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
  • Round Table Medical Consultants, the #1 medical billing service in Houston, TX, specializes in full service Medical Billing including, practice management, credentialing, and HIPAA Compliance. We offer a comprehensive and personalized solution to physicians and facilities. With over 20 years of combined experience in the healthcare industry, our staff provides the most advanced billing and ... read RoundTable Medical Consultants reviews & insights

    < $25/hr
    2 - 9
    Houston, United States
  • We pledge to be professional, responsive, ethical and knowledgeable. We will always keep an open and honest lines of communication with our clients and their patients. We work together as a team with the same goals in mind and we protect and safeguard your business and patient confidential financial records at all times. We comply ... read Liberty Billing reviews & insights

    NA
    10 - 49
    Seattle, United States
  • MMS Medical is one of Ireland’s leading medical equipment suppliers. In areas such as mobility, rehabilitation, disabled access and community care products, MMS is Ireland’s largest supplier. In the hospital products arena, MMS is well-known as a supplier of disposable medical products, face masks, PPE and nursing supplies the majority of Irish hospitals

    $25 - $49/hr
    10 - 49
    Grand Rapids, United States
  • Owning a small billing company, I can give you and your patients the personal attention they deserve. You will always speak with me directly and I will insure that you and your patients are happy. You should never lose a patient because of billing problems and unfortunately that is a big reason why patients leave ... read PNW Medical Billing reviews & insights

    NA
    2 - 9
    Seattle, United States
  • Out-sourcing your billing will save you money. As billing specialists, we provide superior quality medical billing above and beyond what an employee will do and for less money. Your office will be more cost-effective by using a motivated billing specialist. In addition, we charge a percentage based on receipts collected, which means getting the highest ... read lakeshoremb reviews & insights

    $25 - $49/hr
    10 - 49
    Grand Rapids, United States
  • GetixHealth provides hospitals, clinics, university medical centers, and other healthcare facilities across the United States with comprehensive revenue cycle management (RCM) services. Our services are customized to the needs of our client and can either include all facets of the front and back office revenue cycle or a mixture of these services, including but not ... read Getix health reviews & insights

    $25 - $49/hr
    10 - 49
    Wyoming, United States
  • An innovator in today’s rapidly changing healthcare environment, ProCare Pain Solutions, a NAPA company, provides healthcare institutions and physician practices with the strategies, systems and tools needed to increase productivity, reduce costs and maximize organizational value. Originally created in 1994 to service the management needs of ProCare Co-Founders Drs. Fred Davis and Mark Gostine’s clinical ... read Procare Pain Solutions reviews & insights

    $25 - $49/hr
    10 - 49
    Grand Rapids, United States
  • Billing Solutions, Inc. allows you to focus on what matters most—your patients. We take care of the behind the scenes issues that eat up your valuable time. We check benefits for your patients, invoice insurance companies and send patients monthly statements. Our providers typically spend less than five minutes a day completing our billing forms ... read Billing Solutions reviews & insights

    $25 - $49/hr
    10 - 49
    Wyoming, United States
  • Tired of dealing with unpaid claims, billing staff turnover and undecipherable A/R reports? Let the medical billing experts at IPC Billing help get your practice back on track. If you're ready to discuss your medical billing needs right now, give us a call.

    $25 - $49/hr
    10 - 49
    Grand Rapids, United States
  • Alliance Healthcare Solutions offers comprehensive billing services, customizable to meet the needs of your practice. By remotely accessing your current database through your current practice management software, we ensure you complete control over your practice’s financial integrity, saving you additional capital investment dollars.

    $25 - $49/hr
    10 - 49
    Grand Rapids, United States
  • Anesthesia Business Consultants, LLC (ABC) is the largest physician practice management company specializing exclusively in the practice of anesthesia and pain management. ABC serves several thousand anesthesiologists and CRNAs nationwide.

    $25 - $49/hr
    10 - 49
    Jackson, United States
  • For over 40 years we have serviced medical offices in Western New York.We have expanded our services to include many neighboring states. Our team is dedicated to providing customer service that is essential! We are experienced and trusted by many physicians to assist with services and or products to run their practices efficiently.

