScale.com reviews & insights

    NA
    10 - 49
    2025
    Newark, United States
  • Lowkia is a versatile business process outsourcing (BPO) provider and call center headquartered in Springfield, VA, with operations in Bangladesh. We deliver solutions that enhance efficiency and drive growth across industries including Healthcare, Fintech, Ecommerce, Finance, IT, Telecommunications, Transport & Logistics, and Travel & Hospitality. Our services range from Back Office Support, Customer Service, Data ... read LOWKIA reviews & insights

    < $25/hr
    50 - 249
    2024
    Springfield, United States
  • At Ergon, we believe that small business owners deserve more than just support—they deserve results. We’re not your typical virtual assistant service. We’re a premium membership company that gives entrepreneurs and growing teams the power of a full operations team—without the full-time cost. Whether it’s executive assistance, CRM setup, automation, social media management, or admin ... read Ergon Business Solutions reviews & insights

    < $25/hr
    50 - 249
    2024
    Birmingham, United States
  • Paival LLC, is a Call Solutions delivers multilingual customer support across English, French, Spanish, and Creole with measurable results — including CSAT scores averaging 90–95%, first-response times under 60 minutes, and phone answer rates consistently above 90%. Our teams operate from certified nearshore talent hubs across the Caribbean and Latin America, following structured SOPs, QA ... read Paival Solutions reviews & insights

    NA
    50 - 249
    2025
    Lexington, United States
  • Using AI Tools

    • ClaudeClaude

    We are a team of dedicated professionals who are passionate about delivering the highest quality of services to our clients. Established in 2023, our primary goal is to provide our clients with the serenity they aspire for when outsourcing services to their partners. At Nirvaana CS, we understand that the success of your business relies ... read Nirvaana CS reviews & insights

    $25 - $49/hr
    10 - 49
    2023
    Seattle, United States

    Why Nirvaana CS?

    • Cost-effective BPO solutions
    • Scalable outsourcing support
    • Customized business solutions
  • Using AI Tools

    • ClaudeClaude

    JOI (Just Outsource It) is a nearshore business process outsourcing company in Guadalajara, Mexico, built for US companies that want the cost savings of outsourcing without the friction of going offshore.We recruit, train, and manage dedicated teams that work on US Central time and speak fluent, neutral-accent English. The model fixes what offshore breaks: no ... read JOI - Just Outsource it reviews & insights

    NA
    50 - 249
    2023
    Salt Lake City, United States

    Why JOI - Just Outsource it?

    • Onshore quality at nearshore prices
    • Fluent English, in your US time zone
    • Live in two four weeks no long lock in
  • Using AI Tools

    • ClaudeClaude

    We connect your business with top-tier, native English and Spanish-speaking agents trained in customer service, sales, and technical support.

    $25 - $49/hr
    50 - 249
    2025
    Edinburg, United States

    Why StratifyCX?

    • Top-Tier Talent
    • Built Around Your Business
    • Scale With Confidence
  • Using AI Tools

    • ChatGPTChatGPT
    • CanvaCanva
    • GrammarlyGrammarly
    • ClaudeClaude
    • GeminiGemini
    • + 4 More

    Expansion Desk helps US businesses get more done with skilled virtual assistants and remote professionals, without the cost and overhead of full-time in-house hires.We work with founders and business owners who are stretched thin: buried in admin, missing follow-ups, losing leads, or paying full-time salaries for part-time workloads. We give them experienced remote professionals who ... read Expansion Desk reviews & insights

    NA
    2 - 9
    2022
    Tampa, United States

    Why Expansion Desk?

