Medical Billing And Coding Salary By State in 2022 – (Ranked Highest-to-Lowest Paying)


Written By: Editorial Staff @ NursingProcess.org

Medical coders and billers are essential components of American healthcare’s financial reimbursement system. The average medical billing and coding salary is $54,797 annually. Medical coding and medical billing are actually two separate employment categories: Medical coders translate the information contained in medical charts into clear and unambiguous medical classification codes, while medical billers use those codes to create insurance claims and hospital invoices.

Medical codes are used for far more than billing, of course; accurate coding helps healthcare facilities and scientific researchers conduct surveillance on healthcare utilization, and they also serve as the basis for review processes. In smaller physicians’ practices, billing and coding are often combined, but in larger operations such as medical centers and insurance providers, the two roles are quite distinct. Thus, it’s worth keeping in mind that when you ask the question, “How much does a medical biller and coder make?”, you may be asking two separate questions. Keep reading to find out the entire scoop on medical billing and coding salary in 2022.



What Is Medical Billing And Coding?


Physicians, nurses and other members of the healthcare team document each individual patient encounter with extensive notes. These notes contain a wealth of information that detail the patient’s medical history and the history of the present complaint as well as diagnoses, laboratory tests, treatments, medications, procedures and the like. But one thing these notes do not contain is information about how much these treatments may cost. This is where medical coders and billers come in.

Medical coders read through patient charts, identifying signs and symptoms, external causes of illnesses and injuries, abnormal findings, external circumstances and anything else that’s relevant to a patient’s health status. Then coders condense this information, using specific alphanumeric codes associated with several different classification systems. Medical billers prepare invoices based upon these codes. Often, medical billers are called upon to follow up with insurance providers and individual patients to help ensure that medical treatments are compensated in a timely manner. While medical codes are consistent across medical facilities and insurance companies, medical billing is not. The price of healthcare varies widely across the U.S. from region to region and even for different demographic segments within the same region.

Medical coders and billers rely most heavily upon a taxonomy called the ICD-10 for the codes they use to classify diseases and procedures. ICD-10 is short for the tenth version of the International Classification of Disease codes, developed by the World Health Organization (WHO). The basic ICD-10 code set allows for more than 14,000 codes; additional sub-classifications are so specific regarding the cause, manifestation, location, severity, and type of injury or disease that the entire ICD-10 consists of more than 70,000 codes.

Other medical code sets with which medical coders and medical billers are expected to become familiar include Current Procedural Terminology (CPT) and the Healthcare Common Procedure Coding System (HCPCS Level II) developed by the Centers for Medicare and Medicaid Services. In January 2022, WHO issued the ICD-11, but ICD-11 is not expected to be fully implemented throughout the U.S. as the medical coding standard for at least another five years.


Where Do Medical Billers and Coders Work?


As of 2022, nearly 318,100 medical billers and coders are employed throughout the U.S. Medical billers and coders work in settings wherever the cost of medical care is calculated, reimbursed, or disputed. Many of them work in office settings at sites where healthcare is actually delivered, but an increasing number of medical coders work remotely from home offices. The settings where medical billers and coders work includes:

• Hospitals and medical centers:

Hospitals and medical centers employ 33 percent of the total medical billing and coding workforce.

• Physicians’ practices:

Slightly more than 22 percent of the total medical billing and coding workforce are employed by physician practices.

• Skilled nursing facilities:

Seven percent of medical coders and billers work in skilled nursing centers.

• Outpatient care centers:

Outpatient care centers employ 4 percent of all medical coders and billers.

• Home healthcare agencies:

Some 3.4 percent of the medical billing and coding workforce are employed by home healthcare services.

• State and federal government agencies:

Five percent of all medical billers and coders work for the government in some capacity.

• Health insurance companies:

Medical coders also work for health insurance companies, reviewing clients’ insurance claims, verifying the accuracy and completeness of those claims, and making sure that rendered services are covered by insurance.

• Law firms:

Law firms hire medical coding experts to investigate insurance claims suspected of being fraudulent. According to The National Health Care Anti-Fraud Association, fraudulent healthcare insurance claims amount to approximately $68 billion a year.

Before 2020, approximately 25 percent of medical coders worked remotely from home offices irrespective of who their employer was. That figure has increased dramatically in the wake of the COVID-19 pandemic.


Are Medical Billers and Coders in Demand?


Medical billers and coders are medical records and health information specialists. In 2020, the Bureau of Labor Statistics projected that the demand for these professionals would grow by 9 percent between 2020 and 2030. Since then, however, the field has grown much more competitive, and the number of available jobs has decreased.

The COVID-19 pandemic has markedly affected the medical billing and coding field. Patient visits to medical centers and physicians’ offices dropped dramatically during the pandemic and with that drop came a greatly reduced need for medical coding and billing services. This affected the average medical billing and coding salary, which decreased nearly 3 percent throughout all parts of the U.S. between 2020 and 2021. Medical billers and coders saw a salary decrease in 15 states, including Utah, North Dakota, Idaho, California, and Kansas.

As the number of real-time interactions with healthcare systems plummeted, the number of telemedicine visits skyrocketed. This added complexity to the task of medical coding since existing standards didn’t offer much in the way of consistent guidance on the best ways to code telemedicine interactions. Additionally, human coders and billers have found themselves competing with computer-assisted coding systems that rely upon artificial intelligence and machine learning models to analyze clinical documentation and to decide which codes are most relevant.

Another factor affecting regionalized demand is the increase in home-office-based health information specialists. The COVID-10 pandemic led to an increase in the number of medical billers and coders working remotely. Employers in states that pay high medical billing and coding salaries began to realize that they could hire remote workers in states where the average salary of a medical biller and coder was much lower without a noticeable decline in quality or efficiency. Some employers are even investigating working with medical coding companies outside the United States.

Medical providers need to be reimbursed for their services, so there will always be a demand for medical coders and billers. It’s likely, however, that demand will shift toward medical coders and billers with proven credentials who make an effort to stay on top of technological advances in their field. It may also be wise to become certified in a specialty: Medical coders with a specialty certification average $60,097, which is 27 percent higher than the average salary of $47,200 for uncertified medical coders and billers.


What Is The Starting Medical Billing And Coding Salary?


What is the starting salary of a medical biller and coder in 2022? The average starting salary of a medical biller and coder is $19.93 an hour, $797 a week, $3,450 a month, or $41,450 annually. Certified medical billers and coders command salaries that are 27 percent higher than non-certified medical billers and coders. Whereas certified entry-level billers and coders earn $45,460 a year, non-certified entry-level billers and coders earn $35,700 a year.

Traditionally, many non-certified medical coders and billers have only received on-the-job training because the only formal educational requirement for this line of work is a high school diploma. Individuals who learn the ropes on the job typically won’t be efficient employees until some time has passed. Certified medical coders and billers earn starting salaries that are 27 percent higher than those of their non-certified colleagues because they require far less institutional support.

Starting Medical Billing And Coding Salary
Non-Certified Certified All
Hourly $17.16 $21.86 $19.93
Weekly $687 $874 $797
Monthly $2,980 $3,790 $3,450
Annual $35,700 $45,460 $41,450


What Is The Average Medical Billing And Coding Salary?


What is the average salary of a medical biller and coder in 2022? The average medical billing and coding salary is $26.34 an hour, $1,054 a week, $4,570 a month, or $54,797 a year. Non-certified medical billers and coders earn salaries that are 27 percent less than certified medical billers and coders on average.

Average salaries vary greatly from state to state and may even vary from city to city in the same state. The highest-paid medical billers and coders are employed in Massachusetts where they average $67,260 annually; the lowest-paid medical billers and coders are employed in Mississippi where they average $46,250 annually. Medical coders and billers in the Bay State earn 45 percent more than medical coders and billers in the Magnolia State. In part, this differential reflects the variance in the cost of living between these two states: The cost of living in Massachusetts is 46 percent higher than the cost of living in Mississippi.

Another factor may be at play here as well. No source collects statistics on the number of certified medical coders and billers versus the number of non-certified medical coders and billers. It’s likely, however, that far more certified medical coders and billers are employed in Massachusetts than are employed in Mississippi. As we have seen, certified medical coders and billers earn significantly higher salaries, and that would bring the average medical billing and coding salary up in the Bay State.

Starting Medical Billing And Coding Salary
Non-Certified Certified All
Hourly $22.69 $28.89 $26.34
Weekly $908 $1,156 $1,054
Monthly $3,930 $5,010 $4,570
Annual $47,200 $60,097 $54,797
(Source: American Academy of Professional Coders)


Medical Billing And Coding Salary By Level Of Experience


Experienced medical billers and coders earn higher salaries. Medical coders and billers with even a single year of experience average $45,456 a year, a 10 percent increase over the average entry-level salary. Medical coders and billers with two to four years of experience average $50,490 a year (a 22 percent increase over the average entry-level salary) while medical coders and billers with five to nine years of experience average $57,769 (a 39 percent increase over the average entry-level salary.) By the time a medical biller and coder has been on job for 30 years or more, he or she can expect to average $73,150 a year (a 76 percent increase over the average entry-level salary.)

Experienced coders get paid more because they’ve learned to work more quickly. This means they can process a greater number of patient charts in a shorter interval of time. Medical coders are typically compensated through one of three payment models: Some are hourly-wage employees, subject to the guidelines of the Fair Labor Standards Act (FLSA), which mandates overtime pay if they work more than 40 hours in a given workweek. Others are salaried employees exempt from FLSA stipulations. But an increasing number of coders, particularly coders who work remotely, are paid on the basis of the number of charts they are able to complete. Obviously, for these employees, the more quickly they code, the more money they will make, and the higher their medical billing and coding salary will be.

Level of
Experience
Hourly Monthly Annual
0 - 1 $21.85 $3,788 $45,456
2 - 4 $24.27 $4,208 $50,490
5 - 9 $27.77 $4,814 $57,769
10 - 15 $29.96 $5,194 $62,324
16 - 20 $31.76 $5,505 $66,060
21 - 25 $31.83 $5,517 $66,200
26 - 30 $33.57 $5,820 $69,834
30+ $35.17 $6,096 $73,150
(Source: American Academy of Professional Coders)


Medical Billing And Coding Average Annual Compensation (Salary + Benefits)


If you work full time for a hospital, clinic or physician’s practice, your salary may be boosted by non-cash perks called benefits. Benefits can increase the total value of your compensation package well beyond the average medical biller and coder salary, so it’s always a good idea to review what’s being offered by way of benefits before you accept any medical billing or coding job. Medical billers and coders working in the private sector, for example, receive benefit packages valued at $24,499 on average; this brings their total compensation package up to $82,489 a year. Medical billers and coders working for state and local governments receive benefit packages valued at $33,576 on average; this brings their total compensation package up to $88,126 a year.

Some benefits are mandated by state or federal law, while others are awarded at an employer’s discretion. Benefits that offer workers protection such as workers’ compensation, COBRA and unemployment insurance are typically mandated by the government. Employer-sponsored benefits are perks like paid time off, medical insurance, and the sponsorship of defined-contribution retirement accounts.

Component Private
Industry
State and Local
Government
Paid Leave $6,104 $6,698
Supplemental Pay $2,887 $881
Insurance $6,434 $10,311
Retirement and Savings $2,805 $10,928
Legally Required $6,269 $4,847
Total Benefits $24,499 $33,576
Average Annual Salary $57,990 $54,550
Total Average Compensation $82,489 $88,126


Do Medical Billers and Coders Make Good Money?


Do medical billers and coders make good money? That depends upon your definition of “good money.” The average medical billing and coding salary is $54,792 annually. This figure is 3 percent less than $56,310, which is the average salary for all occupations across the U.S. However, the average medical billing and coding salary is higher than the average household salary in five states.

And it's certainly possible to earn substantially more per year than the medical biller and coder. Earning a certification could boost your salary by as much as $10,000 a year. Coders and billers in management positions also earn significantly more than the average medical billing and coding salary.


10 Tips To Make The Most Money As A Medical Biller And Coder


Here are 10 tips that may be able to help increase your medical biller and coder salary:

1. Work for a large medical center:

The larger the health care provider, the higher the wages you’re likely to make as a medical biller or coder. Healthcare systems consisting of three to 10 hospitals, physician practice groups, urgent care clinics and rehabilitative facilities pay coders and billers the most money.

2. Get certified:

According to the American Academy of Professional Coders (AAPC), certified billers and coders make salaries that are 27 percent higher than their non-certified colleagues. The medical billing and coding industry has two professional organizations: AAPC and The American Health Information Management Association (AHIMA). Each offers different certifications. AHIMA’s star specialty is the CCA credential (Certified Coding Associate). AAPC’s star specialty is the CPC credential (Certified Professional Coder).

3. Specialize:

As with all professionals, coders who specialize in niche areas are frequently in higher demand. Specialized medical coding certification areas include ambulatory care, anesthesia and pain management, obstetric gynecology, and pediatrics.

4. Sign up with a professional recruiter:

Get a jump on high-paying jobs in your area by signing up with a professional recruiter that specializes in healthcare hires.

5. Go to school:

Medical billing and coding is one of the few jobs in the healthcare field that doesn’t require extensive education. But an increasing number of prospective employers are showing a marked preference for graduates from two-year associate or four-year baccalaureate Health Information Management degree programs.

6. Pursue a position as a coding manager:

Managers typically earn higher salaries than the staff they supervise. To pursue a position as a hospital coding manager, you may need a degree.

7. Pick up extra work:

Land a part-time job one day a week doing billing and coding for a local physician with a relatively small solo practice.

8. Code from home:

A number of firms specialize in outsourced medical billing and coding jobs. They hire full-time and part-time employees, and those employees work out of their own homes. Typically, these firms will only work with experienced medical billers and coders.

9. Consult:

If your working knowledge of standardized medical coding practices and classifications is strong enough, you may be able to land freelance consultant work. Smaller physician practices often need advice about improving the accuracy of data entry and developing training for the coders they employ.

10: Relocate:

There’s variation in medical billing and coding salary by state and even from city to city in the same state. If you’re employed in a state where medical billing and coding salaries are low, consider moving to a state where salaries are higher.



MEDICAL BILLING AND CODING SALARY GROWTH TRENDS


Last 5 Years Salary Growth For Medical Billers and Coders

Before the COVID-19 pandemic, medical biller and coder salaries showed healthy growth: 2017 salaries were up 5 percent over 2016 salaries; 2018 salaries rose another 1 percent; and 2019 salaries rose 6 percent. But the COVID-19 pandemic, which began in 2020, caused net revenue in every part of the healthcare industry to contract. Medical billing and coding salaries dropped by more than 3 percent in 2020, and though salaries began rising again in 2021, salaries still haven’t caught back up with their 2019 figures. Nevertheless, if you view medical biller and coder salary as a five-year trend, it’s risen nearly 10 percent.

