"How much does managed IT cost?" is one of the first questions business owners ask us, and one of the hardest to answer in a sentence. Not because providers are being cagey (well, some are), but because "managed IT" means very different things depending on who's selling it. One provider's $90-a-month plan includes antivirus, backup, email security and unlimited help desk. Another provider's $90-a-month plan includes a monitoring agent and a phone number you can call to get a quote for fixing things.

This guide explains how managed IT pricing actually works: the pricing models, what's typically included and excluded, onboarding fees, project work, hidden costs, how it compares with hiring in-house, and how to compare quotes so you're not comparing apples to a fruit basket. We'll cite published industry data where it exists and tell you plainly where we're describing typical market patterns instead. We won't quote our own prices here, because a guide like this should help you evaluate any provider.

If you want a rough number for your own office right now, try our Managed IT Cost Calculator. Then come back and read the fine print.

What are managed IT services, and what are you actually paying for?

Managed IT services means paying a provider a predictable monthly fee to monitor, maintain, secure and support your technology, instead of paying by the hour when something breaks. The provider is called an MSP (managed service provider). See MSP in our glossary.

A typical managed IT agreement bundles several things:

  • Help desk support for your staff by phone, email or a portal. A help desk is the team that answers "my Outlook won't open" and "I can't print."
  • Monitoring and alerting of computers, servers and network equipment using an RMM (remote monitoring and management) tool, software installed on each device that reports health and lets technicians fix problems remotely.
  • Patch management: keeping Windows, Microsoft 365 and other software updated.
  • Security tools: endpoint protection, email filtering, multi-factor authentication setup and, increasingly, managed detection and response.
  • Backup management and monitoring (sometimes the backup storage is extra).
  • User management: setting up new hires and locking out people who leave.
  • Vendor management: calling your internet provider, phone company or software vendor so you don't have to.
  • Planning: periodic reviews, budgeting and a technology roadmap.

What you're really buying is predictability and prevention. A good provider makes money when your systems run smoothly, because every problem they prevent is a ticket they don't have to work for free. That incentive is the opposite of break-fix, where the provider earns more when things break.

How do managed IT providers price their services?

There are six common pricing models: per user, per device, tiered packages, à la carte, block hours and break-fix. Many providers combine them. Here's what the industry data says about how common each one is.

Kaseya, a major vendor of MSP software, publishes a pricing guide citing its 2023 Global MSP Benchmark Survey Report (1,091 respondents). In that survey, the most common billing approaches were (Kaseya, MSP pricing guide):

Pricing modelShare of MSPs using it as primary model (Kaseya 2023 survey)
Combination of per-user and per-device26%
Per user (all-in seat price)21%
Value-based (fixed fee subscription)14%
Per device13%
À la carte12%
Tiered bundles (e.g., Gold, Silver, Bronze)10%

Keep in mind that Kaseya sells to MSPs, the survey is from 2023, and respondents were global, not just U.S. small-business providers. It's a useful snapshot of how providers structure pricing, less so a precise price list for your town in 2026.

Per-user pricing

You pay a set monthly fee for each person, regardless of how many devices they use. This is the most common model for small offices today, and it fits how people actually work: a laptop, a phone, maybe a tablet and a home PC.

  • Pros: Simple to budget; grows and shrinks with headcount; no penalty for adding a phone or tablet.
  • Cons: Can cost more if many people share devices or only use a computer occasionally.
  • What to ask: "Who counts as a user? Do part-time staff, shared mailboxes or seasonal workers count?"

In the Kaseya 2023 survey, 22% of respondents charged $50–$100 per user per month for ongoing IT support such as help desk and device management, 16% charged under $50, and 17% charged $101–$150 (Kaseya). The rest fell into other brackets.

Per-device pricing

You pay per computer, server, firewall or other device under management. Common in older contracts and in offices with shared workstations.

  • Pros: Can be cheaper for medical and dental practices with shared front-desk and operatory PCs.
  • Cons: Phones, tablets and laptops add up; servers and network gear are usually priced much higher than workstations.
  • What to ask: "What's the rate for workstations vs servers vs network devices? Are phones and tablets counted?"

