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
  • As a trusted partner and compassionate advocate, we are a leading provider of comprehensive eligibility and enrollment services and claims resolution for hospitals, patients, individuals and their families. For hospitals and providers, it’s an improved revenue cycle, educational resources and a better bottom line. For uninsured and underinsured patients, it’s caringly navigating them through the ... read ClaimAid reviews & insights

    $25 - $49/hr
    50 - 249
    Indianapolis, United States
  • Total RCM Solutions is a St.Louis, MO-based company that has been providing exceptional medical billing and coding services to specialty physician practices and ambulatory surgical centers. We were founded by healthcare executives as a solution to their on-going billing and coding problems. For over 15 years, we have been working to provide our clients with ... read Total RCM Solutions reviews & insights

    < $25/hr
    10 - 49
    St. Louis, United States
  • GroupOne Health Source is an end-to-end medical billing, transcription, information technology, and consulting firm dedicated to improving the revenue cycle management and operations for medical groups and health systems across the U.S. We provide healthcare leaders with the revenue cycle confidence they need to build stronger organizations that continue to expand and advance patient care ... read GroupOne Health Source reviews & insights

    < $25/hr
    250 - 999
    1991
    Indianapolis, United States
  • Results Billing Service is a nationwide billing company that is very affordable. We are CPC certified with over 15 years experience in the medical billing field. We strive to continue our success in the market with continue education and to stay up to date and current with any CPT or ICD-10 changes.

    < $25/hr
    2 - 9
    Kansas City, United States
  • Medcare MSO is a full-service revenue cycle management (RCM) company. Our customized programs include proprietary software designed to ensure up-to-date coding and compliance in addition to managing billing and payment from the first contact by the patient to AR recovery when necessary. We know that every medical specialization has unique coding and billing requirements, so ... read Medcare MSO reviews & insights

    < $25/hr
    50 - 249
    2008
    Santa Fe, United States
  • Nation-Wide was Founded by a Group of Physicians in 1990s to service their own practices. Nation-Wide provides expert coding and Medical Billing Services, allowing physicians to focus on providing great clinical care. Nation-Wide is the largest consortium in the United States and has grown over the years to become the nation’s leading provider of unsurpassed ... read Nation-Wide Medical Billing & Coding Services reviews & insights

    NA
    250 - 999
    1999
    Phoenix, United States
  • Based in North Palm Beach Florida, AccQdata has been a leader in reimbursement, serving the Orthotics and Prosthetics and DME communities nationwide since 1994. We believe that the long term stability and success of your practice depend on knowledgeable billing and collection information. Knowing the full aspect of billing guidelines and methods will efficiently enhance ... read AccQData reviews & insights

    NA
    50 - 249
    1994
    North Palm Beach, United States
  • BillingDocs offers a diverse collection of medical billing services ranging from simple follow-ups to comprehensive revenue cycle management solutions geared towards multiple specialties. Our tailor-fit services cater to a medical practice's existing workflows and minimize disruptions. We offer three primary service levels, which can be further customized according to each practice's needs. Coherent Medical Billing ... read BillingDocs reviews & insights

    NA
    250 - 999
    2008
    Jersey City, United States
  • With over 30 + years of combined experience, 4D Global offers customized healthcare solutions to our clients. Our professionals have comprehensive Healthcare industry knowledge and skill enables us to provide innovative & complete solutions to our clients’ challenges. We optimize our client’s revenue cycle by leveraging our knowledge & experience to reduce the operating and ... read 4D Global reviews & insights

    < $25/hr
    250 - 999
    2015
    Scottsdale, United States
  • As a leading healthcare BPO company with a world-class team of highly skilled medical coding and medical billing outsourcing professionals, GeBBS Healthcare Solutions solves its clients’ billing challenges, while embracing their overall business operations. By leveraging our people, processes and technology, our healthcare BPO company enables clients to reduce operating and capital costs, recover revenue, ... read GeBBS reviews & insights

    $25 - $49/hr
    2 - 9
    Culver City, United States
  • At Med-Write, we pride ourselves in being the most efficient, professional, results-driven medical billing firm in the Rocky Mountains. As an integral part of the medical community for the past 15 years, we have gained the experience needed to guarantee success in a wide-range of specialties. Our team of trained account managers work in all ... read Med-Write reviews & insights

    NA
    2 - 9
    Billings, United States
  • ApexMedPro is a premier medical billing service for physicians, occupational therapists, hospitals and other medical service providers. We efficiently and smoothly manage your billing needs, providing one-window solution for increasing reimbursements and improving profitability. Our staff has experience in maximizing revenue collection and improving cash flow. We provide cost-effective and efficient customized medical billing programs ... read Apex MedPro reviews & insights