Year Salary Growth
Number %
2017 $52,411 +$2,539 +5.09%
2018 $51,889 -$522 -1.00%
2019 $54,890 +$3,001 +5.78%
2020 $53,051 -$1,839 -3.35%
2021 $54,797 +$1,746 3.29%
Last 5 Years Overall Salary Growth +$4,925 +9.88%
(Source: American Academy of Professional Coders)


Next 5 Years Projected Salary Growth For Medical Billers and Coders

Medical biller and coder salaries are projected to rise by more than 12 percent over the next five years. The billers and coders most likely to see their salaries rise will be those who earn certifications or those who continue their education to earn degrees in Health Information Management.

Year Salary Growth
Number %
2022 $55,710 +$913 +1.67%
2023 $56,720 +$1,010 +1.81%
2024 $58,220 +$1,500 +2.64%
2025 $59,950 +$1,730 +2.97%
2026 $61,420 +$1,470 +2.45%
Next 5 Years Overall Projected Salary Growth +$6,623 +12.09%


5 Reasons Contributing To The Salary Growth For Medical Billers and Coders


Salary growth for medical billers and coders is related to the rising demand for medical billers and coders. Here are five reasons why that demand—and those salaries—will continue to increase:

1. Without medical coders and billers, it’s all but impossible to monetize the delivery of healthcare. Medical billing and coding is essential to the timely compensation of medical and clinical services.
2. Baby boomers have longer life expectancies than the generation that came before them, which means they will need utilize more healthcare services. Older adults need more medical tests, treatments, and procedures, and this will require a greater number of medical billers and coders to process the insurance claims.
3. Advances in medical technology will lead to changes in the alphanumeric codes used for translating patients’ diagnostic and treatment notes. The healthcare industry will rely upon medical coders and billers to keep abreast of these advances.
4. Telemedicine and other forms of virtual healthcare delivery will also call for the implementation of new codes.
5. Medical billers and coders provide the means through which individual patient charts are translated into aggregate data. In the wake of the COVID-19 pandemic, there’s been a heightened interest in these sorts of aggregate data because it may be able to help epidemiologists predict emerging disease trends.



MEDICAL BILLING AND CODING SALARY COMPARISON


Medical Billing And Coding Salary VS. All Other Occupations

As noted above, the average annual medical billing and coding salary is 3 percent less than the average salary for all occupations across the U.S. However, it’s higher than the average annual salary for all occupations in Iowa, Alabama, North Carolina, New Mexico, and Florida.

Medical Billing And
Coding Average
Annual Salary
All Occupations
Average
Annual Salary
Difference
Number %
$54,797 $56,310 -$1,513-2.69%


Medical Billing And Coding Salary VS. Similar Healthcare Jobs

Medical billers and coders make nearly one and a half times as much as comparable members of the healthcare services support team, including medical transcriptionists, medical assistants, and pharmacy techs. They make 69 percent more than ward clerks and medical receptionists.

Rank Job Title Average
Annual Salary
Difference
Number %
1 Medical and Health Services Manager $118,800 -$64,003 -53.87%
2 Medical Billing And Coding $54,797 $0 0.00%
3 Medical Transcriptionist $37,310 +$17,487 +46.87%
4 Medical Assistant $36,930 +$17,867 +48.38%
5 Pharmacy Technician $36,450 +$18,347 +50.33%
6 Receptionist and Information Clerk $32,410 +$22,387 +69.07%
(Source: American Academy of Professional Coders & U.S. Bureau of Labor Statistics)



MEDICAL BILLING AND CODING SALARY BY WORKPLACE


The highest-paid medical billers and coders work for healthcare systems with multiple hospitals and other medical resources. These billers and coders earn $57,862 annually, which is 6 percent more than the average medical billing and coding salary. Other workplaces where coders and billers earn salaries that are higher than the national average include inpatient and outpatient hospital services ($55,437 annually), and large physician group practices ($54,967).

Workplace Hourly Monthly Annual
Medium Group Practice $24.03 $4,170 $49,987
Solo/Small Group Practice $23.39 $4,050 $48,641
Large Group Practice $26.43 $4,580 $54,967
Hospital Inpatient & Outpatient $26.65 $4,620 $55,437
Health System $27.82 $4,820 $57,862
Hospital Inpatient $25.78 $4,470 $53,614
Hospital Outpatient $24.30 $4,210 $50,541
(Source: American Academy of Professional Coders)



MEDICAL BILLING AND CODING SALARY BY EDUCATION


Generally speaking, there’s a positive correlation between education and the average medical billing and coding salary. This correlation is most pronounced at the master’s degree level, which is the terminal degree for health informatics professionals. In Massachusetts, the state that pays the highest salaries to medical billing and coding professionals on average, a master’s degree will net you a salary of $80,288 a year, which is 19 percent more than the average state salary. In Mississippi, the state that pays the lowest salaries to medical billing and coding professionals on average, billing and coding technicians with master’s degrees earn $65,357 annually, which is 41 percent more than the state average.

While health information specialists with doctorate degrees may earn higher salaries in some instances, such professionals are mostly involved in teaching or designing the architecture of coding classifications.

State High School Graduate Technical School Some High School Some College Associate's Degree Bachelor's Degree Master's Degree Doctorate Degree
Alabama $48,163 $43,629 N/A $42,540 $43,053 $49,658 $58,676 $68,214
Alaska $55,500 $53,906 N/A $54,207 $59,914 $66,250 $76,667 N/A
Arizona $52,684 $53,162 N/A $51,319 $52,638 $54,316 $68,125 $84,000
Arkansas $42,929 $40,909 N/A $44,531 $44,273 $49,766 $55,208 N/A
California $58,235 $58,516 $64,167 $62,736 $62,100 $68,187 $77,590 $92,500
Colorado $59,271 $52,813 $57,500 $56,887 $54,682 $58,080 $76,833 $42,500
Connecticut $51,591 $57,778 N/A $58,950 $60,805 $62,842 $86,875 $62,500
Delaware $50,179 $59,063 $52,500 $54,167 $46,500 $59,643 $86,250 $72,500
Florida $50,815 $45,482 $51,667 $51,925 $51,717 $54,760 $68,989 $76,944
Georgia $51,615 $44,771 $45,000 $51,310 $47,705 $55,577 $67,340 $106,875
Hawaii $75,000 $52,500 N/A $57,500 $56,250 $56,935 $67,083 $96,250
Idaho $44,113 $46,048 $57,500 $44,840 $45,200 $48,571 $92,000 $17,500
Illinois $51,500 $47,130 $57,500 $50,628 $50,747 $58,231 $76,742 $92,500
Indiana $51,346 $49,710 $37,500 $48,026 $49,973 $59,154 $45,136 $70,000
Iowa $49,853 $51,406 N/A $48,864 $46,706 $51,979 $55,893 $57,500
Kansas $51,875 $47,566 N/A $48,995 $44,125 $49,732 $68,438 $155,000
Kentucky $48,879 $47,056 N/A $50,371 $47,859 $57,417 $73,889 $93,750
Louisiana $45,347 $43,438 $42,500 $45,750 $46,767 $52,500 $79,643 $17,500
Maine $45,132 $46,591 N/A $46,480 $50,000 $59,821 $61,429 $82,500
Maryland $52,440 $45,417 N/A $56,170 $56,781 $60,101 $82,404 $86,667
Massachusetts $61,786 $51,250 N/A $62,436 $62,756 $70,199 $80,288 $72,083
Michigan $49,435 $43,333 N/A $49,411 $47,694 $54,317 $69,700 $91,250
Minnesota $59,107 $57,415 $22,500 $63,009 $58,027 $66,051 $79,868 $78,333
Mississippi $46,563 $33,750 N/A $43,382 $40,425 $48,235 $65,357 N/A
Missouri $47,328 $51,265 $57,500 $52,392 $50,030 $60,417 $70,655 $60,000
Montana $46,250 $56,667 N/A $45,924 $43,643 $46,389 $70,000 N/A
Nebraska $46,563 $49,167 $47,500 $51,202 $51,071 $54,934 $83,750 N/A
Nevada $51,071 $48,864 $52,500 $55,270 $49,265 $53,816 $81,667 N/A
New Hampshire $61,786 $42,500 N/A $50,100 $49,079 $55,341 $97,500 $42,500
New Jersey $51,105 $47,813 $52,500 $62,969 $58,621 $62,199 $57,805 $65,625
New Mexico $47,500 $51,635 $32,500 $53,176 $52,206 $58,083 $53,636 $95,000
New York $53,218 $55,802 $47,500 $57,901 $55,569 $62,233 $75,067 $101,786
North Carolina $48,125 $47,649 $27,500 $52,130 $48,573 $55,551 $65,044 $42,500
North Dakota $52,500 $46,136 N/A $47,885 $45,833 $52,188 $108,750 N/A
Ohio $50,430 $46,101 $62,500 $52,938 $47,923 $54,811 $73,490 N/A
Oklahoma $42,262 $44,056 $40,000 $47,368 $50,164 $52,308 $77,206 $78,750
Oregon $56,964 $60,208 N/A $54,979 $54,566 $59,421 $72,692 N/A
Pennsylvania $51,028 $48,632 N/A $52,673 $51,260 $59,795 $70,923 $91,875
Rhode Island $61,154 $55,000 N/A $53,000 $59,737 $56,053 $80,000 N/A
South Carolina $48,478 $47,373 $37,500 $46,609 $46,681 $55,199 $62,750 $121,875
South Dakota $56,786 $47,155 N/A $49,167 $50,663 $55,926 $55,500 N/A
Tennessee $49,953 $46,628 $47,500 $52,708 $47,875 $52,751 $69,563 $71,250
Texas $52,112 $49,561 $49,167 $54,625 $52,567 $58,418 $63,924 $65,333
Utah $58,393 $43,971 $37,500 $47,500 $52,341 $50,697 $70,000 N/A
Vermont $46,667 $57,083 N/A $48,000 $56,667 $55,227 $78,125 N/A
Virginia $50,290 $51,352 N/A $51,624 $49,932 $53,012 $65,459 N/A
Washington $56,250 $53,494 N/A $56,198 $53,310 $58,950 $69,792 N/A
West Virginia $42,300 $40,577 N/A $45,240 $48,538 $43,929 $49,375 $17,500
Wisconsin $54,583 $51,822 N/A $54,105 $50,854 $55,339 $62,778 $37,500
Wyoming $46,250 $60,833 N/A $50,909 $61,579 $68,125 $25,000 N/A
(Source: American Academy of Professional Coders)



MEDICAL BILLING AND CODING SALARY BY CERTIFICATION


The AAPC’s top medical coding certifications in terms of money-making potential are:

CPC (Certified Professional Coder): The highest-paying state for technicians with CPC certification is California with an average annual salary of $70,096.
COC (Certified Outpatient Coder): The highest-paying state for technicians with COC certification is Connecticut with an average annual salary of $88,125.
CRC (Certified Risk Adjustment Coder): The highest-paying state for technicians with CRC certification is Hawaii with an average annual salary of $84,375.
CPB (Certified Professional Biller): The highest-paying state for technicians with CPB certification is New Jersey with an average annual salary of $79,531.
CPMA (Certified Professional Medical Auditor): The highest-paying state for technicians with CPMA certification is California with an average annual salary of $85,541.
CDEO (Certified Documentation Expert Outpatient): The highest-paying state for technicians with CDEO certification is New Hampshire with an average annual salary of $95,000.
CPCO (Certified Professional Compliance Officer): The highest-paying state for technicians with CPCO certification is Alaska with an average annual salary of $155,000.
CPPM (Certified Physician Practice Manager): The highest-paying state for technicians with CPPM certification is Rhode Island with an average annual salary of $98,750.
CPC-I (Certified Professional Coding Instructor): The highest-paying state for technicians with CPC-I certification is Mississippi with an average annual salary of $113,750.
CPC-P (Certified Professional Coder-Payer): The highest-paying state for technicians with CPC-P certification is Connecticut with an average annual salary of $91,563.
CIC (Certified Inpatient Coder): The highest-paying state for technicians with CIC certification is Louisiana with an average annual salary of $88,750.