    • Pre-vetted professionals, ready in days
    • No lock-in, transparent monthly pricing
    • Free replacement if the fit is not right
  • We are more than a traditional staff outsourcing service provider - we aim to forge strong client partnerships, have a deep and intimate understanding of our clients’ operations, and design an outsourcing strategy that addresses specific business requirements. We are highly consultative, quick to respond to our client’s changing needs at every stage of their ... read Satellite Office Solutions reviews & insights

    NA
    250 - 999
    Reno, United States
  • At Pro On Duty, we believe that great customer service starts with real human connection. We provide bilingual (English/Spanish) agents, integrated technology, and tailored support solutions to help businesses of all sizes deliver consistent, high-quality customer experiences. Whether you need inbound support, outbound sales, appointment scheduling, or full campaign management, our team becomes an extension ... read Pro On Duty reviews & insights

    < $25/hr
    10 - 49
    2023
    Miami, United States
  • Using AI Tools

    • Agent AIAgent AI

    Callzilla is a Customer Experience Management practice, that blends cutting edge AI with twenty one years of CX management mastery that are faster, smarter, and unmistakably human.

    NA
    1,000 - 9,999
    2005
    Miramar, United States

    Why Callzilla?

    • Outsourcing and Offshoring Consulting
    • Turn your Customer Experience into Measurable Busi
    • Identify whats holding your CX back and build
  • Using AI Tools

    • ChatGPTChatGPT

    Since 2019, Squad International provides BPO and outsourcing solutions—customer support, telemarketing, lead generation, virtual assistance and back-office operations—serving 300+ global clients with dedicated offshore teams that deliver consistent, accountable business support and cost-optimizing services.

    < $25/hr
    50 - 249
    2019
    NYC, United States

    Why Squad International?

    • Dedicated resources
    • Your processes
    • Flexible scaling
  • Staffwiz LLC is a pioneering Business Process Outsourcing (BPO) firm headquartered in the USA, India & the Phillippines, dedicated to providing comprehensive Outsourced Support Services to clients across North America, the United Kingdom, Australia, and the Asia Pacific region. We are a cutting-edge Outsourcing Solutions Provider, catering to a diverse clientele, ranging from dynamic startups ... read Staffwiz LLC reviews & insights

    NA
    2 - 9
    NYC, United States
  • ClarkStaff is a leading provider of comprehensive offshore outsourcing solutions, specializing in remote staffing, seat leasing, and bespoke workforce strategies. Our mission is to empower businesses by offering top-tier talent that aligns with their unique needs, enhancing productivity while significantly reducing operational costs. With a flexible 30-day contract model, we cater to both startups and ... read ClarkStaff reviews & insights

    < $25/hr
    250 - 999
    0
    Saint Petersburg, United States
  • At BBL, we specialize in providing high-quality, professional outsourcing services designed to support the unique needs of professional firms. Whether you’re a law firm, accounting practice, or consulting agency, our solutions are built to enhance operational efficiency, reduce overhead costs, and allow you to focus on what matters most—serving your clients and growing your business.

    NA
    50 - 249
    2008
    Tustin, United States
  • Using AI Tools

    • ClaudeClaude
    • ChatGPTChatGPT
    • GrammarlyGrammarly

    At YesAssistant, we help businesses save time, reduce workload, and stay focused on growth through reliable virtual assistant and back-office support solutions. Our team provides customized assistance across administrative tasks, customer support, lead generation, appointment setting, cold calling, data entry, web research, SEO, social media marketing, graphic design, and website development. With a client-focused approach, ... read YesAssistant reviews & insights

    $50 - $99/hr
    50 - 249
    2011
    New Castle, United States

    Why YesAssistant?

    • Trained team across admin, sales & support
    • Fast, flexible support that scales with you
    • Cost-effective help without hiring overhead
  • Using AI Tools

    • ChatGPTChatGPT
    • ClaudeClaude
    • GeminiGemini
    • PerplexityPerplexity
    • GitHub CopilotGitHub Copilot
    • + 3 More

    Simetrix Solutions runs AI-native contact center operations for enterprise brands that can no longer accept the gap between what their customers experience and what their dashboards report.We are a multilingual BPO operating in 20+ languages including English and Spanish. Founded in 2010. ISO 9001 and ISO 27001 certified.What makes us different is the AI layer ... read Simetrix Solutions reviews & insights

    < $25/hr
    250 - 999
    2010
    Fair Lawn, United States

    Why Simetrix Solutions?