    $25 - $49/hr
    10 - 49
    Buffalo, United States
  • Maxim Management Services, LLC is a Medical Service Organization (MSO) whose mission is to provide medical administrative services. Maxim customizes its services to meet the special needs of any medical practice, from general consulting services to complete outsourcing of internal operations.With clients including Western New York Urology Associates and Cancer Care of Western New York, ... read Maximweb reviews & insights

    $50 - $99/hr
    10 - 49
    Buffalo, United States
  • Western New York's very first billing service was originally formed as PAC-DATA systems in 1979 by CharlesTirone M.D., a radiologist and entrepreneur from Buffalo, NY. PAC-DATA utilized IBM Series - One mainframe technology and proprietary software code to pave the way for separate physician billing and incorporated as Medical Management Services in April, 1982. In ... read Medical Management reviews & insights

    $25 - $49/hr
    10 - 49
    Buffalo, United States
  • Imark Billing is an industry leader in Home Health and Hospice Billing Services. Empowering agencies with comprehensive revenue cycle management so you can focus on what you do best, Patient Care.

    NA
    2 - 9
    Miami, United States
  • We are a privately owned, family oriented Medical Billing Company that specializes in electronic filing of insurance claims, commercial insurance claims, patient billing, collections and much more. The owner was born in Habana Cuba and came to the United States in 1980 at the age of 8. She began Medical Billing in 1992 working for ... read Global Medical Billing Services reviews & insights

    NA
    2 - 9
    Miami, United States
  • We are experienced in offering medical billing and coding support for individual physicians, physician groups, free standing diagnostic facilities, multi-specialty groups, clinics, long-term care facilities, acute care facilities, and hospitals. We create, submit, follow-up and post surgery medical claims within the same day. Our medical billing services for general surgery practice cover: Charge entry on ... read Medical Billing & Consulting 911 reviews & insights

    $25 - $49/hr
    2 - 9
    Houston, United States
  • MCC is the billing service medical professionals and hospitals prefer. We have a professional and informed team of leaders with more than 25 years of experience in healthcare billing. We believe that quality medical billing requires human expertise, attention to detail, and persistence. Anything less is lost revenue. Medical Claims Consultants was founded to offer ... read Medical Claims Consultants reviews & insights

    < $25/hr
    50 - 249
    1993
    Miami, United States
  • Many confusing changes have affected the medical billing industry as of late. These changes can adversely affect your practice’s revenue. As many practitioners have realized by now, partnering with reputable a medical billing service in South Florida, like Gables Medical Billing, can resolve many issues and challenges. In spite of that, some practitioners are still ... read Gables Medical Billing reviews & insights

    NA
    2 - 9
    Coral Gables, United States
  • It is time once again for the weather to get not quite so hot here in South Florida and everything to be pumpkin spice flavored. The administration is also hard at work wrestling with the future of the Affordable Care Act and to a lesser extent health care as a whole. Be ready to roll ... read Miami Dade Medical Billing reviews & insights

    NA
    2 - 9
    Miami, United States
  • Our goal is to provide fast and accurate claim processing without sacrificing service. We offer medical billing services and medical consulting services. DNA Billing has a highly personalized approach.

    NA
    2 - 9
    Miami, United States
  • Progressus Revenue was created to provide physicians with competent revenue cycle management. Our teams help grow practice revenue by utilizing proper coding and basic accounting principles. Our initial clients were physicians that were tired of working with billing companies that delivered poor results, or outsourced their business to other countries. All of our work is ... read Progressus Revenue reviews & insights

    < $25/hr
    2 - 9
    Houston, United States
  • With any job, it’s nice to know what your day’s going to look like – even when you’re the one deciding. Since you’re going to own your business, your days won’t be set in stone until you decide what you think is best. This module will aid you in that decision-making process, preparing you for ... read Medical Billing Opportunity reviews & insights

    NA
    2 - 9
    Orlando, United States
  • Aramat services EMS organizations of all sizes and we are dedicated to maximizing our clients' revenue through our very effective and proficient billing processes, technology and exceptional level of customer service from our professional staff. With Aramat, you will experience a quick return on investment with consistent cash flow to your organization and worry-free compliance, ... read Aramat Billing Services reviews & insights

    $25 - $49/hr
    2 - 9
    Houston, United States
  • Since 1979, our team at NCG Medical has made it our mission to function as a part of your practice, taking billing off of your administrative team’s plates and freeing up your talented team for what’s most important—your patients. We’ll consult with your team to provide custom solutions that are right for your practice.