State CPC COC CRC CPB CPMA CDEO CPCO CPPM CPC-I CPC-P CIC
Alabama $50,272 $55,833 $58,846 $46,176 $67,188 $57,500 $70,000 $65,417 $63,214 $48,333 N/A
Alaska $62,372 N/A N/A $54,500 $68,889 N/A $155,000 N/A $77,500 $42,500 $77,500
Arizona $57,300 $64,797 $64,750 $57,206 $66,985 $72,143 $68,182 $65,750 $84,063 $69,118 $57,500
Arkansas $50,193 $61,250 $54,250 $51,389 $54,318 $48,500 $37,500 $58,571 $61,250 $58,056 N/A
California $70,096 $80,429 $76,261 $63,452 $85,541 $89,265 $97,125 $81,964 $84,146.34 $77,900 $78,500
Colorado $60,661 $73,214 $69,861 $61,196 $79,167 $90,500 $81,167 $67,813 $88,393 $63,056 $82,500
Connecticut $61,834 $88,125 $73,553 $56,136 $75,800 N/A $81,000 $79,375 $50,000 $91,563 N/A
Delaware $57,400 $66,667 $42,500 $55,500 $61,250 $47,500 $47,500 $67,500 $57,500 N/A N/A
Florida $57,443 $63,005 $60,114 $53,380 $69,372 $71,571 $82,000 $79,250 $74,309 $56,404 $85,714
Georgia $56,410 $71,000 $58,629 $50,069 $66,923 $81,042 $84,000 $61,333 $79,545 $63,125 $83,750
Hawaii $65,556 N/A $84,375 $27,500 $70,500 $95,000 N/A N/A N/A N/A N/A
Idaho $50,489 $55,333 $54,479 $44,318 $57,097 $56,250 $45,000 $56,250 $57,500 $61,944 $57,500
Illinois $56,056 $55,429 $58,362 $54,250 $66,250 $67,500 $65,313 $65,147 $59,286 $53,553 $57,500
Indiana $52,421 $57,365 $60,729 $53,558 $62,653 $62,000 $60,833 $59,500 $74,028 $49,318 $40,000
Iowa $53,580 $52,500 $59,167 $52,500 $64,479 $52,500 $57,500 $82,500 $61,000 $49,318 $55,000
Kansas $51,889 $52,045 $62,167 $43,000 $57,619 $58,750 $74,583 $60,357 $87,857 $62,917 $47,500
Kentucky $54,113 $62,857 $62,857 $55,595 $66,900 $65,000 $100,000 $65,833 $63,611 $48,875 $53,500
Louisiana $52,037 $52,500 $58,824 $43,472 $59,861 $50,000 $71,000 $48,214 $58,125 $50,000 $88,750
Maine $55,330 $55,625 $63,611 $53,333 $68,333 $86,250 $83,750 $67,500 $52,500 $48,750 $55,000
Maryland $62,321 $69,118 $64,583 $63,864 $67,898 $60,278 $94,167 $65,962 $88,167 $61,250 $57,500
Massachusetts $66,234 $80,417 $75,655 $71,406 $76,012 $82,143 $92,857 $69,167 $109,583 $69,318 $87,500
Michigan $53,193 $57,714 $60,000 $46,802 $58,627 $75,000 $71,094 $65,294 $79,274 $52,708 N/A
Minnesota $56,365 $59,118 $71,029 $53,750 $65,870 $67,500 $68,750 N/A $72,500 $65,481 $48,500
Mississippi $52,568 $56,591 $51,250 $44,167 $64,722 N/A $67,500 $47,500 $113,750 $39,500 $72,500
Missouri $54,994 $70,833 $65,147 $57,083 $64,250 $59,375 $68,250 $67,143 $80,000 $60,000 $42,500
Montana $51,804 $58,676 $49,500 $46,167 $57,333 $49,500 $68,750 $58,750 $77,500 $62,500 N/A
Nebraska $55,918 $52,350 $54,500 $59,318 $77,763 N/A $75,833 N/A $81,250 $51,667 $55,500
Nevada $58,505 $59,038 $64,231 $44,318 $75,179 $78,750 $98,750 N/A $52,500 $72,500 $55,000
New Hampshire $60,000 $63,125 $61,111 $45,000 $72,045 $95,000 $108,333 $82,500 $68,750 $90,000 N/A
New Jersey $66,203 $76,774 $80,530 $79,531 $73,578 $81,250 $86,053 $75,000 $79,833 $65,833 N/A
New Mexico $58,284 $66,042 $73,125 $53,333 $74,886 $62,500 $92,500 $70,000 $71,667 $54,722 $52,500
New York $62,435 $67,566 $68,056 $58,750 $78,810 $73,088 $72,917 $72,083 $83,600 $70,089 $60,833
North Carolina $57,108 $62,895 $68,109 $48,906 $68,362 $77,333 $78,382 $58,971 $78,900 $56,125 $73,750
North Dakota $53,617 $55,000 N/A $55,833 $56,500 N/A $62,500 N/A $50,000 $54,167 $47,500
Ohio $56,718 $59,364 $66,293 $52,071 $63,150 $69,722 $77,667 $77,969 $74,079 $70,000 $69,167
Oklahoma $51,583 $55,000 $54,250 $48,846 $66,667 N/A $83,333 $74,583 $60,417 $59,667 $47,500
Oregon $58,952 $58,750 $62,685 $52,500 $68,077 $62,500 $45,833 $76,250 $62,143 $69,318 $57,500
Pennsylvania $56,971 $67,695 $63,780 $46,917 $72,014 $73,125 $75,909 $63,500 $72,656 $67,125 $65,000
Rhode Island $60,847 $73,125 $67,222 $51,500 $61,111 N/A $75,000 $98,750 N/A $60,000 N/A
South Carolina $53,260 $64,868 $61,196 $57,059 $57,900 $67,500 $56,944 $60,833 $68,625 $51,324 $67,500
South Dakota $53,300 $46,071 $50,833 $44,722 $62,500 $52,500 N/A N/A $47,500 $47,500 $49,167
Tennessee $55,260 $63,200 $55,660 $52,500 $68,939 $69,773 $77,500 $73,333 $84,091 $72,885 $42,500
Texas $59,128 $64,159 $62,864 $55,617 $69,361 $76,964 $76,908 $79,300 $74,432 $61,667 $62,500
Utah $51,353 $61,094 $63,621 $52,813 $61,346 $42,500 $79,000 $60,833 $69,583 $65,250 $47,500
Vermont $56,981 $64,375 $43,750 N/A $57,500 N/A $103,750 $55,000 N/A $58,750 $47,500
Virginia $55,398 $57,903 $63,711 $50,392 $67,192 $60,179 $73,846 $58,667 $61,429 $59,583 $48,500
Washington $59,552 $62,576 $69,459 $58,110 $71,379 $74,444 $72,917 $76,346 $74,833 $57,941 $62,500
West Virginia $51,269 $53,194 $49,773 $49,583 $57,083 $70,000 $66,250 $58,214 $45,000 $60,000 $64,167
Wisconsin $57,195 $63,173 $58,679 $55,625 $62,083 $61,563 $69,375 $59,167 $61,591 $59,113 $47,500
Wyoming $60,929 $57,955 $52,500 $60,357 $63,750 N/A $95,000 $47,500 N/A $46,250 N/A
(Source: American Academy of Professional Coders)

Note: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC), Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Documentation Expert-Outpatient (CDEO), Certified Professional Compliance Officer (CPCO), Certified Professional Practice Manager (CPPM), Certified Professional Coder-Instructor (CPC-I), Certified Professional Coder-Payer (CPC-P), and Certified Inpatient Coder (CIC)



MEDICAL BILLING AND CODING SALARY BY STATE – HIGHEST TO LOWEST PAYING


Based on medical billing and coding salary by state figures from the American Academy of Professional Coders, we have ranked the following states in the order of highest to lowest paying.

1. Massachusetts

Hourly Salary Range:

$21.27 - $40.59

Annual Salary Range:

$44,242 - $84,423

Top Paying Cities:

Barnstable Town, Boston, & Cambridge

There are nearly 6,790 billing and coding technicians working in Massachusetts. The Bay State tops the list of the highest paying states for medical billing and coding. The average medical billing and coding salary in Massachusetts is $67,260 a year, which is 22 percent more than the national average; billing and coding technicians in the Bay State typically reach this benchmark in the 10th year of their career. In the Bay State’s three largest cities, medical billing and coding technicians make higher than the national average: in Boston, 26 percent more ($68,815 annually); in Worcester, 16 percent more ($63,425); and in Springfield, 8 percent more ($59,091). Approximately 81 percent of the Bay Ste’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $21.27 $3,687 $44,242
2 - 4 $24.48 $4,243 $50,913
5 - 9 $28.47 $4,935 $59,222
10 - 15 $32.25 $5,590 $67,078
16 - 20 $36.49 $6,325 $75,904
21 - 25 $37.80 $6,552 $78,618
26 - 30 $41.65 $7,219 $86,630
30+ $40.59 $7,035 $84,423
Average Salary $32.34 $5,605 $67,260


2. Hawaii

Hourly Salary Range:

$20.91 - $42.07

Annual Salary Range:

$43,500 - $87,500

Top Paying Cities:

Urban Honolulu, Kahului, & Wailuku

Another one of the highest paying states for medical billing and coding is Hawaii. Medical billing and coding technicians in the Aloha State can expect to earn $66,902 a year on average, which is 22 percent higher than the national average. Seventy-eight percent of the Aloha State’s medical coders work remotely. In Honolulu, the state capital, billers and coders make 1 percent more than the state average ($67,867 annually). Between 2021 and 2022, medical billers and coders in the Aloha State saw an average salary gain of 10 percent.

Level of Experience Hourly Monthly Annual
0 - 1 $20.91 $3,625 $43,500
2 - 4 $20.97 $3,634 $43,611
5 - 9 $28.59 $4,955 $59,464
10 - 15 $34.00 $5,893 $70,714
16 - 20 $31.80 $5,513 $66,154
21 - 25 $28.13 $4,875 $58,500
26 - 30 $33.25 $5,764 $69,167
30+ $42.07 $7,292 $87,500
Average Salary $32.16 $5,575 $66,902


3. Maryland

Hourly Salary Range:

$17.84 - $34.28

Annual Salary Range:

$37,100 - $71,300

Top Paying Cities:

Baltimore, Columbia, & Towson

Maryland medical billing and coding technicians were hard hit by the COVID-19 pandemic, particularly those who worked for medical centers in the Greater Metropolitan District of Columbia Area. But the Old Line State’s billing and coding industry came roaring back: Between 2021 and 2022, the salary of medical billers and coders rose by more than 13 percent, making Maryland one of the highest paying states for medical billing and coding. Today, the average medical billing and coding salary in Maryland is $66,310 annually, which is 21 percent more than the national average. Coding and billing techs in Baltimore, Maryland’s largest city, make $68,428, which is 3 percent more than the state average. Roughly 76 percent of the Old Line State’s medical coding labor force works from home.

Level of Experience Hourly Monthly Annual
0 - 1 $17.84 $3,092 $37,100
2 - 4 $23.31 $4,040 $48,486
5 - 9 $26.25 $4,551 $54,609
10 - 15 $28.35 $4,914 $58,973
16 - 20 $30.22 $5,237 $62,847
21 - 25 $33.74 $5,849 $70,188
26 - 30 $39.36 $6,823 $81,875
30+ $34.28 $5,942 $71,300
Average Salary $31.88 $5,526 $66,310


4. California

Hourly Salary Range:

$19.72 - $39.70

Annual Salary Range:

$41,016 - $82,570

Top Paying Cities:

Vallejo, Fairfield, & Stockton

California is one of the top-paying states for all medical professionals, so it’s not surprising that it’s one of the highest-paying states for medical billing and coding. The average medical billing and coding salary in California is $66,224 annually, which is 21 percent higher than the national average. The highest-paid medical billers and coders in the Golden State work in Sacramento, the state’s capital, where they earn $76,888 a year on average; the lowest-paid medical billers and coders in the Golden State work in Chico in the heart of the Central Valley where they earn $53,706 a year. Some 80 percent of the Golden State’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $19.72 $3,418 $41,016
2 - 4 $23.34 $4,046 $48,548
5 - 9 $29.40 $5,097 $61,160
10 - 15 $31.16 $5,402 $64,821
16 - 20 $35.75 $6,197 $74,362
21 - 25 $37.17 $6,443 $77,313
26 - 30 $37.86 $6,563 $78,750
30+ $39.70 $6,881 $82,570
Average Salary $31.84 $5,519 $66,224


5. New Jersey

Hourly Salary Range:

$18.24 - $35.94

Annual Salary Range:

$37,935 - $74,750

Top Paying Cities:

Trenton, Vineland, & Bridgeton

New Jersey is one of the most densely populated states in the U.S., hence it boasts an abundance of healthcare providers. This is one of the reasons why the Garden State is one of the highest paying states for medical billing and coding. The average salary of a medical biller and coder in New Jersey is $63,355 a year, which is 16 percent higher than the national average. Sixty percent of the medical coders in the Garden State work from home. Billing and coding technicians employed in Jersey City, which is technically part of the Greater New York City Metropolitan Area, make $63,959 a year or 1 percent higher than the state average, while billing and coding technicians employed in Camden, which is technically a part of the Greater Philadelphia Metropolitan Area, make $61,761 a year or 2 percent less than the state average.

Level of Experience Hourly Monthly Annual
0 - 1 $18.24 $3,161 $37,935
2 - 4 $19.87 $3,445 $41,338
5 - 9 $25.62 $4,441 $53,288
10 - 15 $30.13 $5,222 $62,661
16 - 20 $32.90 $5,703 $68,431
21 - 25 $33.56 $5,816 $69,796
26 - 30 $35.31 $6,120 $73,438
30+ $35.94 $6,229 $74,750
Average Salary $30.46 $5,280 $63,355


6. New Hampshire

Hourly Salary Range:

$18.68 - $30.05

Annual Salary Range:

$38,864 - $62,500

Top Paying Cities:

Manchester, Portsmouth, & Dover

Following a 9 percent surge in 2022 salaries, New Hampshire became one of the highest paying states for medical billing and coding. The average annual salary for billers and coders in the Granite State is $62,967 a year, which is 15 percent higher than the national average. Billing and coding jobs are mostly in Manchester, Nashua, Concord and Portsmouth because that’s where the state’s biggest hospitals are located. Seventy-nine percent of New Hampshire’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $18.68 $3,239 $38,864
2 - 4 $20.55 $3,563 $42,750
5 - 9 $22.84 $3,958 $47,500
10 - 15 $30.30 $5,252 $63,026
16 - 20 $34.56 $5,990 $71,875
21 - 25 $30.29 $5,250 $63,000
26 - 30 $28.85 $5,000 $60,000
30+ $30.05 $5,208 $62,500
Average Salary $30.27 $5,247 $62,967


7. Connecticut

Hourly Salary Range:

$20.43 - $37.37

Annual Salary Range:

$42,500 - $77,738

Top Paying Cities:

Danbury, Waterbury, & Norwich

Despite Connecticut’s small size, the state offers high salaries and many jobs for medical coders and billers. Medical billing and coding professionals in the Nutmeg State average $62,154 a year, which is 13 percent higher than the national average. Some 1,040 billing and coding technicians are employed in the Greater Hartford Metropolitan Area where they earn $62,165 annually or 13 percent more than the national average. An additional 460 technicians are based in New Haven where they earn $61,994 annually or 13 percent more than the national average.

Level of Experience Hourly Monthly Annual
0 - 1 $20.43 $3,542 $42,500
2 - 4 $22.54 $3,906 $46,875
5 - 9 $26.41 $4,578 $54,937
10 - 15 $30.65 $5,313 $63,750
16 - 20 $33.03 $5,725 $68,704
21 - 25 $36.15 $6,267 $75,200
26 - 30 $35.46 $6,146 $73,750
30+ $37.37 $6,478 $77,738
Average Salary $29.88 $5,180 $62,154


8. Washington

Hourly Salary Range:

$19.08 - $32.84

Annual Salary Range:

$39,679 - $68,300

Top Paying Cities:

Kennewick, Richland, & Seattle

The average medical billing and coding salary in Washington State is $61,806 a year, which is 13 percent more than the national average and also a bump of 10 percent over medical biller and coder salaries in 2021. Medical billing and coding technicians in the western part of the state that includes Seattle, Tacoma and Bellevue average $64,642 annually (18 percent higher than the national average), while medical billing and coding technicians in the eastern part of the state that includes Spokane average $56,211 (2 percent higher than the national average).

Level of Experience Hourly Monthly Annual
0 - 1 $19.08 $3,307 $39,679
2 - 4 $21.99 $3,812 $45,747
5 - 9 $25.49 $4,418 $53,016
10 - 15 $29.74 $5,155 $61,858
16 - 20 $30.30 $5,252 $63,022
21 - 25 $32.39 $5,615 $67,378
26 - 30 $33.00 $5,720 $68,646
30+ $32.84 $5,692 $68,300
Average Salary $29.71 $5,151 $61,806


9. New York

Hourly Salary Range:

$19.28 - $34.28

Annual Salary Range:

$40,109 - $71,313

Top Paying Cities:

New York, Syracuse, & Ithaca

The average medical billing and coding salary in New York is $61,700 a year but there is a marked difference between salaries throughout the Empire State. Medical billing and coding technicians based in the Greater Metropolitan New York City Area earn $63,959 a year (17 percent higher than the national average and 3 percent higher than the state average) while medical billing and coding technicians based in upstate cities like Rochester earn $53,045 a year (3 percent less than the national average and 14 percent less than the state average.) Nearly 70 percent of the Empire State’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $19.28 $3,342 $40,109
2 - 4 $23.84 $4,132 $49,581
5 - 9 $26.52 $4,597 $55,165
10 - 15 $31.01 $5,376 $64,508
16 - 20 $33.55 $5,816 $69,789
21 - 25 $35.20 $6,101 $73,207
26 - 30 $33.23 $5,759 $69,111
30+ $34.28 $5,943 $71,313
Average Salary $29.66 $5,142 $61,700


10. Oregon

Hourly Salary Range:

$18.03 - $36.56

Annual Salary Range:

$37,500 - $76,042

Top Paying Cities:

Corvallis, Albany, & Grants Pass

Approximately 80 percent of Oregon’s medical coders work remotely. The average salary of a medical biller and coder in Oregon is $60,830 annually, which is 11 percent higher than the national average. The strongest market for billers and coders in the Beaver State is Portland where average earnings are $62,805 (15 percent higher than the national average and 3 percent higher than the state average).