    NA
    2 - 9
    Cheyenne, United States
  • Storm Medical Billing is a HIPAA-compliant, independent medical billing company based in Austin, TX. We specialize in serving the behavioral health industry supporting Licensed Therapists, Mental Health Counselors, Clinical Psychologists, and Psychiatrists. We help independent healthcare providers improve their bottom line by managing their billing and claims process. We provide cost effective outsource billing service ... read Storm Medical Billing reviews & insights

    < $25/hr
    2 - 9
    Austin, United States
  • Solutions for Medical Billing specializes in billing solutions for medical practices and has operated since 1997. We are flexible and adaptable with a proficient knowledge to implement immediate billing solutions and provide secure utilization of a top line practice management software through Compugroup.com. Or adapt to an existing practice management software within the practice which ... read Solutions For Medical Billing reviews & insights

    $25 - $49/hr
    2 - 9
    Austin, United States
  • At Onion Creek Medical Billing our goal is to provide local, personalized medical billing services for psychotherapists in Central Texas with a client-oriented approach. We strive to fill in the gaps that other medical billing companies leave behind.

    < $25/hr
    2 - 9
    Austin, United States
  • We provide 100% cloud-based intelligent software and expert revenue cycle management services. Emerging from over two decades of providing medical billing and practice management services, PUREDI combines proven industry knowledge with the best of technology.

    $25 - $49/hr
    2 - 9
    Austin, United States
  • Our mission is to provide professional, state of the art medical billing and specialty services to our clients to achieve maximum reimbursement. The Firm believes successful Physicians view their office as a business. In order to meet today’s healthcare needs of the patient, profits are critical for a Medical Practice to survive and thrive. FIRMSERVICESMEDICALBILLINGINSURANCECLAIMSThe ... read The FIRM reviews & insights

    $25 - $49/hr
    2 - 9
    Austin, United States
  • MedAstin offers medical professionals thorough, competent support throughout the entire billing process. Our team also provides strategic management, working hands on with practice team members to identify patterns in order to consistently increase revenue and improve billing efficiencies. Overall, our team strives to offer a customized concierge-like service, never before seen in medical billing or ... read MedAstin reviews & insights

    $25 - $49/hr
    2 - 9
    Austin, United States
  • M & R Billing Services, LLC in Jacksonville, Florida is a medical billing business established by a professional who has been in the industry for more than 15 years. We specialize in providing medical billing services to podiatrists all throughout The United States.

    NA
    2 - 9
    Jacksonville, United States
  • iNtelli-Bill provides you a Highly Skilled Medical Billing Staff relieving you from the tedious and time consuming back office duties required to successfully complete the revenue cycle for your practice. Our expertise is physicians medical billing and no one does it better. We absolutely can increase your bottom line and at times quite dramatically.

    NA
    2 - 9
    Orange Park, United States
  • Multi-Medical started providing medical billing services back in 1977. Our level of service has not changed since day one. Customer service to our providers, their staff and their patients are our primary focus. The company continues to grow and utilize Kareo for their medical billing software; however, we connect to most electronic medical record systems ... read Multi-Medical Specialties Billing Associates reviews & insights

    NA
    2 - 9
    1977
    Orange Park, United States
  • J & S Billing Group, LLC is a Multi-specialized firm that offers full-service physician and non-physician billing, coding, credentialing and consultative services. Timely and appropriate reimbursement of medical billing and coding requires knowledge and experience in order to improve your profits, your cash flow and generate the fastest, maximum payments on all of your claims.

    NA
    2 - 9
    Jacksonville, United States
  • ProclaimsMD has been providing billing and management services to solo and group physician practices within Florida and the Southeast for nearly 14 years. What sets us apart from most of our competitors is our credentials, knowlege and experience coupled with our "one stop shop" of products and services to meet and exceed all of our ... read ProclaimsMD reviews & insights

    NA
    2 - 9
    Margate, United States
  • Since 1998, Professional Claims Link, a Florida-based corporation, has been providing physicians with outstanding medical billing services. PCL has one goal in mind for our clients: collect every penny each doctor is entitled to once medical services have been rendered. We do not throw away money by writing off funds that are difficult to collect. ... read Professional Claims Link reviews & insights

    NA
    2 - 9
    Jacksonville, United States
  • Since 2011, we have led the effort to be recognized as one of the best Medical Billing Company in the Northwest. We offer a unique combination of proven experience and help practices just like yours succeed. After all, when your cash flow improves, it's much easier to stay focused on what's important -- your patients.

    NA
    10 - 49
    2011
    Issaquah, United States
  • Our mission is to share our passion for your medical business by offering personalized billing solutions guaranteed to increase your net collections and cash flow and to support your mission to provide the very best medical care for your patients.