In the same survey, 28% of respondents charged $50–$100 per device per month, 20% charged under $50, and 11% charged $101–$150 (Kaseya).

Tiered packages

The provider offers two to four bundles (often named Bronze, Silver, Gold, or Essentials, Professional, Complete) with more services at each level. A lower tier might be monitoring and patching only; the top tier might include unlimited support, advanced security and compliance help.

  • Pros: Easy to understand; clear upgrade path.
  • Cons: The thing you need is always in the next tier up. (This is not an accident.)
  • What to ask: "Which tier would you actually recommend for a business like ours, and why?"

À la carte

You choose individual services, each priced separately: monitoring, backup, antivirus, email security, help desk hours.

  • Pros: Pay only for what you use.
  • Cons: Easy to leave dangerous gaps (skipping backup to save money is a classic), and the total can creep up as you add pieces.

Block hours (prepaid support)

You buy a bank of support hours up front, often at a discount to the hourly rate, and draw them down as you use them.

  • Pros: Good for businesses with an in-house IT person who just needs backup, or for very small offices with few issues.
  • Cons: No proactive monitoring or maintenance unless you pay for it; unused hours may expire; there's still an incentive to bill time.

Break-fix (hourly)

You call when something breaks and pay by the hour, plus parts. It's how IT worked for most small businesses before managed services became common.

  • Pros: No monthly bill in quiet months.
  • Cons: Unpredictable costs; nothing is monitored or patched unless you ask; problems are found only after they cause damage; the provider profits from your outages.

Break-fix rates vary by market and skill level. Typical small-business rates in the U.S. are commonly in the low-to-mid hundreds of dollars per hour, with premiums for after-hours and emergency work. Treat that as a general market observation, not a survey figure, and always get the rate card in writing.

Comparison of pricing models

ModelPredictabilityProactive maintenanceBest fitWatch out for
Per userHighYesOffices where each person has their own devicesDefinition of "user"
Per deviceHighYesPractices with shared workstationsServers, phones and network gear priced separately
TieredHighYes (varies by tier)Businesses that want a simple choiceCritical services in a higher tier
À la carteMediumOnly what you buyBusinesses with some in-house capabilityGaps in coverage
Block hoursMediumUsually noVery small offices, or in-house IT needing backupExpiring hours, no monitoring
Break-fixLowNoAlmost nobody handling sensitive dataSurprise bills, no prevention

What's typically included in a managed IT agreement?

A solid agreement includes help desk, monitoring, patching, endpoint security, backup monitoring, user onboarding and offboarding, vendor management and regular reviews. Many now include managed security services too. Here's a checklist of what to look for, split into "should be standard" and "often extra."

Should be standard in a full managed IT plan

  1. Remote help desk during business hours, with a clear way to log requests (phone, email, portal).
  2. 24/7 monitoring and alerting of critical systems (be clear on the difference between monitoring around the clock and staffed support around the clock; they're not the same thing).
  3. Patch management for Windows, Microsoft 365 and common third-party apps.
  4. Endpoint protection, ideally EDR (endpoint detection and response), software that detects suspicious behavior like ransomware and can isolate a computer. See EDR.
  5. Email security beyond the basics: phishing protection, link and attachment scanning.
  6. Multi-factor authentication setup and enforcement.
  7. Backup monitoring with regular test restores.
  8. New user setup and departing user lockout, same day.
  9. Microsoft 365 administration: mailboxes, permissions, Teams, SharePoint, licensing.
  10. Vendor management for internet, phones, printers and line-of-business software.
  11. Documentation of your systems, passwords (in a secure vault) and configurations, which you can access.
  12. Quarterly or semiannual business reviews with reports and a roadmap.

Often an add-on or separate line item

  • Backup storage and cloud backup licenses (sometimes priced per terabyte).
  • MDR (managed detection and response) or a SOC (security operations center): a team of analysts watching security alerts and responding. See MDR and SOC.
  • Security awareness training and phishing simulations.
  • Compliance support: HIPAA risk assessments, written policies, evidence for audits, security questionnaires.
  • On-site visits beyond a set allowance.
  • After-hours non-emergency work.
  • Network equipment management (firewalls, switches, Wi-Fi) for larger setups.
  • Phone system management.
  • Software and licenses (Microsoft 365, antivirus licenses, backup licenses) are sometimes bundled and sometimes passed through.