Level of Experience Hourly Monthly Annual
0 - 1 $18.03 $3,125 $37,500
2 - 4 $23.45 $4,064 $48,766
5 - 9 $25.12 $4,354 $52,253
10 - 15 $29.55 $5,122 $61,466
16 - 20 $31.84 $5,518 $66,221
21 - 25 $31.50 $5,460 $65,521
26 - 30 $32.37 $5,610 $67,321
30+ $36.56 $6,337 $76,042
Average Salary $29.25 $5,069 $60,830


11. Rhode Island

Hourly Salary Range:

$21.63 - $36.36

Annual Salary Range:

$45,000 - $75,625

Top Paying Cities:

Providence

Rhode Island’s medical billers and coders earn $60,178 a year on average, which is 10 percent more than the national average. Most billing and coding jobs are in Providence, the state’s capital and only sizeable city, where average billing and coding salaries ($58,725) are 7 percent higher than the national average but 2 percent lower than the state average. Approximately 71 percent of the Ocean State’s medical coding technicians work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $21.63 $3,750 $45,000
2 - 4 $20.72 $3,591 $43,088
5 - 9 $26.84 $4,653 $55,833
10 - 15 $30.56 $5,298 $63,571
16 - 20 $34.64 $6,004 $72,045
21 - 25 $30.89 $5,354 $64,250
26 - 30 $26.84 $4,653 $55,833
30+ $36.36 $6,302 $75,625
Average Salary $28.93 $5,015 $60,178


12. Colorado

Hourly Salary Range:

$20.21 - $34.79

Annual Salary Range:

$42,031 - $72,353

Top Paying Cities:

Denver, Aurora, & Lakewood

Colorado is the state that’s expected to add the most number of new medical billing and coding jobs over the next few years. The average medical billing and coding salary in Colorado is $59,614, which is 9 percent higher than the national average. Some 71 percent of Colorado medical coders work remotely, and there’s no significant difference between the salaries earned by remote technicians and the salaries earned by onsite technicians. Billers and coders in Denver, the Centennial State’s most populous metropolitan area, earn $63,610 annually, which is 7 percent higher than the state average and 16 percent higher than the national average; billers and coders in Colorado Springs, right in the center of the state, earn $58,353 annually, which is 2 percent less than the state average though 6 percent higher than the national average.

Level of Experience Hourly Monthly Annual
0 - 1 $20.21 $3,503 $42,031
2 - 4 $21.61 $3,746 $44,951
5 - 9 $25.32 $4,389 $52,669
10 - 15 $29.38 $5,093 $61,119
16 - 20 $32.35 $5,607 $67,283
21 - 25 $35.55 $6,162 $73,944
26 - 30 $32.26 $5,591 $67,097
30+ $34.79 $6,029 $72,353
Average Salary $28.66 $4,968 $59,614


13. Alaska

Hourly Salary Range:

$18.03 - $50.48

Annual Salary Range:

$37,500 - $105,000

Top Paying Cities:

Anchorage & Fairbanks

Medical billing and coding technicians in Alaska can expect to earn $57,883 a year on average, which is 6 percent above the national average. Employment opportunities are evenly divided between rural areas and cities like Anchorage where salaries average $57,557 annually or 1 percent less than the state average. Around 47 percent of the Last Frontier State’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $18.03 $3,125 $37,500
2 - 4 $23.99 $4,158 $49,891
5 - 9 $23.92 $4,147 $49,758
10 - 15 $27.61 $4,785 $57,422
16 - 20 $33.77 $5,854 $70,250
21 - 25 $40.87 $7,083 $85,000
26 - 30 $38.98 $6,756 $81,071
30+ $50.48 $8,750 $105,000
Average Salary $27.83 $4,824 $57,883


14. Minnesota

Hourly Salary Range:

$18.98 - $39.28

Annual Salary Range:

$39,470 - $81,694

Top Paying Cities:

Minneapolis, St. Paul, & Rochester

Minnesota has the highest percentage of medical billers and coders who work remotely of any of the 50 states. Some 89 percent of the state’s nearly 5,150 billing and coding technicians work from home. The average medical billing and coding salary in Minnesota is $57,766 annually, which is 5 percent more than the national average. Billers and coders in the twin cities of Minneapolis/St. Paul earn $59,797 annually, which is 4 percent more than the average state salary and 9 percent more than the average national salary.

Level of Experience Hourly Monthly Annual
0 - 1 $18.98 $3,289 $39,470
2 - 4 $25.03 $4,339 $52,065
5 - 9 $27.72 $4,805 $57,661
10 - 15 $31.43 $5,448 $65,381
16 - 20 $32.81 $5,687 $68,243
21 - 25 $35.19 $6,100 $73,205
26 - 30 $36.12 $6,261 $75,135
30+ $39.28 $6,808 $81,694
Average Salary $27.77 $4,814 $57,766


15. Maine

Hourly Salary Range:

$19.56 - $20.03

Annual Salary Range:

$40,682 - $41,667

Top Paying Cities:

Portland, South Portland, & Bangor

The salary for medical billers and coders in Maine increased by 9 percent between 2021 and 2022. Billing and coding technicians in the Pine Tree State average $57,566 a year, which is 5 percent higher than the national average. Portland offers the highest number of employment opportunities for medical billers and coders in this state; Portland salaries ($62,686) are 9 percent higher than the state average. Approximately 77 percent of the Pine Tree State’s coding technicians work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $19.56 $3,390 $40,682
2 - 4 $19.27 $3,341 $40,086
5 - 9 $24.59 $4,262 $51,141
10 - 15 $26.64 $4,617 $55,408
16 - 20 $24.84 $4,306 $51,667
21 - 25 $28.85 $5,000 $60,000
26 - 30 $35.66 $6,181 $74,167
30+ $20.03 $3,472 $41,667
Average Salary $27.68 $4,797 $57,566


16. North Carolina

Hourly Salary Range:

$16.59 - $30.40

Annual Salary Range:

$34,500 - $63,239

Top Paying Cities:

Durham, Chapel Hill, & Winston-Salem

Approximately 11,630 medical billers and coders are employed by companies based in North Carolina. The average medical billing and coding salary in North Carolina is $57,564 a year or 5 percent higher than the national average. Forty-five percent of the Tarheel State’s billing and coding professionals work from home. The highest number of employment opportunities are to be found in the Durham-Chapel Hill Metropolitan Area and the Raleigh Metropolitan Area. Medical billers and coders in Durham-Chapel Hill average $63,741 annually (16 percent higher than the national average) while medical billers and coders in Raleigh average $57,153 (4 percent higher than the national average).

Level of Experience Hourly Monthly Annual
0 - 1 $16.59 $2,875 $34,500
2 - 4 $20.18 $3,498 $41,978
5 - 9 $22.63 $3,922 $47,060
10 - 15 $25.65 $4,447 $53,360
16 - 20 $27.75 $4,810 $57,714
21 - 25 $31.46 $5,452 $65,428
26 - 30 $34.14 $5,918 $71,011
30+ $30.40 $5,270 $63,239
Average Salary $27.68 $4,797 $57,564


17. Pennsylvania

Hourly Salary Range:

$19.61 - $31.49

Annual Salary Range:

$40,795 - $65,489

Top Paying Cities:

Philadelphia, Scranton, & Wilkes-Barre

The average medical billing and coding salary in Pennsylvania is $57,178 a year, which is 4 percent higher than the national average, but billers and coders in Philadelphia, the Keystone State’s most populated city, earn 13 percent higher than the national average ($61,761 a year), while billers and coders in Pittsburgh earn 6 percent higher than the national average ($57,992 a year). More than 78 percent of the Keystone State’s coding technicians work from home.

Level of Experience Hourly Monthly Annual
0 - 1 $19.61 $3,400 $40,795
2 - 4 $21.59 $3,741 $44,898
5 - 9 $24.37 $4,225 $50,698
10 - 15 $27.11 $4,700 $56,394
h16 - 20 $29.85 $5,173 $62,079
21 - 25 $32.96 $5,713 $68,554
26 - 30 $35.37 $6,131 $73,571
30+ $31.49 $5,457 $65,489
Average Salary $27.49 $4,765 $57,178


18. Wyoming

Hourly Salary Range:

$14.02 - > $35.16

Annual Salary Range:

$29,167 - $73,125

Top Paying Cities:

Casper & Cheyenne

Wyoming is one of the states that hasn’t rebounded from the medical billing and coding salary decreases caused by the COVID-19 pandemic. Medical billers and coders in the Cowboy State average $56,950 a year, which is less than what billers and coders were earning in 2020. This figure is still 4 percent higher than the national average for medical billing and coding salary, however. Most billing and coding positions are based in Wyoming’s two biggest cities, Sheridan and Laramie, but 38 percent of the Cowboy State’s coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $14.02 $2,431 $29,167
2 - 4 $21.39 $3,708 $44,500
5 - 9 $25.56 $4,431 $53,167
10 - 15 $25.24 $4,375 $52,500
16 - 20 $38.76 $6,719 $80,625
21 - 25 $32.28 $5,595 $67,143
26 - 30 $35.16 $6,094 $73,125
30+ N/A N/A N/A
Average Salary $27.38 $4,746 $56,950


19. Texas

Hourly Salary Range:

$18.91 - $35.31

Annual Salary Range:

$39,335 - $73,443

Top Paying Cities:

Houston, The Woodlands, & Sugar Land

The average medical billing and coding salary in Texas is $56,803 a year or 4 percent above the national average. Texas is an enormous state with a population of more than 29 million, so it’s not surprising there’s a lot of variation in the salaries of billers and coders from city to city. Salaries are highest in Houston where billing and coding technicians earn $61,427 a year (12 percent higher than the national average) and lowest in Corpus Christi where billing and coding technicians earn $47,130 a year (14 percent less than the national average). Approximately 73 percent of the Lone Star State’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $18.91 $3,278 $39,335
2 - 4 $21.64 $3,751 $45,017
5 - 9 $24.19 $4,193 $50,317
10 - 15 $27.53 $4,771 $57,252
16 - 20 $30.69 $5,319 $63,827
21 - 25 $32.33 $5,604 $67,250
26 - 30 $32.54 $5,641 $67,688
30+ $35.31 $6,120 $73,443
Average Salary $27.31 $4,734 $56,803


20. Wisconsin

Hourly Salary Range:

$19.20 - $30.31

Annual Salary Range:

$39,932 - $63,043

Top Paying Cities:

Appleton, Madison, & Milwaukee

Nearly 69 percent of Wisconsin’s medical coders work from home. The average medical billing and coding salary in Wisconsin is $56,351 annually. The top job markets for the Badger State’s onsite billing and coding positions are Milwaukee ($57,823), Madison ($60,497), and Green Bay ($56,351). In Madison, billing and coding salaries are 10 percent higher than the national average while in Milwaukee and Green Bay, they are respectively 5 percent higher and 3 percent higher.

Level of Experience Hourly Monthly Annual
0 - 1 $19.20 $3,328 $39,932
2 - 4 $20.73 $3,592 $43,108
5 - 9 $23.52 $4,077 $48,929
10 - 15 $27.53 $4,773 $57,271
16 - 20 $28.45 $4,931 $59,167
21 - 25 $30.79 $5,337 $64,043
26 - 30 $30.15 $5,226 $62,708
30+ $30.31 $5,254 $63,043
Average Salary $27.09 $4,696 $56,351


21. Arizona

Hourly Salary Range:

$18.12 - $33.99

Annual Salary Range:

$37,689 - $70,694

Top Paying Cities:

Tucson, Flagstaff, & Prescott

The average medical billing and coding salary in Arizona is $55,937 annually, which is 2 percent higher than the national average. The Grand Canyon State’s most populous city, Phoenix, is the metropolitan area with the highest demand for billing and coding technicians. Billers and coders in Phoenix average $55,406 annually, which is 1 percent higher than the national average and 1 percent less than the state average. In Tucson, however, medical billers and coders average $61,966 annually, which is 13 percent higher than the national average and 10 percent higher than the state average. Some 70 percent of the Grand Canyon State’s medical coding technicians work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $18.12 $3,141 $37,689
2 - 4 $21.81 $3,780 $45,363
5 - 9 $24.22 $4,199 $50,383
10 - 15 $26.67 $4,623 $55,475
16 - 20 $29.43 $5,102 $61,219
21 - 25 $32.12 $5,567 $66,806
26 - 30 $29.00 $5,026 $60,313
30+ $33.99 $5,891 $70,694
Average Salary $26.89 $4,661 $55,937


22. Florida

Hourly Salary Range:

$17.96 - $35.18

Annual Salary Range:

$37,358 - $73,182

Top Paying Cities:

Gainesville, Lakeland, & Winter Haven

The average medical billing and coding salary in Florida is $55,823 a year, which is 2 percent higher than the national average. Gainesville, Jacksonville, Miami and Orlando are particularly strong markets for employment opportunities. In Gainesville, billers and coders make $61,718 (11 percent more than the state average), while in Miami, the average salary is $60,046 (8 percent more than the state average), but in Orlando, billers and coders make $55,032 (1 percent less than the state average), and in Jacksonville, the average salary is $52,748 (5 percent less than the state average). Seventy-nine percent of the Sunshine State’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $17.96 $3,113 $37,358
2 - 4 $20.86 $3,616 $43,387
5 - 9 $24.46 $4,240 $50,883
10 - 15 $26.30 $4,559 $54,702
16 - 20 $28.60 $4,957 $59,486
21 - 25 $31.14 $5,397 $64,767
26 - 30 $31.43 $5,449 $65,382
30+ $35.18 $6,098 $73,182
Average Salary $26.84 $4,652 $55,823


23. South Dakota

Hourly Salary Range:

$17.23 - $31.77

Annual Salary Range:

$35,833 - $66,071

Top Paying Cities:

