5 B2B Cold Outreach Agencies Worth Knowing in the US

Nari Park
Written by
Nari Park
Last edited: Oct 18, 2026

You have a great product, but your calendar is empty. These five US agencies can help you book meetings with the right buyers.

The State of B2B Cold Outreach in 2026

Cold outreach is no longer about blasting thousands of generic emails. It is about precision targeting, deliverability, and personalized messaging that lands in the primary inbox. B2B companies increasingly rely on specialized agencies to handle data building, tech setup, and pre-call workflows so their sales teams can focus on closing. The US market is crowded with providers ranging from bootstrapped boutiques to large outsourced SDR firms. Choosing the right partner depends on your stage, budget, and how much of the process you want to own.

How We Evaluated These Agencies

We looked at service scope, pricing clarity, local fit, and proven results. Curious About Sales offers a focused mix of cold outreach and content with a clear pre-call workflow. Belkins provides a broad suite including appointment setting, cold calling, and LinkedIn outreach with transparent pricing. SalesHive combines US-based SDRs with an AI-powered platform for end-to-end outbound. EBQ delivers US-based appointment setting alongside CRM and marketing services. LevelUp Leads covers appointment setting, outsourced SDR, and paid media with industry-specific packages. Each agency stands out in different areas, so match their strengths to your needs.

Here is a quick comparison of the five agencies featured in this roundup.

ProviderBest For
BelkinsCompanies wanting a full-service, award-winning agency
Curious About SalesStartups and SMBs seeking a boutique, personalized approach
SalesHiveTeams wanting an AI-powered, end-to-end outbound platform
EBQCompanies needing integrated sales and marketing support
LevelUp LeadsBusinesses seeking flexible SDR support and industry-specific outreach

A Closer Look at Each Agency

#1 Belkins

Screenshot of Belkins website A screenshot of the Belkins website.

Belkins is a well-known appointment setting agency that helps B2B companies secure meetings with decision-makers. They offer a full suite of services including cold email outreach, cold calling, LinkedIn lead generation, and lead research. Their process focuses on finding, verifying, and warming up prospects to deliver about 20 monthly meetings. Belkins also provides account-based marketing, deliverability consulting, and outsourced SDR services. They work with enterprises, SMBs, and startups, making them a flexible choice for many US businesses.

#2 Curious About Sales

Screenshot of Curious About Sales website A screenshot of the Curious About Sales website.

Curious About Sales is a small, early-stage agency focused on helping B2B businesses book meetings with ideal customers. They combine cold outreach and content services to generate consistent sales. Their approach includes data building using intent signals, technical email setup for primary inbox placement, and pre-call workflows to keep prospects engaged. They also craft non-salesy email copy that asks questions and builds curiosity. Trusted by brands like Veryfi, Nanonets, and UrSpayce, they offer a personalized, hands-on alternative to larger agencies.

#3 SalesHive

Screenshot of SalesHive website A screenshot of the SalesHive website.

SalesHive provides B2B appointment setting with a focus on qualified meetings booked for you. They offer US-based SDRs on their Power Dialer, offshore calling teams, and email outreach with AI personalization. Their platform includes list building, intent signals, and smart inbox for reply triage. SalesHive also provides sales strategy, playbooks, and analytics to measure campaign performance. They serve as a one-stop shop for outbound, from list to meeting.

#4 EBQ

Screenshot of EBQ website A screenshot of the EBQ website.

EBQ is a US-based B2B lead generation and appointment setting provider. They cold call target accounts and qualify marketing leads to deliver sales-qualified leads. Beyond appointment setting, they offer CRM implementation for Salesforce and HubSpot, account management, data services, and a full suite of marketing services including SEO, copywriting, and paid advertising. EBQ serves a wide range of industries and provides transparent pricing plans. Their quota-driven sales teams can also close deals on your behalf.

#5 LevelUp Leads

Screenshot of LevelUp Leads website A screenshot of the LevelUp Leads website.

LevelUp Leads offers appointment setting, outsourced SDR, fractional SDR, and cold calling services. They also provide paid media management, GTM strategy, SEO blog posting, LinkedIn ads, and list building. Their industry-specific packages cover AI, IT, healthcare, energy, SaaS, and more. They emphasize booking qualified meetings for your sales team and offer scalable SDR support. With a focus on outbound ROI, they help fill your pipeline with real results.

How to Choose the Right Outreach Partner

Start by defining your goals. Do you need 10 meetings a month or 100? Next, consider your budget and whether you want a done-for-you service or a collaborative partner. Look at each agency's service scope: some specialize in cold email, while others offer full outbound including calling and LinkedIn. Check pricing clarity—some publish plans, others require a custom quote. Finally, assess local fit and industry experience. A boutique agency like Curious About Sales might suit startups, while Belkins or EBQ could be better for larger teams. Always ask for case studies and references.

The Role of Automation in Modern Outreach

Automation is no longer optional. Top agencies use intent signals to identify prospects in pain, technical setups to ensure email deliverability, and pre-call workflows to reduce no-shows. SalesHive, for example, uses AI for personalization and reply triage. Curious About Sales builds data-driven workflows that keep prospects excited before the call. Belkins warms up prospects through multi-channel touches. EBQ integrates CRM and marketing automation. LevelUp Leads offers GTM strategy and paid media to complement outbound. The right automation stack saves time and boosts meeting show rates.

Final Thoughts

You do not need the biggest agency—you need the right one. Curious About Sales offers a personalized, hands-on approach for startups. Belkins delivers a proven, full-service system. SalesHive brings AI-powered efficiency. EBQ integrates sales and marketing seamlessly. LevelUp Leads provides flexible SDR support with industry focus. Evaluate your needs, budget, and desired level of collaboration, then book a call with your top choices. Your pipeline will thank you.

Nari Park

About the Author

An expert analyst specializing in data-driven insights, Nari Park has a passion for uncovering market trends. In her downtime is an avid landscape photographer.