What does "all-inclusive" really mean?

"All-inclusive" and "unlimited" are marketing words, not contract terms. Ask the provider to show you exactly which services and which kinds of work are inside the flat fee. In practice, "all-inclusive" usually means unlimited remote support for covered users and devices, plus the provider's standard security and monitoring tools. It rarely means unlimited on-site visits, projects, hardware or licenses.

A quick test: ask the provider to walk through three real situations and say what you'd pay for each. For example, "A new hire starts Monday and needs a laptop," "Our front-desk PC dies at 8 a.m.," and "We get hit with ransomware on a Saturday." The answers tell you more about the true cost than any brochure.

What's usually excluded?

Most managed IT contracts exclude hardware, software licenses, big projects, and support for things the provider didn't choose or can't fix. Exclusions aren't a red flag by themselves; unclear exclusions are. Common ones:

  • Hardware purchases: new laptops, servers, firewalls, printers.
  • Licenses: Microsoft 365, practice management software, accounting software.
  • Projects: office moves, new office build-outs, server replacements, Microsoft 365 migrations, Windows upgrades across the whole office.
  • Line-of-business software issues that require the software vendor (the MSP coordinates, the vendor fixes).
  • Unsupported equipment: very old PCs, consumer-grade routers, personal devices.
  • Recovery from incidents caused by ignoring the provider's recommendations (for example, refusing MFA).
  • Major security incident response, which may be billed separately or handled through your cyber insurer's approved responders.
  • Travel time for on-site visits outside a service area.
  • Training sessions beyond basic how-to help.

A good provider lists exclusions in plain language and tells you what each would cost. A great one tells you before you're in the middle of needing it.

How much does onboarding cost?

Most providers charge a one-time onboarding fee to learn, document and stabilize your environment. The size depends on how messy things are when they arrive. It's normal, and arguably a good sign: a provider that skips onboarding is planning to learn your systems at your expense, one emergency at a time.

What onboarding usually covers

  1. Discovery: inventory every device, account, license, network component and critical application.
  2. Documentation: network diagram, admin credentials moved into a secure vault, vendor contacts, how-to notes for your specific systems.
  3. Tool deployment: install monitoring, endpoint protection and backup agents on every device.
  4. Security baseline: enforce MFA, remove unnecessary admin rights, close obvious holes such as open remote desktop ports or shared passwords.
  5. Cleanup: remove former employees' accounts, fix failing backups, patch neglected machines.
  6. Transition from the old provider: collect passwords, licenses and documentation.

Typical onboarding pricing approaches

ApproachHow it worksWatch out for
Flat feeOne fixed price based on users or devicesMake sure cleanup is included, not billed hourly on top
Equivalent to one or more months of serviceSimple and commonAsk what's included for that amount
Hourly, estimatedBilled for actual timeGet a cap or a not-to-exceed amount
Waived with a longer contractFee waived if you sign for 2–3 yearsYou may be trading a small saving for a long lock-in

Onboarding a tidy 10-person office with modern equipment might take days. Onboarding a 30-person practice with a mystery server in the closet, five generations of PCs and a password spreadsheet on the desktop called "passwords.xlsx" takes considerably longer. Ask the provider to explain what drives your onboarding estimate.

What about project work?

Projects are one-time pieces of work outside day-to-day support, and they're almost always priced separately, either as a fixed-scope quote or hourly. Common projects for small businesses:

  • Replacing a batch of computers (especially after Windows 10 end of support; see our Windows 10 guide).
  • Moving email and files to Microsoft 365 or between tenants.
  • Retiring an on-premises server.
  • Replacing a firewall or Wi-Fi system.
  • Office moves and new office build-outs.
  • Rolling out device management with Intune and Autopilot (see our Intune guide).
  • Setting up internet failover.
  • Upgrading security to meet a cyber insurance or client requirement.

What to expect from a well-run project quote:

  1. A written statement of work with scope, deliverables, assumptions and what's not included.
  2. Phases with clear milestones and acceptance criteria.
  3. Either a fixed price or an hourly estimate with a cap.
  4. Change order rules: how scope changes are approved and priced.
  5. Documentation you keep at the end.