Rapid City & Sioux Falls

South Dakota has rebounded nicely from the contractions in the medical billing and coding sector precipitated by the COVID-19 pandemic: Billing and coding salaries in 2022 were 9 percent higher than they were in 2021. Billing and coding techs in the Mount Rushmore State earn $55,720 annually, which is 2 percent higher than the national average. Sioux Falls is probably the best employment market; billing and coding professionals employed there earn $58,075 a year (4 percent higher than the state average). Approximately 68 percent of medical coders in South Dakota work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $17.23 $2,986 $35,833
2 - 4 $20.10 $3,484 $41,810
5 - 9 $23.25 $4,030 $48,362
10 - 15 $25.61 $4,440 $53,278
16 - 20 $28.01 $4,856 $58,269
21 - 25 $26.84 $4,653 $55,833
26 - 30 $32.81 $5,688 $68,250
30+ $31.77 $5,506 $66,071
Average Salary $26.79 $4,643 $55,720


24. Virginia

Hourly Salary Range:

$18.91 - $32.13

Annual Salary Range:

$39,333 - $66,837

Top Paying Cities:

Harrisonburg, Charlottesville, & Lynchburg

Employment opportunities for medical billers and coders in the Old Dominion State are plentiful. The average medical billing and coding salary in Virginia is $55,199 a year, which is 1 percent higher than the national average. Billers and coders employed in the Greater District of Columbia Metropolitan Area earn $63,868 (17 percent higher than the national average), while billers and coders who are based in Richmond earn $52,769 (4 percent less than the national average). Approximately 70 percent of the Old Dominion State’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $18.91 $3,278 $39,333
2 - 4 $20.22 $3,505 $42,058
5 - 9 $23.34 $4,045 $48,544
10 - 15 $25.40 $4,403 $52,833
16 - 20 $27.58 $4,780 $57,360
21 - 25 $31.14 $5,397 $64,764
26 - 30 $33.19 $5,753 $69,038
30+ $32.13 $5,570 $66,837
Average Salary $26.54 $4,600 $55,199


25. Georgia

Hourly Salary Range:

$17.86 - $31.08

Annual Salary Range:

$37,153 - $64,643

Top Paying Cities:

Atlanta, Sandy Springs, & Roswell

More than 9,580 medical billers and coders are employed in Georgia, and approximately 66 percent of them work remotely. The average medical billing and coding salary in Georgia is $55,106 a year, which is marginally higher than the average national salary. The hottest job market in the Peach State for medical billers and coders is Atlanta where medical billing and coding salaries are $60,908 annually (11 percent more than the national average).

Level of Experience Hourly Monthly Annual
0 - 1 $17.86 $3,096 $37,153
2 - 4 $20.49 $3,552 $42,628
5 - 9 $23.57 $4,085 $49,017
10 - 15 $25.50 $4,419 $53,031
16 - 20 $29.11 $5,046 $60,548
21 - 25 $30.78 $5,335 $64,018
26 - 30 $30.02 $5,203 $62,436
30+ $31.08 $5,387 $64,643
Average Salary $26.49 $4,592 $55,106


26. Nevada

Hourly Salary Range:

$18.48 - $22.84

Annual Salary Range:

$38,438 - $47,500

Top Paying Cities:

Carson City, Las Vegas, & Henderson

The average salary for medical billers and coders in Nevada is $54,956 a year, which is fractionally above the national average. The major markets for medical billing and coding in the Silver State are Las Vegas and Reno. In Las Vegas, billing and coding wages are 1 percent higher than the state average while in Reno, billing and coding wages are 1 percent less than the state average. Sixty-four percent of the Silver State’s medical coding professionals work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $18.48 $3,203 $38,438
2 - 4 $20.72 $3,591 $43,088
5 - 9 $27.02 $4,684 $56,210
10 - 15 $27.26 $4,724 $56,694
16 - 20 $28.99 $5,025 $60,294
21 - 25 $31.73 $5,500 $66,000
26 - 30 $24.76 $4,292 $51,500
30+ $22.84 $3,958 $47,500
Average Salary $26.42 $4,580 $54,956


27. Illinois

Hourly Salary Range:

$17.25 - $38.28

Annual Salary Range:

$35,872 - $79,615

Top Paying Cities:

Peoria, Chicago, & Naperville

Illinois employs more than 10,500 medical billers and coders, and approximately 69 percent of them work remotely. The average medical billing and coding salary in Illinois is $54,929 annually, which is marginally more than the average salary across all 50 states. Salaries are highest in the Land of Lincoln’s cities: Medical billing and coding technicians in the Chicago-Naperville-Elgin Metropolitan Area average $57,362 annually (4 percent higher than the state average), while medical billing and coding technicians in Peoria earn $61,628 annually (12 percent more than the state average).

Level of Experience Hourly Monthly Annual
0 - 1 $17.25 $2,989 $35,872
2 - 4 $20.98 $3,637 $43,642
5 - 9 $23.56 $4,085 $49,015
10 - 15 $27.88 $4,833 $57,996
16 - 20 $29.01 $5,029 $60,345
21 - 25 $29.66 $5,142 $61,700
26 - 30 $29.23 $5,066 $60,793
30+ $38.28 $6,635 $79,615
Average Salary $26.41 $4,577 $54,929


28. Utah

Hourly Salary Range:

$15.30 - $33.20

Annual Salary Range:

$31,818 - $69,063

Top Paying Cities:

Ogden, Clearfield, & Salt Lake City

Utah is one of the states that saw a big recovery in medical billing and coding earnings following the COVID-19 pandemic. Billing and coding salaries in 2022 were 9 percent higher than they were in 2021. Billing and coding pay in the Beehive State averages $54,798 per annum, which is just on a par with the national average. In Salt Lake City, the state’s capital and most populous city, salaries are 3 percent higher ($56,264). Fifty-five percent of Utah’s medical coding technicians work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $15.30 $2,652 $31,818
2 - 4 $19.52 $3,383 $40,595
5 - 9 $22.18 $3,844 $46,129
10 - 15 $26.02 $4,511 $54,130
16 - 20 $32.45 $5,625 $67,500
21 - 25 $25.41 $4,405 $52,857
26 - 30 $31.10 $5,391 $64,688
30+ $33.20 $5,755 $69,063
Average Salary $26.35 $4,567 $54,798


29. Tennessee

Hourly Salary Range:

$17.49 - $33.49

Annual Salary Range:

$36,381 - $69,662

Top Paying Cities:

Nashville-Davidson, Murfreesboro, & Franklin

The average medical billing and coding salary in Tennessee is $54,352 a year, which is 1 percent less than the average billing and coding salary throughout all 50 states. Billing and coding jobs are concentrated in the metropolises of Nashville and Memphis. Nashville billers and coders make $64,534 a year on average, which is 18 percent higher than the national average, but Memphis billers and coders make $52,970, which is 3 percent less than the national average. Approximately 72 percent of medical coding technicians in the Volunteer State work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $17.49 $3,032 $36,381
2 - 4 $19.81 $3,434 $41,203
5 - 9 $23.55 $4,082 $48,981
10 - 15 $25.54 $4,426 $53,114
16 - 20 $25.92 $4,493 $53,914
21 - 25 $28.48 $4,937 $59,247
26 - 30 $33.25 $5,764 $69,167
30+ $33.49 $5,805 $69,662
Average Salary $26.13 $4,529 $54,352


30. Ohio

Hourly Salary Range:

$17.76 - $33.44

Annual Salary Range:

$36,944 - $69,559

Top Paying Cities:

Cleveland, Elyria, & Dayton

Around 15,000 medical billers and coders are employed in Ohio. The average medical billing and coding salary in Ohio is $54,242 annually, which is 1 percent less than the national average. Billers and coders in Cleveland average $60,403 annually, which is 10 percent more than the national average, but billers and coders in Columbus, the Buckeye State’s capital, earn $53,079 annually, which is 3 percent lesser than the national average. Roughly 77 percent of Ohio’s medical coding labor force works from home.

Level of Experience Hourly Monthly Annual
0 - 1 $17.76 $3,079 $36,944
2 - 4 $20.19 $3,499 $41,987
5 - 9 $23.12 $4,008 $48,096
10 - 15 $25.95 $4,498 $53,975
16 - 20 $27.42 $4,753 $57,039
21 - 25 $31.89 $5,527 $66,328
26 - 30 $30.83 $5,345 $64,136
30+ $33.44 $5,797 $69,559
Average Salary $26.08 $4,520 $54,242


31. Missouri

Hourly Salary Range:

$19.41 - $34.19

Annual Salary Range:

$40,366 - $71,111

Top Paying Cities:

Kansas City, Jefferson City, & St. Louis

The average medical billing and coding salary in Missouri is $54,229 annually or 1 percent less than the average salary throughout all parts of the U.S. The biggest employment markets for billers and coders in the Show Me State are Kansas City where the average salary is $56,782 a year (5 percent higher than the state average) and St. Louis where the average salary is $55,862 a year (3 percent higher than the state average). Roughly 67 percent of Missouri’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $19.41 $3,364 $40,366
2 - 4 $21.15 $3,666 $43,991
5 - 9 $24.90 $4,317 $51,800
10 - 15 $26.75 $4,637 $55,640
16 - 20 $27.26 $4,724 $56,693
21 - 25 $30.89 $5,354 $64,246
26 - 30 $30.70 $5,321 $63,857
30+ $34.19 $5,926 $71,111
Average Salary $26.07 $4,519 $54,229


32. Nebraska

Hourly Salary Range:

$18.54 - $25.43

Annual Salary Range:

$38,553 - $52,885

Top Paying Cities:

Omaha, Grand Island, & Lincoln

Nebraska’s healthcare facilities employ approximately 2,550 medical billing and coding professionals who earn approximately $54,142 a year. Around 56 percent of the medical coders in the Corn Husker State work remotely. The top employment markets for medical billers and coders in this state are Omaha where they earn $57,545 a year (6 percent higher than the state average) and Lincoln where they earn $51,858 a year (4 percent lower than the state average).

Level of Experience Hourly Monthly Annual
0 - 1 $18.54 $3,213 $38,553
2 - 4 $21.71 $3,762 $45,147
5 - 9 $24.37 $4,224 $50,682
10 - 15 $26.22 $4,544 $54,531
16 - 20 $29.61 $5,132 $61,579
21 - 25 $27.44 $4,757 $57,083
26 - 30 $33.65 $5,833 $70,000
30+ $25.43 $4,407 $52,885
Average Salary $26.03 $4,512 $54,142


33. South Carolina

Hourly Salary Range:

$16.86 - $30.91

Annual Salary Range:

$35,076 - $64,297

Top Paying Cities:

Charleston, North Charleston, & Columbia

The average salary of a medical biller and coder in South Carolina is $54,073, which is 1 percent less than the national average. Top employment markets for these professionals include Charleston where medical billers and coders earn $57,502 annually (6 percent higher than the state average) and Columbia where medical billers and coders earn $55,601 annually (3 percent higher than the state average). Approximately 4,340 medical coders and billers are employed by facilities in the Palmetto State, and 64 percent of them work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $16.86 $2,923 $35,076
2 - 4 $20.08 $3,481 $41,767
5 - 9 $22.51 $3,901 $46,814
10 - 15 $25.01 $4,335 $52,016
16 - 20 $25.57 $4,433 $53,194
21 - 25 $29.00 $5,027 $60,321
26 - 30 $27.50 $4,767 $57,200
30+ $30.91 $5,358 $64,297
Average Salary $26.00 $4,506 $54,073


34. Kansas

Hourly Salary Range:

$17.57 - $28.85

Annual Salary Range:

$36,548 - $60,000

Top Paying Cities:

Topeka, Manhattan, & Lawrence

Some 3,230 medical billers and coders are based in the Sunflower State, and of these, approximately 63 percent work remotely. The average salary for medical billers and coders in Kansas is $54,057 a year, which is 1 percent less than the national average. Kansas City, on the shared border with Missouri, is the top employment market for medical billers and coders; professionals based there earn $56,782 annually (5 percent more than the state average). The other big employment market for billers and coders is Wichita where they earn $49,922 annually (8 percent less than the state average).

Level of Experience Hourly Monthly Annual
0 - 1 $17.57 $3,046 $36,548
2 - 4 $18.96 $3,287 $39,439
5 - 9 $22.48 $3,896 $46,754
10 - 15 $24.79 $4,297 $51,558
16 - 20 $25.81 $4,474 $53,690
21 - 25 $28.30 $4,905 $58,864
26 - 30 $33.35 $5,781 $69,375
30+ $28.85 $5,000 $60,000
Average Salary $25.99 $4,505 $54,057


35. Delaware

Hourly Salary Range:

$20.43 - $33.95

Annual Salary Range:

$42,500 - $70,625

Top Paying Cities:

Dover

Medical billers and coders based in Delaware earn $54,050 a year on average; this figure is 1 percent less than the national average. Wilmington is the city where most of the First State’s medical billing and coding jobs are located, and since this city is part of the Greater Philadelphia Metropolitan Area, billing and coding salaries are higher there: $61,761 a year (14 percent higher than the state average). Nearly 60 percent of Delaware’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $20.43 $3,542 $42,500
2 - 4 $18.03 $3,125 $37,500
5 - 9 $25.89 $4,487 $53,846
10 - 15 $28.79 $4,990 $59,881
16 - 20 $27.00 $4,680 $56,154
21 - 25 $29.15 $5,052 $60,625
26 - 30 $24.44 $4,236 $50,833
30+ $33.95 $5,885 $70,625
Average Salary $25.99 $4,504 $54,050


36. New Mexico

Hourly Salary Range:

$19.63 - $29.85

Annual Salary Range:

$40,833 - $62,083

Top Paying Cities:

Santa Fe, Albuquerque, & Farmington

In New Mexico, medical billers and coders earn salaries of $53,867 a year on average. Half the state’s population lives in Albuquerque, so it’s no surprise this city is the hottest job market for billing and coding. Medical billers and coders in Albuquerque earn $56,243 annually, which is 4 percent higher than the state average. Roughly 66 percent of the state’s medical billers and coders work from home.

Level of Experience Hourly Monthly Annual
0 - 1 $19.63 $3,403 $40,833
2 - 4 $20.43 $3,542 $42,500
5 - 9 $22.97 $3,982 $47,778
10 - 15 $27.00 $4,680 $56,161
16 - 20 $31.57 $5,472 $65,658
21 - 25 $27.55 $4,776 $57,308
26 - 30 $38.86 $6,736 $80,833
30+ $29.85 $5,174 $62,083
Average Salary $25.90 $4,489 $53,867


37. Michigan

Hourly Salary Range:

$17.70 - $36.65

Annual Salary Range:

$36,806 - $76,225

Top Paying Cities:

Ann Arbor, Saginaw, & Jackson

The average medical billing and coding salary in Michigan is $53,273 annually or 3 percent less than the national average. More than 8,090 medical billing and coding jobs are located in the Wolverine State, and 75 percent of medical coders work remotely. Though by landmass, Michigan is a mostly rural state, most of its population lives in urban areas like Detroit where the average billing and coding salary is $53,930 (1 percent more than the average state salary) and Grand Rapids where the average billing and coding salary is $51,506 (3 percent less than the average state salary).