    $25 - $49/hr
    2 - 9
    Dallas, United States
  • You'll save time and money with a more efficient practice when Chapin's Medical Billing comes to your assistance. Your charges will get out more quickly and accurately, and you’ll obtain the maximum reimbursement. Chapin's specializes in medical billing for rehabilitation clinics and practices, but we can handle your billing regardless of your specialty. Whether you're ... read Chapin's Medical Billing reviews & insights

    NA
    10 - 49
    Kent, United States
  • Coronis Health is a global revenue cycle management company offering specialized solutions to healthcare practices and facilities. By using industry-leading technology combined with high-touch relationship building, Coronis Health allows healthcare practitioners to focus on patient care, maintain financial independence, and cultivate financial success. With 100+ years of combined experience, the trusted advisors at Coronis Health ... read Coronis Health reviews & insights

    $25 - $49/hr
    2 - 9
    Eldersburg, United States
  • To provide medical accounts receivable management and services to our clients that maximize their profitability consistent with our core business values. Our clients long term success is mission critical to the success of USMD as it’s revenue cycle partner. To partner with clients and providers to lend our expertise to meet their specific needs at ... read USMD Billing reviews & insights

    NA
    10 - 49
    Seattle, United States
  • At a time when the business of healthcare is challenging doctors’ commitment to remain in private practice, consider outsourcing your revenue cycle management to our specialists. Declining revenues and increasing operating costs are the bane of most private practices. If you struggle with hiring and retaining capable billing professionals, tracking and working unpaid or misadjudicated ... read Verita billing reviews & insights

    $50 - $99/hr
    50 - 249
    Detroit, United States
  • Fortis Medical Billing Professionals are passionate about one thing – accurate and compliant medical billing. That’s because we want medical providers to have the freedom to focus solely on their passion for medicine. We handle every aspect of the medical billing process to make sure you get paid for the services that you provide in ... read Fortis Medical Billing reviews & insights

    < $25/hr
    2 - 9
    Austin, United States
  • The idea for Elevate Billing Solutions grew from a few of our team members who had been working in the dental industry providing offices across the country with practice management consulting and financial training. Through their work, they were able to identify the billing process as a source of consistent headache and inefficiency that practices, ... read Elevate Billing Solutions reviews & insights

    NA
    10 - 49
    Seattle, United States
  • Keizer Solutions Inc is one of the premier Healthcare Services Provider of Medical Billing, Medical Coding, Accounts Receivable Management, and Document Management. Keizer Solutions is dedicated and committed in providing the best of HRCM services to its clients. KSI has extensive experience in providing services in a variety of hospital-based and office-based physician specialties. KSI ... read Keizer Solutions reviews & insights

    $25 - $49/hr
    10 - 49
    Southfield, United States
  • Is your healthcare organization struggling to reduce medical billing errors, cut down costs, or improve cash flow? Are you overwhelmed with too many office tasks, leaving you unable to focus on patient care? If you find yourself facing situations such as these, it may be time to outsource your medical billing needs to a seasoned ... read Resolution medical billing services reviews & insights

    $25 - $49/hr
    10 - 49
    Dearborn, United States
  • We believe in the services our mental health providers bring to our communities. We want to support their financial well-being so that they can have long and prosperous businesses. Without our mental health providers, our communities would not be able to heal, grow, or prosper. Help us help you keep your doors open. With our ... read Prestige Medical Billing reviews & insights

    NA
    10 - 49
    2010
    Monroe, United States
  • EFLEET, LLC is a professional billing service dedicated to meeting all of the insurance and patient billing needs of your practice. We offer a variety of personalized services that can meet the needs of medical & dental practices.

    $25 - $49/hr
    2 - 9
    Dallas, United States
  • We will check your clinician's in-network status with the health plan you have and determine whether or not you were adequately informed of the network inclusion status. ​We will review coverage on your claim to make sure that you are being billed only for in network, eligible charges, and not being balance billed for services, ... read Comprehensive Medical Services reviews & insights

    NA
    10 - 49
    Bremerton, United States
  • Members of the PBMI management team have worked with solo practices and hospital-based groups before joining PBMI. Created in response to increasingly burdensome healthcare industry regulations, PBMI built its reputation on simply “doing the job right”. From front desk to back office, we have worked closely with all levels of health care organizations.

    $25 - $49/hr
    10 - 49
    Allen Park, United States
  • We’re a team of medical billing experts led by Ralph Pampino & Patrick Holmes who manage the Revenue Cycle so you can concentrate on your patients and the care you are providing. Our diverse team has years of experience in the fields of Behavior Analysis, Medical Billing, Practice Management and Business analysis

    NA
    10 - 49
    Seattle, United States
  • Beyond Medical Billing, LLC offers much more than typical medical billing companies. We focus on providing superior and accurate billing, quick accounts receivable turn around, and a personal service. We strive to not let our clients feel that we are a separate billing company, but rather part of your office team. From our medical billing ... read Beyond medical billing reviews & insights

    $25 - $49/hr
    10 - 49
    Livonia, United States
  • Along with billing and coding, we have experts on hand to help you with credentialing, new practice start up, and records custodianship.