What hidden costs should you watch for?

The most common surprise costs are license markups, overage charges, after-hours rates, hardware markups, mandatory tool fees and exit fees. None of these is automatically wrong, but each should be disclosed up front.

Hidden costWhat it looks likeQuestion to ask
License markupMicrosoft 365 or security licenses billed above list price"Do you mark up licenses, and by how much? Can we see Microsoft's list price?"
Required tool feesSeparate per-device fees for the provider's RMM, antivirus or backup software"Is every tool you require included in the monthly fee?"
Overage or "fair use" limits"Unlimited" support with a cap buried in the contract"Is there any limit on support hours or tickets?"
After-hours premiums1.5x–2x rates for evenings and weekends"What counts as after-hours? What's billed as an emergency?"
On-site visit feesTrip charges or minimum on-site billing"How many on-site visits are included?"
Hardware markupPCs and equipment resold at a significant margin"Can we buy hardware ourselves if we prefer?"
Project creepRoutine tasks reclassified as projects"Where's the line between support and a project?"
Price escalatorsAutomatic yearly increases"Is there an annual increase clause? Capped at what?"
Early termination feesPaying out the rest of the contract to leave"What does it cost to leave early, and why?"
Offboarding or data-return feesCharges to hand over passwords and documentation"What happens, and what does it cost, if we leave?"

Note on licensing: Microsoft itself raised prices for several Microsoft 365 plans on July 1, 2026, including Business Basic and Business Standard, while Business Premium stayed the same (Microsoft 365 Blog, Dec 2025). If your bill went up in July, that may be Microsoft rather than your provider. Our Microsoft 365 plan comparison has the details.

Is managed IT cheaper than hiring in-house IT staff?

For most businesses with fewer than about 50 employees, a managed provider costs less than a full-time IT employee and covers a broader range of skills. Larger businesses often use both: an in-house person for day-to-day needs and a provider for security, projects and backup coverage (called co-managed IT).

Here's the in-house math using federal data:

  • The U.S. Bureau of Labor Statistics reports a median annual wage of $99,130 for network and computer systems administrators (May 2025) (BLS).
  • For computer user support specialists, the median was $61,860, and for computer network support specialists, $76,220 (May 2025) (BLS).
  • Benefits add significantly to wages. BLS reports that for private industry workers in June 2026, benefits accounted for 30.0% of total employer compensation costs (wages were 70.0%) (BLS, Employer Costs for Employee Compensation).

Using those national figures, a mid-level systems administrator earning the median would cost an employer roughly $140,000 a year in total compensation (wage divided by 0.70), before:

  • Software tools (monitoring, security, backup, documentation, remote access).
  • Training and certifications.
  • Recruiting costs and time to hire.
  • Coverage for vacations, sick days and turnover.
  • Security operations outside business hours.

In-house vs managed vs hybrid

In-house IT (one person)Managed IT providerCo-managed (hybrid)
Annual costSalary plus ~30% benefits, plus toolsMonthly fee times 12, plus projectsEmployee cost plus a smaller provider fee
Skill coverageOne person's skillsA team: desktop, network, security, cloudBoth
Coverage during absencesGapsBuilt inBuilt in
On-site presenceAlwaysScheduled or as neededAlways
Tools includedYou buy themUsually includedShared
Security monitoringBusiness hours, if anyAround-the-clock monitoring is commonProvider covers
Best forLarger organizations with constant on-site needsMost businesses of 5–50 peopleOrganizations of roughly 50+ with an IT lead

One more factor: a single in-house IT person is a single point of failure. If they leave, take vacation, or quietly keep all the passwords in their head, you have a problem. A provider should give you documentation you own.

How much does downtime cost compared to IT support?

For most offices, a few hours of downtime costs more than a month of managed IT. The value of prevention shows up as the problems that never happen, which is precisely why it's hard to see on an invoice.

Think about what an outage actually costs:

  • Staff wages while people can't work.
  • Lost revenue: patients who can't be checked in, clients who can't be billed, sales that can't be processed.
  • Overtime to catch up.
  • Reputation: patients and clients who go elsewhere.
  • Recovery costs: emergency rates, data recovery, replacement hardware.