    NA
    2 - 9
    1979
    Orlando, United States
  • MedAR provides medical billing (Accounts Receivable), practice management, and accounting services to hospital-based physicians. Our approach is to partner with our clients, employees, and external vendors to ensure the highest quality service available. Please visit us at www.medarms.com for more information!

    $25 - $49/hr
    2 - 9
    Houston, United States
  • We provide a professional, expert medical billing, collection and administrative services for medical practitioners. Whether you require a complete turnkey billing service from start to finish or just need temporary staffing our experienced medical billing and collection team is sure to impress you. ​ We have many years of experience in developing optimum denial management ... read Cliniva Healthcare Revenue Services reviews & insights

    NA
    2 - 9
    Orlando, United States
  • Advantage Medical Billing is a billing company that provides the advanced and highest quality of practice management services to the full spectrum of medical and non-medical specialities, including behavioural, dental and medical specialities such as Physiotherapy, Orthopaedic, Dermatology, Neurology, Psychology, Cardiology, Oncology, family practice, Internal medicine, Allergy and Immunology, Neonatology, Pathology, Urology, Endocrinology, Gynaecology and ... read Advantage Medical Billing Solutions reviews & insights

    $25 - $49/hr
    2 - 9
    Austin, United States
  • EMBER was founded by Linda and Bill Tumbleson to fulfill a mission. They decided to leverage their combined experience in medical billing, software and information management, and business consulting to create a company that filled an obvious need. Linda had become distressed during her dealings with medical billing companies. With experience on both sides, she ... read Ember Medical Billing reviews & insights

    NA
    10 - 49
    Pflugerville, United States
  • Billing Solutions for the Doctor and Patient Bilcorp Medical Billing Services, Inc. is a medical billing company committed to Health Care professionals with innovative solutions to ensure accurate and timely payments. Bilcorp Medical Billing has one priority, increase your profitability while reducing costs. Additionally , we can offer assistance with EMR set-up and other related ... read Bilcorp Medical Billing Services reviews & insights

    $25 - $49/hr
    2 - 9
    San Antonio, United States
  • C & S Medical Billing has been providing quality medical billing since our founding in 2008. Our goal is simply to provide the highest return on your claims without sacrificing service or patient support. Preferred Health Resources experienced staff and state-of-the-art billing system will maximize your receivables and let you and your personnel focus on ... read C & S Medical Billing reviews & insights

    NA
    2 - 9
    Tampa, United States
  • Established in 2012, SMB is a medical billing and practice management consulting company committed to delivering healthcare practices unrivaled, tailored services. At SMB, we pride ourselves on being the best partner to handle all back-office functions for health-centered practitioners, allowing them to focus on what matters most to them, treating patients. We dedicate our knowledge ... read SMB reviews & insights

    NA
    10 - 49
    2012
    Worthington, United States
  • Allegro was founded in 1992 by a computer literate jazz pianist in Tampa Florida named Ward Cook. A friend who owns a small pharmacy in Ward’s neighborhood asked him if he would use his computer expertise to transmit pharmacy claims for Durable Medical Equipment to the Medicare carrier in Jacksonville, Florida. Ward quickly found that ... read Allegro Billing reviews & insights

    NA
    2 - 9
    Tampa, United States
  • Medical Billing Systems, Inc. started operations in 1992. Since that time the company has seen continued growth throughout the United States. We are a billing company committed to providing the most efficient, and most economical billing management available.

    NA
    10 - 49
    1992
    Athens, United States
  • 360 Medical Billing Solutions was founded in 2000 with headquarters in Oklahoma City. Under the direction of David Windham and Rob Ross, the two co-owners and Vice Presidents, the company has grown exponentially providing services in many states. 360 Medical Billing Solutions provides medical billing specialist services to emergency and urgent care groups throughout the ... read 360 Medical Billing Solutions reviews & insights

    NA
    50 - 249
    2000
    Oklahoma City, United States
  • At HBS, we are truly honored to serve over 450 Ohio school districts in the Ohio Medicaid School Program. For over 30 years, we have been providing Medicaid billing services to Ohio providers.Our dedicated staff takes extreme pride in providing excellent service to our clients. We work closely with the Ohio Department of Education and ... read Healthcare Billing Services reviews & insights