    $25 - $49/hr
    10 - 49
    Wixom, United States
  • We are a dynamic, quickly-growing company based in Bellaire, TX. We provide medical billing services to numerous healthcare facilities in an effort to allow the physicians and nursing staff to focus on providing quality care to their patients. With complaints on the rise due to abusive charging, erroneous charges and other errors, two physicians partnered ... read Tyvan Medical Billing reviews & insights

    $25 - $49/hr
    2 - 9
    Houston, United States
  • AltuMED is a Medical Billing Solutions Company that aims to translate "Fee for Value" model into "Value for everyone" with its progressive, synchronized and efficient Revenue Cycle Management Solutions. AltuMED – Optimized Practice Health, caters to all the RCM needs of Medical Practices, Clinical Labs, Healthcare Systems as well as other Medical Billing Companies. AltuMED ... read AltuMED reviews & insights

    $25 - $49/hr
    10 - 49
    Detroit, United States
  • Each of our clients are assigned a dedicated account manager right here in Royal Oak, responsible for billing claims and posting payments. We will never outsource our services.We have been managing the billing, posting, and contracting needs of physicians and other healthcare providers for more than 20 years.

    $25 - $49/hr
    10 - 49
    Royal Oak, United States
  • Simplexmed based in Houston Texas is a provider of comprehensive product portfolio of fully integrated WebEHR, revenue cycle & practice management solutions and other related business services including doctor credentialing and web portal development and optimization for the practices. Our mission is to take the pain out of medical billing for the physicians so they ... read Simplex Technology reviews & insights

    $25 - $49/hr
    2 - 9
    Houston, United States
  • A/R Solutions wants you to get the most out of our medical billing services. Specialists can expect a tailored accounts receivable process built to maximize financial and compliance benefits. Our experienced staff uses a proactive approach to ensure the most economical return for your investment. Take a leap and contact us. Whether you are seeking ... read A/R Solutions reviews & insights

    NA
    10 - 49
    Mukilteo, United States
  • Founded in 1999, JJ Medical Systems provides intelligent solutions specifically designed for healthcare organizations. Services are available for all specialties and can be customized for any facility. Ranging from anytime, anywhere transcription to billing and more, we have the people and technology to help any business succeed.Focusing upon the goals of success and service JJ ... read JJ medical systems reviews & insights

    $25 - $49/hr
    10 - 49
    Detroit, United States
  • Empower Billing is a medical billing service for massage therapists, acupuncturists, and chiropractors. This company was founded in 2015 with a mission to help providers succeed in their practices, while providing relief from the administrative tasks that come with the insurance provider role. As trusted advisors and allies of small businesses, we believe in what ... read Empower Billing reviews & insights

    NA
    10 - 49
    Seattle, United States

Post your project. Get proposals from PRO-verified firms.

Goodfirms recommends the top 3. You pick the winner.

Why Trust Goodfirms

Goodfirms is the world’s leading reviews and ratings company featuring 100,000+ tech companies from across the globe, complete with 80,000+ humanly vetted client reviews, detailed portfolios, hourly rates, employee strength, and more to help you choose your perfect tech partner.

Humanly-Vetted Client Reviews

Our researchers have personally vouched for the authenticity of 80,000+ client reviews by speaking directly with clients, cross-checking project details, timelines, and results to ensure 100% credibility.

Data-Driven Rankings

Data powers our company listings. Every company listed is evaluated based on its expertise, experience, market presence, reviews, and client satisfaction rate, which helps buyers confidently choose the right tech partner.

Global Trust & Recognition

Goodfirms is trusted by 100,000+ businesses in 160+ countries to connect with reliable tech partners. Our reputation is built on 80,000+ verified reviews and rankings you can trust.

Transparency In Detail

From verified client reviews and portfolio highlights to service focus and pricing, Goodfirms provides a 360-degree view of every company, helping 2+ million monthly users find the perfect tech partner.

Trending insights from Goodfirms

Valuable insights from top experts accelerate decision-making.

Call Center Outsourcing: Costs, Benefits & Top Providers in 2026
Payment Gateway vs Payment Processor: Key Differences and When to Build Your Own (2026)
How to Provide the Ultimate Customer Service Experience
Read all research articles

The Magical Quadrant

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

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

The four quadrants explained

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

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

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

Top 5 by composite score

1Vserve Ebusiness Solutions46 / 51
The Industry Leaders in detail

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

How firms are placed on the matrix

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

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

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

Where the firms are.

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

Loading map…

All states ranked by Value Score.

Every state in scope, ranked by Value Score.

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

Match by work-hour overlap with your team.

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

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

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

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

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

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

How firms are placed on the matrix

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

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

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

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