Our free Downtime Cost Calculator estimates this for your office in about a minute. For a sense of what continuity looks like in practice, our dental practice case study describes a practice that used to close its front desk whenever the internet dropped, and now switches to cellular automatically with zero downtime during outages.

What should a medical or dental practice expect to pay?

Healthcare practices typically pay somewhat more than a similar-size general office, because HIPAA requires more security, documentation and accountability, and because clinical equipment adds support complexity. What drives the difference:

  1. Business associate agreement (BAA). A provider with access to your ePHI (electronic protected health information) is a business associate under HIPAA and must sign a BAA (HHS, Business Associates). Providers that sign BAAs take on liability and must maintain HIPAA-appropriate safeguards themselves. See our BAA guide.
  2. Encryption, audit logging and access controls that have to be configured and proven, not just installed.
  3. Backup with tested restores and documented recovery times.
  4. Risk assessment support: HIPAA requires a security risk analysis. See our HIPAA security risk assessment guide.
  5. Clinical equipment: imaging sensors, X-ray systems, intraoral cameras and practice management systems that need careful patching and vendor coordination.
  6. Uptime pressure: when the schedule stops, patients wait. Internet failover and fast response times matter more.

Similar logic applies to accounting and tax firms, which must meet the FTC Safeguards Rule and respond to client security reviews. Our accounting firm case study shows what a SOC 2–aligned setup involved for one firm.

What makes a managed IT quote go up or down?

Price is driven mostly by how much risk and work the provider takes on: your headcount, the complexity of your systems, the security level you need and how fast you need answers. Understanding the drivers helps you see why two "similar" offices get different quotes, and where you have room to save.

Factors that push the price up

  1. On-premises servers. A server in the closet needs patching, backup, monitoring, hardware warranty tracking and eventually replacement. Cloud services move much of that work to Microsoft.
  2. Old or mixed equipment. Five generations of PCs, three brands of printer and a consumer-grade router mean more troubleshooting and more exceptions.
  3. Compliance obligations. HIPAA, the FTC Safeguards Rule, client SOC 2 expectations and cyber insurance questionnaires all require documented controls and evidence.
  4. Advanced security services. Around-the-clock managed detection and response, security awareness training and vulnerability scanning cost real money to deliver.
  5. Faster response commitments. A one-hour response guarantee costs more to staff than a next-business-day promise.
  6. Multiple locations and frequent on-site needs.
  7. Specialized line-of-business software that needs careful updates and vendor coordination (imaging, EHR, tax software).
  8. High staff turnover, because every hire and departure is work.

Factors that bring the price down (or keep it stable)

  1. Standardized hardware on a regular replacement cycle. Our Computer Replacement Planner helps you plan one.
  2. Cloud-first setup: Microsoft 365 for email and files instead of an on-premises server.
  3. Modern security built in: Business Premium's device management and endpoint protection reduce the number of incidents to clean up.
  4. Good habits: MFA everywhere, no shared passwords, people reporting suspicious emails rather than clicking them.
  5. A single point of contact at your office who batches non-urgent requests.
  6. Longer commitments, though only if the termination terms are fair.

Signs a quote is suspiciously low

A low price isn't automatically bad, but these patterns deserve a closer look:

  • The quote doesn't mention endpoint protection, backup or email security at all.
  • "Unlimited support" comes with a ticket cap or "fair use" clause in the fine print.
  • No onboarding fee, combined with a long contract.
  • Nothing about documentation, response times or who owns admin accounts.
  • The provider can't explain what happens in a ransomware incident.
  • Pricing that only works if you also buy hardware and licenses from them at a markup.

Cheap IT support can be like a cheap parachute. It saves money right up until the one day you really need it.

How should a small business budget for IT overall?