    NA
    10 - 49
    Akron, United States
  • Organizations of all sizes and from all healthcare service providers can benefit from medical billing and collections outsourcing, but different companies have different needs. HealthTech Receivables Management understands the healthcare industry we support and what makes them unique. HealthTech Receivables Management specializes in the billing and collections of medical accounts receivables nationwide. HealthTech's executive team ... read HealthTech Receivables Management reviews & insights

    NA
    2 - 9
    Tampa, United States
  • Locally owned and operated, we pride ourselves on over 20 years experience in the medical billing industry. We have worked on behalf of physicians from all specialties in San Antonio, Texas and the surrounding areas. Delivering the best quality service in the industry, we file and follow-up on on claims to yield the best possible ... read Acclaim Medical Billing reviews & insights

    < $25/hr
    2 - 9
    San Antonio, United States
  • Through our highly-trained billing professionals and industry expertise, we ensure a seamless billing process that capitalizes revenue for our clients. We are dedicated to providing our clients and their consumers with value-added, innovative services. From accurate billing summaries to the latest industry-related news and resources, we ensure our clients have access to all the tools ... read Ohio Billing reviews & insights

    NA
    10 - 49
    Akron, United States
  • In today’s health care environment it is important to have extensive knowledge and expertise in all aspects of running a practice. Doctors face a growing number of challenges concerning personnel regulations, marketing, billing and coding guidelines and overall management of their practices. In the small and medium practices, it is almost impossible for the physician ... read Cambridge Management Group reviews & insights

    NA
    2 - 9
    Tampa, United States
  • By outsourcing your billing to the right company, you are assured that your hard work will not be overlooked. You will have the full force of an experienced 'on-shore' based billing team that will follow-up on all your claims, and provide you valuable feedback that can be used to better manage your practice.

    < $25/hr
    2 - 9
    San Antonio, United States
  • Since 1988, Medical Reimbursement Inc. has offered comprehensive Billing & Receivables Management Services that create superior Coding, Billing, and Collections outcomes for our clients. In addition to those core services we also offer our clients Third-Party Contract Negotiation, Fee Schedule Development & Maintenance, and Credentialing. All services capitalize on Medical Reimbursement's unsurpassed knowledge of the ... read Medical Reimbursement Inc reviews & insights

    NA
    250 - 999
    1988
    Cincinnati, United States
  • CompMed was founded in 1993 on these core principles: hard work; providing quality education and training for our employees; maintaining cutting edge technology; and ongoing, face-to-face communications with our clients.Most of our success is due to offering the best product on the market, providing the best customer service and hiring employees that are of high ... read Compmed reviews & insights

    NA
    10 - 49
    Newport, United States
  • Welcome to Bay Medical Billing Services. We are a medical billing and management company located in Palm Harbor, Florida. We service multiple healthcare practices throughout Pinellas County and other counties around Tampa Bay. Outstanding service is at the heart of everything we do. Over the years, we have earned a reputation for excellence in the ... read Bay Medical Billing Services reviews & insights

    NA
    2 - 9
    Palm Harbor, United States
  • Founded in 1993, our Cincinnati–based company is owned and operated by retired Cincinnati firefighter, Joseph D. Newcomb, and his family. The key to our success over the past 26 years has been our uncompromising commitment to helping the communities we serve, thrive and prosper. Unlike many of our competitors, we are 100% focused on the ... read Medicount reviews & insights

    NA
    10 - 49
    1993
    Cincinnati, United States
  • Our company mission is to serve medical practices and facilities with excellence and integrity by providing critical support services which make it possible for our clients to achieve their optimal effectiveness in their core business activities.

    NA
    2 - 9
    Tampa, United States
  • Netmark Services Provide RCM services to Global health care organizations. Netmark provides impeccable revenue cycle management solutions to health care facilities and providers across the world since 2011. Netmark has an efficient team of trained and seasoned billing professionals with vast experience in dealing with the medical billing related issues for all medical specialties. Every ... read Netmark reviews & insights

    NA
    10 - 49
    2011
    Cincinnati, United States
  • Ideal Medical Solutions is a medical billing service specializing in chiropractic, physical therapy, and acupuncture billing. We submit bills to all commercial and government payors as well as personal injury (PIP) carriers.

    < $25/hr
    2 - 9
    2009
    Tampa, 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.

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

How the heatmap is built

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

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

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

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

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