Level of Experience Hourly Monthly Annual
0 - 1 $17.70 $3,067 $36,806
2 - 4 $20.49 $3,552 $42,626
5 - 9 $21.83 $3,785 $45,414
10 - 15 $24.43 $4,235 $50,823
16 - 20 $26.38 $4,572 $54,868
21 - 25 $28.22 $4,891 $58,689
26 - 30 $27.62 $4,787 $57,447
30+ $36.65 $6,352 $76,225
Average Salary $25.61 $4,439 $53,273


38. Vermont

Hourly Salary Range:

$21.23 - $44.07

Annual Salary Range:

$44,167 - $91,667

Top Paying Cities:

Burlington & South Burlington

Vermont is one of four states where medical billing and coding salaries did not recover from the losses caused by the COVID-19 pandemic. The average billing and coding salary in the Green Mountain State is $53,239 a year, which is 3 percent less than the national average. Some 790 medical billing and coding technicians are employed in Vermont, and 80 percent of medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $21.23 $3,681 $44,167
2 - 4 $20.29 $3,517 $42,206
5 - 9 $23.54 $4,080 $48,958
10 - 15 $28.92 $5,013 $60,156
16 - 20 $31.85 $5,521 $66,250
21 - 25 $40.26 $6,979 $83,750
26 - 30 $20.43 $3,542 $42,500
30+ $44.07 $7,639 $91,667
Average Salary $25.60 $4,437 $53,239


39. Oklahoma

Hourly Salary Range:

$16.83 - $31.53

Annual Salary Range:

$35,000 - $65,588

Top Paying Cities:

Lawton, Oklahoma City, & Tulsa

The average salary for medical billers and coders in Oklahoma is $51,986 a year, which is 5 percent less than the national average. The top employment markets for medical coders and billers in the Sooner State are Oklahoma City and Tulsa; in Oklahoma City, billers and coders earn $54,227 a year, which is 4 percent higher than the state average, while in Tulsa, they earn $51,787, which is 1 percent less than the state average. Roughly 3,600 medical billing and coding technicians are employed in the Sooner State, and 67 percent of them work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $16.83 $2,917 $35,000
2 - 4 $19.59 $3,396 $40,756
5 - 9 $20.29 $3,517 $42,206
10 - 15 $24.70 $4,281 $51,367
16 - 20 $27.45 $4,758 $57,097
21 - 25 $26.91 $4,665 $55,982
26 - 30 $29.68 $5,144 $61,731
30+ $31.53 $5,466 $65,588
Average Salary $24.99 $4,332 $51,986


40. North Dakota

Hourly Salary Range:

$18.03 - $19.23

Annual Salary Range:

$37,500 - $40,000

Top Paying Cities:

Bismarck & Fargo

Medical billing and coding salaries in North Dakota dropped by more than 5 percent at the height of the COVID-19 pandemic but have since rebounded. These days, the average medical billing and coding salary in the Peace Garden State is $51,955 a year, which is 5 percent less than the national average. Fewer than 1,200 medical billers and coders work in North Dakota, and 72 percent of medical coders work from home.

Level of Experience Hourly Monthly Annual
0 - 1 $18.03 $3,125 $37,500
2 - 4 $19.80 $3,432 $41,184
5 - 9 $22.52 $3,904 $46,848
10 - 15 $25.10 $4,351 $52,206
16 - 20 $28.07 $4,866 $58,393
21 - 25 $26.11 $4,527 $54,318
26 - 30 $28.13 $4,875 $58,500
30+ $19.23 $3,333 $40,000
Average Salary $24.98 $4,330 $51,955


41. Indiana

Hourly Salary Range:

$21.61 - $30.93

Annual Salary Range:

$44,951 - $64,333

Top Paying Cities:

Kokomo, Indianapolis, & Carmel

Although the highest-paid medical billers and coders in the U.S. are employed in Kokomo, Indiana, where the average salary is $78,567 annually (43 percent higher than the national average), for the most part, Indiana’s medical billers and coders make less than they do in other states. The average medical billing and coding salary in Indiana is $51,832, which is 5 percent less than the national average. In Indianapolis, the Hoosier State’s most populous city, medical billers and coders earn $55,735 a year (8 percent more than the state average). Approximately 65 percent of Indiana’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $21.61 $3,746 $44,951
2 - 4 $19.62 $3,401 $40,811
5 - 9 $21.75 $3,770 $45,243
10 - 15 $25.87 $4,485 $53,819
16 - 20 $28.53 $4,945 $59,342
21 - 25 $29.40 $5,096 $61,157
26 - 30 $29.75 $5,156 $61,875
30+ $30.93 $5,361 $64,333
Average Salary $24.92 $4,319 $51,832


42. West Virginia

Hourly Salary Range:

$17.75 - $36.06

Annual Salary Range:

$36,912 - $75,000

Top Paying Cities:

Morgantown, Huntington & Weirton

In West Virginia, medical billers and coders can expect to earn $51,813 annually. This figure is 5 percent less than the national average. Coders and billers in Morgantown make $60,147 annually, which is 16 percent more than the state average. Approximately 2,140 medical billers and coders work in the Mountain State, and 66 percent of them work remotely.

Level of Experience Hourly Monthly Annual
0 – 1 $17.75 $3,076 $36,912
2 – 4 $16.47 $2,855 $34,257
5 - 9 $19.49 $3,379 $40,549
10 - 15 $22.62 $3,921 $47,051
16 - 20 $24.74 $4,288 $51,458
21 - 25 $29.75 $5,156 $61,875
26 - 30 $25.24 $4,375 $52,500
30+ $36.06 $6,250 $75,000
Average Salary $24.91 $4,318 $51,813


43. Idaho

Hourly Salary Range:

$17.94 - $24.57

Annual Salary Range:

$37,308 - $51,111

Top Paying Cities:

Lewiston, Pocatello, & Boise City

During the COVID-19 pandemic, medical billing and coding salaries in Idaho dropped by more than 5 percent, but they have since rebounded. Today, coders and billers in the Gem State average $51,646 a year, which is 6 percent less than the national average. Fewer than 1,930 professionals work in Idaho’s medical billing and coding industry, and 70 percent of the medical coding opportunities are for remote workers. In Boise, the Gem State’s largest city, coding and billing technicians earn $53,179 annually, which is 3 percent more than the state average.

Level of Experience Hourly Monthly Annual
0 - 1 $17.94 $3,109 $37,308
2 - 4 $19.29 $3,344 $40,127
5 - 9 $22.58 $3,914 $46,970
10 - 15 $23.25 $4,029 $48,352
16 - 20 $26.31 $4,561 $54,732
21 - 25 $24.60 $4,264 $51,167
26 - 30 $31.25 $5,417 $65,000
30+ $24.57 $4,259 $51,111
Average Salary $24.83 $4,304 $51,646


44. Montana

Hourly Salary Range:

$16.43 - $29.15

Annual Salary Range:

$34,167 - $60,625

Top Paying Cities:

Billings, Great Falls, & Missoula

In the Big Sky State, medical billers and coders can anticipate earning $51,548 annually or 6 percent less than the national average. Employment opportunities are mostly to be found in Billings where the average billing and coding salary is $55,461 (8 percent higher than the average state salary) and Missoula where the average billing and coding salary is $49,312 (4 percent less than the average state salary). For the most part, though, Montana is a rural state, so it’s not surprising that 60 percent of its medical billers and coders work from home.

Level of Experience Hourly Monthly Annual
0 - 1 $16.43 $2,847 $34,167
2 - 4 $19.08 $3,307 $39,679
5 - 9 $22.01 $3,816 $45,789
10 - 15 $23.85 $4,135 $49,615
16 - 20 $28.19 $4,885 $58,625
21 - 25 $23.24 $4,028 $48,333
26 - 30 $29.70 $5,149 $61,786
30+ $29.15 $5,052 $60,625
Average Salary $24.78 $4,296 $51,548


45. Louisiana

Hourly Salary Range:

$15.73 - $37.35

Annual Salary Range:

$32,727 - $77,679

Top Paying Cities:

New Orleans, Metairie, & Hammond

Slightly fewer than 5,800 medical billers and coders are employed throughout Louisiana. The average medical billing and coding salary in Louisiana is $51,244 annually; this figure is 6 percent less than the national average. In New Orleans, billers and coders make $57,381 annually, 12 percent more than the state average. Fifty-four percent of the Bayou State’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $15.73 $2,727 $32,727
2 - 4 $18.45 $3,198 $38,377
5 - 9 $21.53 $3,732 $44,789
10 - 15 $24.79 $4,297 $51,567
16 - 20 $24.49 $4,245 $50,938
21 - 25 $28.02 $4,856 $58,276
26 - 30 $27.64 $4,792 $57,500
30+ $37.35 $6,473 $77,679
Average Salary $24.64 $4,270 $51,244


46. Kentucky

Hourly Salary Range:

$18.46 - $31.08

Annual Salary Range:

$38,389 - $64,643

Top Paying Cities:

Elizabethtown, Fort Knox, & Lexington

The average salary of a medical biller and coder in Kentucky is $51,043 annually. Lexington and Louisville are the two cities where most employment opportunities for these professionals are located; in Lexington, billers and coders average $54,944 annually (8 percent more than the state average) while in Louisville, billers and coders average $53,870 annually (6 percent more than the state average). Approximately 5,000 medical billers and coders are employed in the Bluegrass State, and 72 percent of the state’s coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $18.46 $3,199 $38,389
2 - 4 $20.19 $3,499 $41,988
5 - 9 $23.56 $4,083 $48,996
10 - 15 $27.30 $4,733 $56,791
16 - 20 $29.46 $5,106 $61,267
21 - 25 $27.61 $4,786 $57,431
26 - 30 $28.19 $4,885 $58,625
30+ $31.08 $5,387 $64,643
Average Salary $24.54 $4,254 $51,043


47. Iowa

Hourly Salary Range:

$19.23 - $28.11

Annual Salary Range:

$40,000 - $58,462

Top Paying Cities:

Iowa City, Ames, & Cedar Rapids

Iowa’s healthcare industry was hit hard by the COVID-19 pandemic, and the state’s medical billing and coding industry still hasn’t regained the losses it suffered. Medical billers and coders in the Cornhusker State average $50,939 a year, which is 7 percent less than the national average for billers and coders. But in Des Moines, billers and coders can expect to earn $52,553 a year (3 percent more than the state average) while in Iowa City, they can expect to earn $65,124 (28 percent more than the state average). Sixty-five percent of Iowa’s medical coding labor force works remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $19.23 $3,333 $40,000
2 - 4 $21.11 $3,660 $43,917
5 - 9 $22.26 $3,858 $46,300
10 - 15 $25.49 $4,418 $53,019
16 - 20 $27.39 $4,748 $56,979
21 - 25 $28.04 $4,861 $58,333
26 - 30 $24.55 $4,256 $51,071
30+ $28.11 $4,872 $58,462
Average Salary $24.49 $4,245 $50,939


48. Arkansas

Hourly Salary Range:

$16.73 - $24.47

Annual Salary Range:

$34,792 - $50,893

Top Paying Cities:

Little Rock, North Little Rock, & Conway

Arkansas-based medical billers and coders average $50,430 a year, 8 percent less than the national average. Little Rock offers the most billing and coding employment opportunities, and professionals there earn 10 percent more than the state average, or $55,619 annually. Fayetteville in the northwest part of the state pays medical and billing technicians $48,099 a year, which is 5 percent less than the average state salary. Nearly 55 percent of the Natural State’s medical coding opportunities are work-from-home positions.

Level of Experience Hourly Monthly Annual
0 - 1 $16.73 $2,899 $34,792
2 - 4 $19.42 $3,366 $40,389
5 - 9 $20.60 $3,570 $42,841
10 - 15 $23.08 $4,001 $48,011
16 - 20 $23.87 $4,138 $49,655
21 - 25 $25.46 $4,414 $52,963
26 - 30 $22.57 $3,912 $46,944
30+ $24.47 $4,241 $50,893
Average Salary $24.25 $4,203 $50,430


49. Alabama

Hourly Salary Range:

$16.37 - $32.45

Annual Salary Range:

$34,052 - $67,500

Top Paying Cities:

Birmingham, Hoover, & Auburn

All healthcare provider salaries tend to be on the low end in Alabama, so it’s not surprising that the Yellowhammer State ranks number two on the list of lowest paying states for medical billing and coding. The average salary of a medical biller and coder in Alabama is $48,169 annually, which is 12 percent less than the national average. In Birmingham, medical billers and coders make $51,318 a year, which is fractionally more than the state average. Thirty-one percent of the Yellowhammer State’s medical coders work from home.

Level of Experience Hourly Monthly Annual
0 - 1 $16.37 $2,838 $34,052
2 - 4 $18.11 $3,140 $37,676
5 - 9 $18.31 $3,175 $38,095
10 - 15 $22.73 $3,940 $47,275
16 - 20 $26.68 $4,625 $55,500
21 - 25 $24.11 $4,179 $50,143
26 - 30 $30.22 $5,238 $62,857
30+ $32.45 $5,625 $67,500
Average Salary $23.16 $4,014 $48,169


50. Mississippi

Hourly Salary Range:

$16.43 - $29.45

Annual Salary Range:

$34,167 - $61,250

Top Paying Cities:

Gulfport, Biloxi, & Pascagoula

Mississippi is at the very bottom of the list when it comes to the lowest-paying states for medical billing and coding. Medical billing and coding salaries declined there during the COVID-19 pandemic and still haven’t bounced back. The average salary for medical billers and coders in Mississippi is $46,250 a year, which is 16 percent lower than the national average. Coders and billers in Jackson make approximately 10 percent less than the national average ($49,463 a year), which ranks them among the lowest-paid medical billers and coders. Some 45 percent of the Magnolia State’s medical coders work remotely.

Level of Experience Hourly Monthly Annual
0 - 1 $16.43 $2,847 $34,167
2 - 4 $17.50 $3,034 $36,406
5 - 9 $20.11 $3,486 $41,833
10 - 15 $23.33 $4,044 $48,529
16 - 20 $23.16 $4,014 $48,167
21 - 25 $24.32 $4,216 $50,588
26 - 30 $24.04 $4,167 $50,000
30+ $29.45 $5,104 $61,250
Average Salary $22.24 $3,854 $46,250



MEDICAL BILLING AND CODING SALARY IN YOUR STATE VS. NATIONAL MEDICAL BILLING AND CODING SALARY


Medical billing and coding salaries are higher than the national average in 27 states. States, where medical coders and billers earn their highest wages compared to the national average, tend to be in the northeast and on the west coast. Salaries are more than 20 percent higher in four states (California, $66,224; Hawaii, $66,902; Maryland, $66,310; and Massachusetts, $67,260) and between 10 and 20 percent higher in six states (Connecticut, $62,154; New Hampshire, $62,967; New Jersey, $63,355; New York, $61,700; Oregon, $60,830; and Washington, $61,806).