Managed services are one line in your IT budget, not the whole thing. A complete budget also covers licenses, hardware replacement, projects and a contingency. Many owners get surprised not by the monthly fee but by everything around it. Plan for these categories:

Budget categoryWhat it coversHow to estimate it
Managed IT servicesMonthly support, monitoring, security tools in the agreementProvider quote times 12
Software licensesMicrosoft 365, practice management, accounting, specialty softwarePer-user license cost times headcount; check renewal dates
Hardware replacementLaptops, desktops, monitors, phones, firewall, Wi-FiSpread replacements over a 4–5 year cycle rather than replacing everything at once
ProjectsMigrations, upgrades, office moves, security improvementsAsk your provider for a 12-month roadmap with estimates
Security extrasCyber insurance, penetration testing, compliance assessmentsInsurance renewal quotes; required assessments
Internet and phonesPrimary internet, backup connection, phone serviceCurrent bills plus any failover upgrades
ContingencyUnexpected failures, incident response, urgent replacementsA modest reserve, often a percentage of the total

Practical budgeting tips

  1. Ask your provider for a written roadmap once a year listing upcoming hardware replacements and projects. A good provider should be able to tell you in January what you'll likely need by December.
  2. Align license renewals. Microsoft's annual commitments can only be reduced at renewal, so put your renewal date on the calendar.
  3. Replace computers on a schedule, a few each year, instead of all at once when they fail. It smooths cash flow and reduces downtime.
  4. Review the agreement annually. Headcount, locations and risks change; your contract should too.
  5. Budget for security improvements before your cyber insurance renewal, not after the insurer asks questions you can't answer. Our cyber insurance requirements checklist lists what insurers commonly ask for.

How do contract length and terms affect price?

Longer contracts often come with lower monthly rates or waived onboarding, but they also reduce your flexibility. The right balance depends on how confident you are in the provider and how fair the exit terms are.

  • Month-to-month: Maximum flexibility, sometimes a higher rate. Good for trying a provider or for fast-changing businesses.
  • One year: A common middle ground. Enough time for onboarding to pay off for both sides.
  • Two to three years: Lower rates are sometimes offered, but make sure you can leave for cause if the service is poor, and that annual price increases are capped.

Whatever the term, insist on three protections: a clear way to terminate if the provider repeatedly misses its service commitments, a written process for returning your data, passwords and documentation, and no fees to get your own information back.

How do you compare managed IT quotes fairly?

Normalize every quote into the same line items, compare what's included and excluded, then look at service levels and contract terms. Only then compare the price. Here's a step-by-step method.

Step 1: Give every provider the same information

  • Number of users (full-time, part-time, seasonal).
  • Number and type of devices: workstations, laptops, servers, phones, tablets, firewalls, switches, Wi-Fi access points, printers.
  • Locations and whether on-site support is needed.
  • Key applications (practice management, EHR, accounting software).
  • Compliance needs (HIPAA, FTC Safeguards Rule, client security reviews, cyber insurance requirements).
  • Business hours and any after-hours needs.

Step 2: Build a comparison grid

Score each quote on the same lines:

ItemProvider AProvider BProvider C
Monthly fee (total)
Pricing basis (per user / per device / tier)
Onboarding fee
Help desk hours and channels
On-site visits included
After-hours coverage and rates
Endpoint protection (EDR?)
Managed detection and response / SOC
Email security
Backup (software, storage, test restores)
Microsoft 365 management
Security awareness training
Compliance support and BAA
Documentation you own
Response-time SLA
Contract length and termination terms
Annual price increase clause
Licenses included or extra
Hourly rate for out-of-scope work

Step 3: Add the extras to get a true monthly cost

For each provider, add the monthly fee plus anything they quoted separately that the others include (backup storage, EDR licenses, email security). Spread the onboarding fee over the contract term. That's your real comparison number.

Step 4: Compare service levels

An SLA (service level agreement) sets response targets. Look at:

  • Response time by priority (for example, critical issues acknowledged within an hour).
  • Resolution targets, if any. (Many providers commit only to response times, because resolution depends on the problem.)
  • What counts as critical. "The whole office can't work" should be top priority.
  • What happens if they miss the SLA (credits, escalation).

See SLA in our glossary.

Step 5: Read the contract terms

Contract length, auto-renewal, termination for convenience, termination fees, data return, and transition assistance matter as much as price. We cover these in detail in how to choose a managed IT provider.