    • AI scores 100 percent of calls, not 3 to 5 percent
    • Real-time agent coaching during live calls
    • 20 plus languages ISO 9001 and 27001 certified
  • At Medical Accounting and Billing Services (MABS), we specialize in providing reliable, accurate, and HIPAA-compliant medical billing services tailored for independent providers, small clinics, and family medicine practices across the U.S. Our goal is simple — to maximize your revenue cycle management while minimizing administrative stress. With a team of expert billing professionals and certified ... read Medical Accounting and Billing Services LLC reviews & insights

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

    • ZoomZoom

    Five Star Solutions is an award-winning, global outsourced customer experience (CX) and contact center partner built for the modern enterprise. We engineer complete, secure, and technology-driven customer care frameworks designed to solve complex business challenges, protect brand equity, and drive long-term customer loyalty.We specialize in high-performance customer care, multi-channel technical support, and intelligent automation for ... read Five Star Solutions reviews & insights

    NA
    1,000 - 9,999
    1986
    Sioux City, United States

    Why Five Star Solutions?

    • AI Integrated Tech & Human Intelligence
    • Global Presence
    • We Care
  • Using AI Tools

    • CanvaCanva

    We bridge enterprise-level BPO capabilities with the flexibility modern businesses demand — world-class bilingual talent + data-driven operations, delivering outcomes that move the needle.Prime Contact Group was founded in 2025 with a clear purpose: bridge the gap between enterprise-level BPO capabilities and the flexibility modern businesses demand.We built an operation that combines the talent and ... read Prime Contact Group reviews & insights

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

    Why Prime Contact Group?

    • Precision from day one
    • Speed to Deployment
    • Direct Leadership Access
  • Our company was founded by Edward and Cheri Freeman in 1988, which continues to grow within the family, including wendy their daughter (operations Manager), and now Colton, Wendy’s son (Sales Manager). Based on excellent customer service and run in a family owned and operated environment, we strive to satisfy and meet every client expectation. By ... read PAS Communications reviews & insights

    < $25/hr
    2 - 9
    1988
    Whitmore Lake, United States
  • Using AI Tools

    • ChatGPTChatGPT

    About Online VA TeamOnline VA Team helps businesses hire dedicated teammates to solve staffing shortages, reduce workloads, and build more efficient teams.Rather than outsourcing one-off tasks, our clients hire virtual assistants who work with their business on an ongoing basis. These teammates learn the company’s systems, customers, processes, and goals so they can become a ... read Online VA Team reviews & insights

    < $25/hr
    250 - 999
    2014
    Ann Arbor, United States

    Why Online VA Team?

    • Dedicated teammate, not a marketplace
    • Full HR & Recruiting Department
    • Long term clients partnering with you for growth
  • Clarisolv is a boutique Business Process Outsourcing (BPO), Digital Operations, and Consulting firm established in 2025. The company specializes in delivering high-quality, scalable, and customer-centric operational solutions for startups, SMEs, and growing enterprises across MEA, Europe, and North America. Clarisolv provides services across customer support operations, back-office services, talent and workforce solutions, process optimization, and ... read Clarisolv LLC reviews & insights

    NA
    2 - 9
    2025
    Cheyenne, United States
  • We are a company specializing in medical billing and coding, collection of accounts as well as providing payment processing for your medical practice. At Columbus healthcare, we are dedicatedly committed to helping you, our client, and we strictly follow (HIPAA) Health Insurance Portability and Accountability Act. Our team understands how important is patient health Information ... read Columbus Healthcare services LLC reviews & insights

    < $25/hr
    10 - 49
    2017
    Los Angeles, United States
  • MedBridge Services is a dynamic and innovative company dedicated to bridging the gap between businesses and their digital success. Founded with the vision of empowering organizations to excel in today’s competitive market, MedBridge Services specializes in providing a wide range of tailored solutions designed to optimize business performance and drive growth.At MedBridge Services, our mission ... read MedBridge Services reviews & insights

