Appointment-setting agencies in the US
26 agencies in the index offer appointment setting and serve buyers in the US. Ranked by the evidence on record, the first three are Belkins (Dover, US, from $5,000 a month), EBQ (Houston, US, from $5,000 a month) and SalesRoads (Fort Lauderdale, US, from $6,950 a month). The unit that matters is a held meeting with someone who fits the brief, so agree the definition of a qualified meeting before the first invoice. The largest market in the index; buyers span four main time zones, so send and call windows matter as much as copy. 12 of the 26 publish a monthly minimum, from $397 to $6,950, with a median of $3,500. 4 offer pay-per-meeting pricing and 1 offers pay-per-lead; the rest work on a retainer or do not say. Besides appointment setting, the services most often offered here are cold email, cold calling and SDR outsourcing. 2 build on Clay, 2 work inside HubSpot and 23 use their own or undisclosed tools. 18 have a Clutch or G2 rating on file with the date it was read. Before signing, ask for a sample sequence, the definition of a qualified meeting and who owns the domains and data afterward.
| # | Agency | HQ | Stack | From (monthly) | Model | Proof | Badges |
|---|---|---|---|---|---|---|---|
| 1 | Belkins↗ Most-cited agency across listicles; runs Folderly deliverability platform; 800+ clients claimed | Dover, US | HubSpot, Custom | $5,000 | Retainer | Clutch4.9 (234) | Verified DeliverabilityEditor's PickTop Outbound Agency US 2026Top Outbound Agency Europe 2026 |
| 2 | EBQ↗ Flat monthly fee ~$5-10k; bundles marketing support | Houston, US | Custom | $5,000 | Retainer | Clutch4.8 (44) | SDR Pod |
| 3 | SalesRoads↗ Phone-first; priced per 4-week period; hybrid pay-per-held-meeting option reported | Fort Lauderdale, US | Custom | $6,950 | Hybrid | Clutch4.9 (69) | Pay-Per-MeetingSDR PodEditor's PickTop Outbound Agency US 2026 |
| 4 | Cleverly↗ LinkedIn-first productized tiers $397-$997/mo; pay-per-lead option | Los Angeles, US | Custom | $397 | Hybrid | Clutch4.3 (85) | Editor's Pick |
| 5 | Leadium↗ Cold calling from $3.5k/mo, multichannel $4-5k; caps roster at ~30-35 clients | Las Vegas, US | Custom | $3,500 | Retainer | Clutch5.0 (88) | SDR Pod |
| 6 | LevelUp Leads↗ Account-based targeting for tech buyers | San Francisco, US | Custom | $3,000 | Retainer | Clutch5.0 (61) | SDR Pod |
| 7 | Abstrakt Marketing Group↗ Also sells SEO/creative; 12-month contracts common | St. Louis, US | Custom | $5,250 | Retainer | Clutch4.6 (44) | SDR Pod |
| 8 | Martal Group↗ Reported $3.6k-$11k/mo; 3-4 month pilot | Toronto, CA | Custom | Ask | Retainer | G24.6 (135) | SDR PodEditor's PickTop Outbound Agency Europe 2026Top Outbound Agency Canada 2026Top Outbound Agency APAC 2026 |
| 9 | demandDrive↗ Clay Studio Partner; pairs Clay builds with outsourced SDRs | Waltham, US | Clay, HubSpot | $5,000 | Retainer | G24.6 (69) | Clay NativeSDR Pod |
| 10 | OutboundView↗ Clutch-cited $1,000+ min project | US | Custom | $1,000 | Retainer | Clutch4.4 (9) | SDR Pod |
| 11 | DemandZEN↗ | Not published | Custom | Ask | Not published | G24.9 (40) | SDR Pod |
| 12 | RevBoss↗ Founder-led content + LinkedIn activation | Durham, US | Custom | $3,500 | Retainer | G24.6 (33) | none |
| 13 | memoryBlue↗ Embedded SDR teams; reps can transition to client teams | Tysons, US | Custom | Ask | Not published | G24.6 (345) | SDR Pod |
| 14 | Revnew↗ Pay-per-meeting from ~$500 also offered | Claymont, US | Custom | $2,900 | Hybrid | Clutch4.6 (10) | Pay-Per-MeetingSDR Pod |
| 15 | Intelemark↗ Telemarketing-led appointment setting | US | Custom | Ask | Not published | Clutch4.8 (12) | none |
| 16 | SalesBread↗ Manual LinkedIn outreach; ~$3k/mo + setup, month-to-month | US | Custom | $3,000 | Retainer | n/a | none |
| 17 | SalesPro Leads↗ Nevada-based | US | Custom | Ask | Not published | Clutch4.9 (7) | SDR Pod |
| 18 | Inside Sales Solutions↗ Pay-per-kept-appointment (~$300-800 per held meeting reported) | Not published | Custom | Per meeting | Pay-per-meeting | n/a | Pay-Per-Meeting |
| 19 | Spring Drive↗ London + New York | London, UK | Clay | Ask | Not published | Clutch4.9 (12) | Clay Native |
| 20 | Lead Gen Jay↗ Founder-brand agency; also sells training | Not published | Custom | Ask | Not published | Clutch5.0 (4) | Verified Deliverability |
| 21 | OneAway↗ Priced per 60-day cycle ($5k-$15k + per-meeting fee at top tier) | Not published | Custom | Ask | Hybrid | n/a | Pay-Per-MeetingVerified Deliverability |
| 22 | Operatix↗ Reported $8-15k/mo; EMEA strength | London, UK | Custom | Ask | Retainer | n/a | SDR Pod |
| 23 | Beanstalk Consulting↗ Productized flat-fee outbound | US | Custom | Ask | Not published | n/a | none |
| 24 | Insignia Resources↗ Nearshore SDR teams with US oversight | Panama City, PA | Custom | Ask | Not published | n/a | SDR Pod |
| 25 | Pearl Lemon Leads↗ US arm at pearllemonleadsusa.com | London, UK | Custom | Ask | Not published | n/a | SDR Pod |
| 26 | UltraGrowthMedia↗ Performance-aligned meeting targets; no long-term contracts | Not published | Custom | Ask | Not published | n/a | none |
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What differs in the US
- Compliance:CAN-SPAM allows B2B cold email without prior consent if it identifies the sender, carries a postal address and honors opt-outs; the TCPA restricts autodialed calls and texts to mobile numbers.
- Budget:12 of the 26 publish a monthly minimum, from $397 to $6,950, with a median of $3,500.
Related pages
Questions
- How much does an appointment-setting agency cost?
- 12 of the 26 publish a monthly minimum, from $397 to $6,950, with a median of $3,500. Setup fees and minimum terms vary, so ask for both before comparing monthly prices.
- Retainer or pay-per-meeting?
- A retainer buys an agreed scope each month and suits a defined ICP with at least three months of runway. Pay-per-meeting moves the risk to the agency and suits offers with a short sales cycle. On this page, 4 agencies offer pay-per-meeting pricing and 1 pay-per-lead.
- How long until results?
- New sending domains need two to three weeks of warm-up before volume goes out, and list building runs alongside it. Most agencies quote first meetings in weeks four to eight.
- Does the stack matter?
- 2 of the 26 build on Clay and 2 work inside HubSpot. Ask who owns the sending domains, the data and the workflows when the engagement ends; some agencies hand them over and some keep them.