Step 6: Check the provider's own security

Your provider has administrator access to everything you own. CISA's guidance for MSP customers stresses that outsourcing IT "does not absolve an organization from risk management responsibilities" and encourages asking what an MSP will provide before contract award to demonstrate its security controls (CISA, Risk Considerations for MSP Customers). Ask how they protect their own admin accounts, tools and staff access.

What mistakes do businesses make when buying managed IT?

The most common mistake is choosing on monthly price alone. The second is not reading the exclusions. Others we see often:

  • Comparing a security-included quote with a security-excluded quote and picking the cheaper one, then buying the security separately later (at a higher combined cost).
  • Signing a three-year contract without a termination-for-cause clause.
  • Assuming "24/7" means people answering phones at 3 a.m. Often it means automated monitoring with alerts. Both are useful; just know which you're getting.
  • Not asking who owns the documentation and admin accounts. You should.
  • Skipping backup to save money. Backup is the last line of defense against ransomware. See our backup and disaster recovery guide.
  • Forgetting licenses in the budget. Microsoft 365, security tools and line-of-business software are often billed separately.
  • Waiting until a crisis to switch providers, when you have the least leverage and the most risk.
  • Not involving the people who'll actually use the service (office manager, practice manager) in the decision.

Scenario walk-throughs: what the budget looks like

These examples show how the structure of costs works for different offices. We've deliberately left out dollar amounts because actual prices vary by region and provider. Use our Managed IT Cost Calculator to plug in real numbers.

Scenario 1: A 10-person dental practice

  • Monthly managed IT fee: per-device pricing may be attractive, since operatory and front-desk PCs are shared. Include the imaging server and firewall.
  • Microsoft 365: Business Premium licenses for staff who sign in individually.
  • Backup: imaging data is large, so check backup storage pricing carefully.
  • Onboarding: includes documenting imaging software, sensor drivers and vendor contacts.
  • Projects: internet failover, replacing PCs that can't run Windows 11.
  • Must-haves: BAA, encryption, tested restores, fast response for front-desk outages.

Scenario 2: A 25-person CPA firm

  • Monthly fee: per-user pricing fits, since everyone has a laptop and a phone.
  • Seasonal staff: ask how the provider handles January–April temporary users.
  • Security: EDR, email security, MFA and security awareness training before tax season.
  • Compliance: written information security program support under the FTC Safeguards Rule; see IT security for CPA firms.
  • Projects: client portal setup, document management migration.

Scenario 3: A 15-person startup

  • Monthly fee: per-user pricing, with growth built in.
  • Onboarding: zero-touch device setup so new hires get laptops shipped directly. Our software startup case study shows how one fast-growing company handled this without an in-house IT team.
  • Security: Conditional Access, least-privilege access to source code, endpoint protection.
  • Contract: month-to-month or short terms may matter more than a slightly lower rate.

Questions to ask about pricing before you sign

Bring these to every provider meeting:

  1. Is your price per user, per device, or a tier? How do you define a user?
  2. What exactly is included? Can I see a written service catalog?
  3. What's excluded, and what does each exclusion cost?
  4. What's the onboarding fee, and what does it cover?
  5. Are your tools (monitoring, antivirus, backup) included in the monthly fee?
  6. Do you resell Microsoft 365 and other licenses? At what markup?
  7. What are your hourly rates for out-of-scope, after-hours and emergency work?
  8. How many on-site visits are included?
  9. What are your response-time commitments, and what happens if you miss them?
  10. Is there an annual price increase? Is it capped?
  11. What's the contract term, and can we leave early? At what cost?
  12. If we leave, how do we get our passwords, documentation and data back, and is there a fee?
  13. Will you sign a BAA (for healthcare)?
  14. How do you secure your own systems and admin access to ours?
  15. Can you give us references from businesses like ours?

The bottom line

Managed IT pricing looks complicated mainly because the same words cover very different services. Strip each quote down to what's included, what's excluded, how fast they respond and how easy it is to leave. Use published data like the Kaseya survey and BLS wage figures as a sanity check, not a price list. Then pick the provider whose total cost and service level fit the risk your business actually carries.

If you'd like a straightforward quote you can line up against others, take a look at our managed IT and help desk service or start with a rough estimate from the Managed IT Cost Calculator. When you're ready, book a free 20-minute call and we'll walk through your setup and give you a written scope you can compare.