Medical billing and coding salaries are lower than the national average in 23 states. States where medical coders and billers are paid the lowest wages compared to the national average are in the Deep South. Mississippi ($46,250) and Alabama ($48,169) are the only two states in which billing and coding salaries are more than 10 percent below average.

State Average
Annual Salary
VS. National Salary
Number %
Alabama $48,169 -$6,628 -12.10%
Alaska $57,883 +$3,086 +5.63%
Arizona $55,937 +$1,140 +2.08%
Arkansas $50,430 -$4,367 -7.97%
California $66,224 +$11,427 +20.85%
Colorado $59,614 +$4,817 +8.79%
Connecticut $62,154 +$7,357 +13.43%
Delaware $54,050 -$747 -1.36%
Florida $55,823 +$1,026 +1.87%
Georgia $55,106 +$309 +0.56%
Hawaii $66,902 +$12,105 +22.09%
Idaho $51,646 -$3,151 -5.75%
Illinois $54,929 +$132 +0.24%
Indiana $51,832 -$2,965 -5.41%
Iowa $50,939 -$3,858 -7.04%
Kansas $54,057 -$740 -1.35%
Kentucky $51,043 -$3,754 -6.85%
Louisiana $51,244 -$3,553 -6.48%
Maine $57,566 +$2,769 +5.05%
Maryland $66,310 +$11,513 +21.01%
Massachusetts $67,260 +$12,463 +22.74%
Michigan $53,273 -$1,524 -2.78%
Minnesota $57,766 +$2,969 +5.42%
Mississippi $46,250 -$8,547 -15.60%
Missouri $54,229 -$568 -1.04%
Montana $51,548 -$3,249 -5.93%
Nebraska $54,142 -$655 -1.20%
Nevada $54,956 +$159 +0.29%
New Hampshire $62,967 +$8,170 +14.91%
New Jersey $63,355 +$8,558 +15.62%
New Mexico $53,867 -$930 -1.70%
New York $61,700 +$6,903 +12.60%
North Carolina $57,564 +$2,767 +5.05%
North Dakota $51,955 -$2,842 -5.19%
Ohio $54,242 -$555 -1.01%
Oklahoma $51,986 -$2,811 -5.13%
Oregon $60,830 +$6,033 +11.01%
Pennsylvania $57,178 +$2,381 +4.35%
Rhode Island $60,178 +$5,381 +9.82%
South Carolina $54,073 -$724 -1.32%
South Dakota $55,720 +$923 +1.68%
Tennessee $54,352 -$445 -0.81%
Texas $56,803 +$2,006 +3.66%
Utah $54,798 +$1 +0.00%
Vermont $53,239 -$1,558 -2.84%
Virginia $55,199 +$402 +0.73%
Washington $61,806 +$7,009 +12.79%
West Virginia $51,813 -$2,984 -5.45%
Wisconsin $56,351 +$1,554 +2.84%
Wyoming $56,950 +$2,153 +3.93%
U.S. $54,797 $0 0.00%
(Source: American Academy of Professional Coders)



MEDICAL BILLING AND CODING SALARY IN YOUR METRO VS. NATIONAL MEDICAL BILLING AND CODING SALARY


Just as there are variations in medical billing and coding salary by state, there are variations from city to city in the same state. These seem predicated both on cost of living differences and the demand for billing and coding (which is correlated with the number of individuals in a particular area who offer those services.)

In Texas, for example, there is an enormous range in medical billing and coding salary. Billers and coders in Corpus Christi make $47,130 annually, which is 14 percent less than the national average and 17 percent less than the state average. The cost of living in Corpus Christi is 10 percent less than the cost of living in the Lone Star State as a whole, which affects salaries, plus there are only two major medical systems in the city, so the market is limited for billers and coders. In Dallas and Houston, the Lone Star State’s two major cities, salaries are much higher: $59,662 and $61,427 respectively. Salaries in both these cities are higher than the national average and the Texas average, which most likely reflects the fact that the cost of living both in Houston and Dallas is higher than the average cost of living in the Lone Star State. An additional factor that may be helping medical billing and coding salaries in these two cities is the fact that Houston and Dallas are both medical hubs, so the employers have to incentivize with high salaries since the demand for billing and coding positions may be fierce.

The highest-paying metros for medical billers and coders are not always in the highest-paying states. The highest-paid medical billers and coders in the U.S. work in Trenton, New Jersey where they earn $82,311 annually, which is 50 percent higher than the national average and 30 percent higher than the average New Jersey salary.

Metro Average Annual
Salary
VS. National Salary
Number %
Akron, OH $47,867 -$6,930 -12.65%
Albany-Schenectady-Troy, NY $52,922 -$1,875 -3.42%
Albuquerque, NM $56,243 +$1,446 +2.64%
Allentown-Bethlehem-Easton, PA-NJ $50,942 -$3,855 -7.04%
Anchorage, AK $57,557 +$2,760 +5.04%
Ann Arbor, MI $61,261 +$6,464 +11.80%
Asheville, NC $57,085 +$2,288 +4.18%
Atlanta-Sandy Springs-Roswell, GA $60,908 +$6,111 +11.15%
Augusta-Richmond County, GA-SC $50,746 -$4,051 -7.39%
Austin-Round Rock, TX $50,929 -$3,868 -7.06%
Bakersfield, CA $58,015 +$3,218 +5.87%
Baltimore-Columbia-Towson, MD $68,428 +$13,631 +24.88%
Bangor, ME $55,893 +$1,096 +2.00%
Baton Rouge, LA $47,454 -$7,343 -13.40%
Beaumont-Port Arthur, TX $49,603 -$5,194 -9.48%
Birmingham-Hoover, AL $51,318 -$3,479 -6.35%
Boise City, ID $53,179 -$1,618 -2.95%
Boston-Cambridge-Nashua, MA-NH $68,815 +$14,018 +25.58%
Bridgeport-Stamford-Norwalk, CT $60,006 +$5,209 +9.51%
Buffalo-Cheektowaga-Niagara Falls, NY $54,767 -$30 -0.05%
Canton-Massillon, OH $49,612 -$5,185 -9.46%
Cape Coral-Fort Myers, FL $56,563 +$1,766 +3.22%
Charleston-North Charleston, SC $57,502 +$2,705 +4.94%
Charlotte-Concord-Gastonia, NC-SC $60,550 +$5,753 +10.50%
Charlottesville, VA $55,234 +$437 +0.80%
Chattanooga, TN-GA $55,768 +$971 +1.77%
Chicago-Naperville-Elgin, IL-IN-WI $57,362 +$2,565 +4.68%
Chico, CA $53,706 -$1,091 -1.99%
Cincinnati, OH-KY-IN $54,254 -$543 -0.99%
Cleveland-Elyria, OH $60,403 +$5,606 +10.23%
Colorado Springs, CO $58,353 +$3,556 +6.49%
Columbia, MO $53,528 -$1,269 -2.32%
Columbia, SC $55,601 +$804 +1.47%
Columbus, GA-AL $42,232 -$12,565 -22.93%
Columbus, OH $53,079 -$1,718 -3.14%
Corpus Christi, TX $47,130 -$7,667 -13.99%
Dallas-Fort Worth-Arlington, TX $59,662 +$4,865 +8.88%
Davenport-Moline-Rock Island, IA-IL $45,342 -$9,455 -17.25%
Dayton, OH $55,690 +$893 +1.63%
Deltona-Daytona Beach-Ormond Beach, FL $49,800 -$4,997 -9.12%
Denver-Aurora-Lakewood, CO $63,610 +$8,813 +16.08%
Des Moines-West Des Moines, IA $52,553 -$2,244 -4.10%
Detroit-Warren-Dearborn, MI $53,930 -$867 -1.58%
Durham-Chapel Hill, NC $63,741 +$8,944 +16.32%
Eau Claire, WI $53,677 -$1,120 -2.04%
El Paso, TX $51,857 -$2,940 -5.37%
Eugene, OR $57,530 +$2,733 +4.99%
Evansville, IN-KY $44,269 -$10,528 -19.21%
Fayetteville, NC $59,796 +$4,999 +9.12%
Fayetteville-Springdale-Rogers, AR-MO $48,099 -$6,698 -12.22%
Fort Wayne, IN $53,668 -$1,129 -2.06%
Fresno, CA $57,377 +$2,580 +4.71%
Gainesville, FL $61,718 +$6,921 +12.63%
Grand Rapids-Wyoming, MI $51,506 -$3,291 -6.01%
Green Bay, WI $56,351 +$1,554 +2.84%
Greensboro-High Point, NC $53,263 -$1,534 -2.80%
Greenville, NC $56,167 +$1,370 +2.50%
Greenville-Anderson-Mauldin, SC $52,545 -$2,252 -4.11%
Hagerstown-Martinsburg, MD-WV $63,646 +$8,849 +16.15%
Harrisburg-Carlisle, PA $54,974 +$177 +0.32%
Hartford-West Hartford-East Hartford, CT $62,165 +$7,368 +13.45%
Hattiesburg, MS $42,206 -$12,591 -22.98%
Hickory-Lenoir-Morganton, NC $55,948 +$1,151 +2.10%
Houston-The Woodlands-Sugar Land, TX $61,427 +$6,630 +12.10%
Huntington-Ashland, WV-KY-OH $57,672 +$2,875 +5.25%
Indianapolis-Carmel-Anderson, IN $55,735 +$938 +1.71%
Iowa City, IA $65,124 +$10,327 +18.85%
Jackson, MS $49,463 -$5,334 -9.73%
Jacksonville, FL $52,748 -$2,049 -3.74%
Kansas City, MO-KS $56,782 +$1,985 +3.62%
Kennewick-Richland, WA $73,398 +$18,601 +33.95%
Killeen-Temple, TX $59,740 +$4,943 +9.02%
Knoxville, TN $48,146 -$6,651 -12.14%
Lakeland-Winter Haven, FL $61,144 +$6,347 +11.58%
Lancaster, PA $53,446 -$1,351 -2.47%
Las Vegas-Henderson-Paradise, NV $55,153 +$356 +0.65%
Lexington-Fayette, KY $54,944 +$147 +0.27%
Lincoln, NE $51,858 -$2,939 -5.36%
Little Rock-North Little Rock-Conway, AR $55,619 +$822 +1.50%
Los Angeles-Long Beach-Anaheim, CA $64,611 +$9,814 +17.91%
Louisville/Jefferson County, KY-IN $53,870 -$927 -1.69%
Lubbock, TX $51,367 -$3,430 -6.26%
Macon, GA $44,516 -$10,281 -18.76%
Madison, WI $60,497 +$5,700 +10.40%
McAllen-Edinburg-Mission, TX $50,298 -$4,499 -8.21%
Memphis, TN-MS-AR $52,970 -$1,827 -3.33%
Miami-Fort Lauderdale-West Palm Beach, FL $60,046 +$5,249 +9.58%
Milwaukee-Waukesha-West Allis, WI $57,823 +$3,026 +5.52%
Minneapolis-St. Paul-Bloomington, MN-WI $59,797 +$5,000 +9.12%
Mobile, AL $48,712 -$6,085 -11.10%
Modesto, CA $55,825 +$1,028 +1.88%
Montgomery, AL $46,721 -$8,076 -14.74%
Morgantown, WV $60,147 +$5,350 +9.76%
Naples-Immokalee-Marco Island, FL $50,324 -$4,473 -8.16%
Nashville-Davidson--Murfreesboro--Franklin, TN $64,534 +$9,737 +17.77%
New Haven, CT $61,994 +$7,197 +13.13%
New Orleans-Metairie, LA $57,381 +$2,584 +4.72%
New York-Newark-Jersey City, NY-NJ-PA $63,959 +$9,162 +16.72%
North Port-Sarasota-Bradenton, FL $50,949 -$3,848 -7.02%
Oklahoma City, OK $54,227 -$570 -1.04%
Omaha-Council Bluffs, NE-IA $57,545 +$2,748 +5.01%
Orlando-Kissimmee-Sanford, FL $55,032 +$235 +0.43%
Oxnard-Thousand Oaks-Ventura, CA $61,494 +$6,697 +12.22%
Palm Bay-Melbourne-Titusville, FL $53,628 -$1,169 -2.13%
Pensacola-Ferry Pass-Brent, FL $54,394 -$403 -0.74%
Peoria, IL $61,628 +$6,831 +12.47%
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD $61,761 +$6,964 +12.71%
Phoenix-Mesa-Scottsdale, AZ $55,406 +$609 +1.11%
Pittsburgh, PA $57,992 +$3,195 +5.83%
Portland-South Portland, ME $62,686 +$7,889 +14.40%
Portland-Vancouver-Hillsboro, OR-WA $62,805 +$8,008 +14.61%
Providence-Warwick, RI-MA $58,725 +$3,928 +7.17%
Raleigh, NC $57,153 +$2,356 +4.30%
Reno, NV $54,584 -$213 -0.39%
Richmond, VA $52,769 -$2,028 -3.70%
Riverside-San Bernardino-Ontario, CA $62,421 +$7,624 +13.91%
Roanoke, VA $50,143 -$4,654 -8.49%
Rochester, MN $56,401 +$1,604 +2.93%
Rochester, NY $53,045 -$1,752 -3.20%
Sacramento--Roseville--Arden-Arcade, CA $76,888 +$22,091 +40.31%
Salt Lake City, UT $56,264 +$1,467 +2.68%
San Antonio-New Braunfels, TX $57,267 +$2,470 +4.51%
San Diego-Carlsbad, CA $61,205 +$6,408 +11.69%
San Francisco-Oakland-Hayward, CA $76,383 +$21,586 +39.39%
San Jose-Sunnyvale-Santa Clara, CA $75,336 +$20,539 +37.48%
Santa Rosa, CA $69,426 +$14,629 +26.70%
Scranton--Wilkes-Barre--Hazleton, PA $59,795 +$4,998 +9.12%
Seattle-Tacoma-Bellevue, WA $64,642 +$9,845 +17.97%
Sioux Falls, SD $58,075 +$3,278 +5.98%
Spokane-Spokane Valley, WA $56,211 +$1,414 +2.58%
Springfield, MA-CT $59,091 +$4,294 +7.84%
Springfield, MO $43,006 -$11,791 -21.52%
St. Louis, MO-IL $55,862 +$1,065 +1.94%
Stockton-Lodi, CA $77,334 +$22,537 +41.13%
Syracuse, NY $58,323 +$3,526 +6.43%
Tallahassee, FL $50,490 -$4,307 -7.86%
Tampa-St. Petersburg-Clearwater, FL $55,836 +$1,039 +1.90%
Toledo, OH $55,358 +$561 +1.02%
Tucson, AZ $61,966 +$7,169 +13.08%
Tulsa, OK $51,787 -$3,010 -5.49%
Tyler, TX $58,400 +$3,603 +6.58%
Urban Honolulu, HI $67,867 +$13,070 +23.85%
Vallejo-Fairfield, CA $78,333 +$23,536 +42.95%
Virginia Beach-Norfolk-Newport News, VA-NC $49,981 -$4,816 -8.79%
Visalia-Porterville, CA $47,820 -$6,977 -12.73%
Wichita, KS $49,922 -$4,875 -8.90%
Wilmington, NC $48,785 -$6,012 -10.97%
Winston-Salem, NC $61,933 +$7,136 +13.02%
Worcester, MA-CT $63,425 +$8,628 +15.75%
Youngstown-Warren-Boardman, OH-PA $50,301 -$4,496 -8.20%
U.S. $54,797 $0 0.00%



HIGHEST PAID MEDICAL BILLERS AND CODERS


What Are The Highest Paying Workplaces For Medical Billers and Coders?