    < $25/hr
    50 - 249
    2024
    Dover, United States
  • At Medical Care Billing, we specialize in optimizing revenue for healthcare providers across the United States. With over 12 years of experience, our team of certified billing professionals, coders, and compliance experts deliver comprehensive medical billing services designed to maximize your practice's revenue with precision and transparency. Our services include medical billing, revenue cycle management, ... read Medical Care Billing reviews & insights

    NA
    50 - 249
    2012
    San Diego, United States
  • At Global Hola, we believe that the true essence of outsourcing goes beyond mere task delegation; it’s about creating amazing connections between talent and companies. Our mission is to interweave the expertise of our dedicated talents with the aspirations of our small-medium-sized business clients. When you work with us, our team becomes an extension of ... read Global Hola reviews & insights

    < $25/hr
    2 - 9
    2023
    Nashville, United States
  • Radius Global Solutions is a leading provider of accounts receivable, customer relations and revenue cycle management solutions. Radius was established on the principles of innovation. We attract the best people, empower them with our progressive business culture, and enable them with next-generation technology. Radius is at the forefront of compliance. Our commitment to meeting the ... read Radius Global Solutions reviews & insights

    $100 - $149/hr
    250 - 999
    2013
    Ambler, United States
  • At Southwest Call Center, we understand every nuance of the call center industry. We want to help your business be successful and designed our service with you in mind – that is to help you reduce operations costs without sacrificing quality of customer service.

    < $25/hr
    2 - 9
    Lake Charles, United States
  • Elegance Healthcare LLC is a front-runner in the medical billing industry with a wealth of experience in offering solutions for various specializations. Our educated management team guarantees unmatched expertise in managing your billing demands with a combined experience of over 7 years. Serving the requirements of over physicians nationally, Elegance Healthcare LLC is a pioneer ... read Elegance Healthcare LLC reviews & insights

    < $25/hr
    50 - 249
    2017
    Providence, United States
  • MaxRemind Inc. is one of the top-tier healthcare solution providers in the US that offers medical billing, coding, credentialing, EHR, and other healthcare-related services. With 20 years of experience in the industry, MaxRemind Inc. specializes in increasing practices’ revenue by up to 23% with a 99% first-pass resolution rate.

    $25 - $49/hr
    250 - 999
    2011
    Carrollton, United States
  • Managed Outsource Solutions (MOS) is an experienced business process outsourcing company, providing services such as data entry, document conversion, data scanning and imaging for a wide range of industries such as Medical, Legal, Information Technology and others. Based in Tulsa, Oklahoma, we develop strategies to help our clients increase productivity, reduce costs, and stay competitive.

    NA
    50 - 249
    2002
    Tulsa, United States
  • PureMD Group is a leading US medical billing company, offering secure and reliable healthcare solutions. We help healthcare professionals improve billing, coding, front desk management, and revenue cycle management. Our physician credentialing service simplifies certification for practices.

    NA
    10 - 49
    2015
    Lomita, United States
  • HealthRescue Partners, We specialize in empowering healthcare startups and small practices to thrive amidst the complexities of the modern medical industry. We understand the critical issues that new healthcare businesses face, including regulatory compliance, patient acquisition, financial management, and operational efficiency. These challenges can be overwhelming and can hinder the growth and success of any ... read HealthRescue Partners reviews & insights

    < $25/hr
    50 - 249
    2018
    Albuquerque, United States
  • Data Entry Export has been established to be the leading offshore data entry services in USA. As we all know, data has become an integral element of every business organization. Hence, it is of utmost to implement systematic data management process. Regardless of your business nature and functioning, our efficient offshore data entry panel will ... read Data Entry Export. reviews & insights

    NA
    50 - 249
    2013
    Bergen, United States
  • Our goal is to transform your medical practice by focusing on bringing the highest level of workflow efficiency, and looking at the business from a holistic point of view, such that it becomes profitable.

    NA
    2 - 9
    2014
    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.

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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