Medical billing and coding salary is positively correlated with institutional size. As mentioned above, larger healthcare provider systems pay the highest wages to medical coders and billers: Coders and billers working for a medical center with three to 10 affiliated hospitals, a physician group, outpatient clinics and other resources pay salaries that average $57,862 a year, which is 6 percent higher than the national average. Hospitals that see both inpatients and outpatients pay the second-highest salaries: $55,437 a year or 1 percent more than the national average.

Physician practices pay salaries that either hover around the national average or are significantly less. Large group practices pay $54,967 a year (0.31 percent higher than the national average), while medium-sized group practices pay $49,987 a year (9 percent less), and solo or small group practices pay $48,641 a year (11 percent less.) It’s likely this differential has to do with the fact that smaller organizations aren’t able to take advantage of economies of scale in the same way that larger organizations are able to. They are under a greater amount of pressure to keep operating expenditures down, and curtailing the costs of labor is an effective way of controlling operational costs.

Rank Workplace Average
Annual Salary
VS. National Salary
Number %
1 Health System $57,862 +$3,065 +5.59%
2 Hospital Inpatient & Outpatient $55,437 +$640 +1.17%
3 Large Group Practice $54,967 +$170 +0.31%
4 Hospital Inpatient $53,614 -$1,183 -2.16%
5 Hospital Outpatient $50,541 -$4,256 -7.77%
6 Medium Group Practice $49,987 -$4,810 -8.78%
7 Solo/Small Group Practice $48,641 -$6,156 -11.23%
(Source: American Academy of Professional Coders)


What Are The Highest Paying Certifications For Medical Billers and Coders?

The highest-paying coding certifications prepare coders for management positions. The certification linked to the highest salary is CPCO (Certified Professional Compliance Officer). Healthcare is one of the most highly regulated of all industries, and CPCO-certified coders are charged with helping healthcare facilities and providers manage the functions of the compliance departments that monitor privacy and usage standards for patient information, prevent fraud, protect healthcare staff and ensure high-quality patient care. CPCO-certified coders earn $80,550 a year on average, which is 47 percent higher than the national average.

Rank Credential Average
Annual Salary
VS. National Salary
Number %
1 Certified Professional Compliance Officer (CPCO) $80,550 +$25,753 +47.00%
2 Certified Professional Coder-Instructor (CPC-I) $74,822 +$20,025 +36.54%
3 Certified Documentation Expert-Outpatient (CDEO) $73,723 +$18,926 +34.54%
4 Certified Professional Practice Manager (CPPM) $70,895 +$16,098 +29.38%
5 Certified Professional Medical Auditor (CPMA) $70,320 +$15,523 +28.33%
6 Certified Risk Adjustment Coder (CRC) $64,995 +$10,198 +18.61%
7 Certified Outpatient Coder (COC) $62,846 +$8,049 +14.69%
8 Certified Professional Coder-Payer (CPC-P) $60,753 +$5,956 +10.87%
9 Certified Professional Coder (CPC) $58,055 +$3,258 +5.95%
10 Certified Inpatient Coder (CIC) $57,936 +$3,139 +5.73%
(Source: American Academy of Professional Coders)


What Are The Highest Paying States For Medical Billers and Coders?

The highest-paid medical billers and coders are those who work in Massachusetts. Medical billers and coders in the Bay State earn $67,260 a year, which is 23 percent more than the national average. Other states where medical billers and coders earn salaries that are significantly higher than average include Hawaii ($66,902), Maryland ($66,310), California ($66,224), and New Jersey ($63,355).

Rank State Average
Annual Salary
VS. National Salary
Number %
1 Massachusetts $67,260 +$12,463 +22.74%
2 Hawaii $66,902 +$12,105 +22.09%
3 Maryland $66,310 +$11,513 +21.01%
4 California $66,224 +$11,427 +20.85%
5 New Jersey $63,355 +$8,558 +15.62%
6 New Hampshire $62,967 +$8,170 +14.91%
7 Connecticut $62,154 +$7,357 +13.43%
8 Washington $61,806 +$7,009 +12.79%
9 New York $61,700 +$6,903 +12.60%
10 Oregon $60,830 +$6,033 +11.01%
(Source: American Academy of Professional Coders)


What Are The Highest Paying Metros For Medical Billers and Coders?

Trenton, New Jersey leads the list of the highest paying metros for medical billers and coders. Billers and coders based in Trenton average $82,311 annually. Other cities where wages are high for billers and coders include Kokomo, Indiana ($78,567); Vallejo, California ($78,333); Stockton, California ($77,334) and Sacramento, California ($76,888).

Rank Metro Average
Annual Salary
VS. National Salary
Number %
1 Trenton, NJ $82,311 +$27,514 +50.21%
2 Kokomo, IN $78,567 +$23,770 +43.38%
3 Vallejo-Fairfield, CA $78,333 +$23,536 +42.95%
4 Stockton-Lodi, CA $77,334 +$22,537 +41.13%
5 Sacramento--Roseville--Arden-Arcade, CA $76,888 +$22,091 +40.31%
6 San Francisco-Oakland-Hayward, CA $76,383 +$21,586 +39.39%
7 San Jose-Sunnyvale-Santa Clara, CA $75,336 +$20,539 +37.48%
8 Kennewick-Richland, WA $73,398 +$18,601 +33.95%
9 Salinas, CA $73,313 +$18,516 +33.79%
10 Corvallis, OR $72,693 +$17,896 +32.66%



MEDICAL BILLING AND CODING EMPLOYMENT + ANNUAL JOB OPENINGS + JOB OUTLOOK


What States Employ The Highest Number Of Medical Billers and Coders?

The employment of medical billers and coders by state is positively correlated with the number of hospitals by state. California, which had 364 hospitals as of 2020, is the largest employer of billers and coders, followed by Texas (365 hospitals), Florida (211 hospitals), Ohio (150 hospitals), and New York (214 hospitals).

Rank State
1 California
2 Texas
3 Florida
4 Ohio
5 New York
6 Pennsylvania
7 North Carolina
8 Illinois
9 Georgia
10 Washington


What States Have The Highest Annual Job Openings For Medical Billers and Coders?

Unsurprisingly, the states that employ the highest number of medical billers and coders also have the highest numbers of annual job openings. If you’re hoping to land a job in this industry, Texas, California, Florida, New York and Ohio are the five best places to look.

Rank State
1 Texas
2 California
3 Florida
4 New York
5 Ohio
6 Pennsylvania
7 Illinois
8 Georgia
9 North Carolina
10 Michigan


What Is The Job Outlook For Medical Billers and Coders In The United States?

In 2020, the Bureau of Labor Statistics projected that the medical billing and coding industry would grow by 9 percent over the ensuing decade. That was before the COVID-19 pandemic, however. During the second part of 2020, healthcare facilities laid off or furloughed thousands of “nonessential” employees. Billers and coders were among the employees hardest hit.

Though hiring has recommenced, the landscape has changed. Healthcare facilities now are looking for coders who are certified or who bring other qualifications (like years of experience) to the table. The job outlook for these professionals is moderately strong; the job outlook for billers and coders who are not actively exploring new skillsets is weak.

Employment Growth (2020-2030)
+8.54%
(Source: U.S. Bureau of Labor Statistics)


What States Have The Highest Job Outlook For Medical Billers and Coders?

The five states where medical billing and coding jobs are most likely to increase within the next few years include Colorado, Utah, New York, Idaho, and Maryland. It’s likely these increases are related to the surge in outsourced medical coding and billing jobs that people can do remotely from their own homes.

Rank State
1 Colorado
2 Utah
3 New York
4 Idaho
5 Maryland
6 Nevada
7 Georgia
8 Texas
9 Florida
10 Tennessee


Summing It Up


This article has offered a thorough answer to the question, “How much does a medical biller and coder make?” Medical billing and coding salary in 2022 is influenced by a number of different factors, including the demand for those services, the cost of living and the effect that the COVID-19 pandemic had on the nonessential healthcare worker sector.

One of the most appealing aspects of medical billing and coding is that traditionally, it has been easy for people to get started in this industry without much education beyond a high school diploma. This may not continue to be the case, however. Though states are not seeking to regulate the industry, employers are beginning to show a marked preference for medical billers and coders who are certified or who have graduated from accredited billing and coding, or health information programs. If you are willing to do what it takes to sharpen your skillset, medical billing and coding could well be a profitable career for you.


FREQUENTLY ASKED QUESTIONS ANSWERED BY OUR EXPERT


1. What Is The Medical Billing And Coding Starting Salary?

The starting salary for a non-certified medical biller and coder is $17.16 an hour, $2,980 a month, or $35,700 a year on average. The starting salary for a certified medical coder and biller is $21.86 an hour, $3,790 a month, or $45,460 a year on average. The average entry-level salary for all billers and coders is $19.93 an hour, $3,450 a month, or $41,450 a year.

Non-Certified Certified All
Hourly $17.16 $21.86 $19.93
Monthly $2,980 $3,790 $3,450
Annual $35,700 $45,460 $41,450


2. How Much Does A Medical Biller And Coder Make An Hour?

For non-certified professionals, the average medical billing and coding salary per hour is $22.69. Certified medical billers and coders make $26.34 an hour on average. The average hourly wage if you consider both non-certified and certified medical billers and coders is $26.34.

Non-Certified Certified All
$22.69 $28.89 $26.34


3. How Much Does A Medical Biller And Coder Make A Week?

Non-certified medical billers and coders average $908 a week. Certified medical billers and coders average $1,156 a week. If you look at medical and billers as a classification, ignoring certification, they average $1,054 a week.

Non-Certified Certified All
$908 $1,156 $1,054


4. How Much Money Does A Medical Biller And Coder Make Monthly?

Non-certified medical billers and coders earn $3,930 a month on average. Certified medical billers and coders earn $5,010 a month on average. When you aggregate the two different classifications, medical billers and coders earn $4,570 a month on average.

Non-Certified Certified All
$3,930 $5,010 $4,570


5. Are Medical Billers and Coders Satisfied With Their Salaries?

On the whole, medical coding and billing technicians are not particularly satisfied with their career choice. Salaries are one of the aspects of their work with which they are the most dissatisfied.


6. What Is The Typical Work Schedule For Medical Billers and Coders?

Onsite medical billers and coders typically work standard business hours. Remote medical billers and coders set their own schedules.


7. Is It Hard To Become A Medical Biller And Coder?

In one sense, no, it’s not hard to become a medical billing and coding technician because the job has no formal education requirements. However, the job market is becoming increasingly competitive, so it can take a while to land the right job for you.


8. Is Medical Billing And Coding A Stressful Job?

Medical billing and coding can be stressful, particularly if your employer imposes rigid deadlines for finishing work.


9. Is Medical Billing And Coding A Good Career?

Medical billing and coding is a good career for some people. It doesn’t require higher education, so the barriers to entry are low. It also offers plenty of opportunities for technicians to work remotely out of their own homes.


10. What State Has The Highest Demand For Medical Billers and Coders?

Colorado has the highest demand for medical billers and coders.

Colorado


11. What State Has The Highest Job Openings For Medical Billers and Coders?

Texas has the highest number of job openings for medical billing and coding technicians.

Texas


12. What State Has The Highest Paid Medical Billers and Coders?

Massachusetts is the state where medical billers and coders earn their highest salaries. Medical billing and coding technicians in the Bay State earn $32.34 an hour, $5,610 a month, or $67,260 a year on average.

Massachusetts
Hourly$32.34
Monthly$5,610
Annual$67,260


13. What City Has The Highest Paid Medical Billers and Coders?

Trenton, New Jersey, is the city where medical billers and coders earn their highest salaries. Medical billing and coding technicians in Trenton earn $39 an hour, $6,860 a month, or $82,311 a year on average.

Trenton, NJ
Hourly$39.57
Monthly$6,860
Annual$82,311


14. How Much Does A Travelling Medical Biller And Coder Make?

Certified medical billing and coding technicians average $33.23 an hour, $1,329 a week, $5,760 a month, or $63,020 a year when they travel to assignments. Non-certified medical billing and coding technicians average $26.10 an hour, $1,044 a week, $4,520 a month, or $54,280 a year when they travel to assignments. If you look at traveling medical billing and coding technicians irrespective of whether or not they are certified, they earn $30.30 an hour, $1,212 a week, $5,250 a month, or $63,020 a year.

Non-Certified Certified All
Hourly $26.10 $33.23 $30.30
Weekly$1,044 $1,329 $1,212
Monthly $4,520 $5,760 $5,250
Annual$54,280 $69,110 $63,020


15. How Has Covid Impacted The Salaries For Medical Billers and Coders?

The COVID-19 pandemic led to the layoff of thousands of medical billers and coders. This meant that the average salaries for these workers when aggregated dropped by more than 3 percent. Individual workers, however, may not have seen any decline in earnings although they may not have received anticipated raises.


16. How Much Do Medical Billers Make Working From Home?

Non-certified medical billing and coding technicians working remotely from home earn $22.71 an hour, $3,940 a month, or $47,230 annually. Certified medical billing and coding technicians working remotely from home earn $28.91 an hour, $5,010 a month, or $60,130 annually. All medical billing and coding technicians working remotely from home earn $26.36 an hour, $4,570 a month, or $54,829 annually.

Non-Certified Certified All
Hourly $22.71 $28.91 $26.36
Monthly $3,940 $5,010 $4,570
Annual $47,230 $60,130 $54,829


17. What Is The Highest Paying Medical Billing And Coding Certification?

The highest-paying medical billing and coding certification is the CPCO certification. Technicians with this certification average $38.73 an hour, $6,710 a month or $80,550 a year.

Certified Professional
Compliance Officer (CPCO)
Hourly$38.73
Monthly$6,710
Annual$80,550


18. Who Makes More Money Medical Assistant Or Medical Biller And Coder?

Medical billers and coders earn $54,797 a year on average, which is 48 percent higher than the average salary medical assistants earn ($36,930).

Medical Billing And Coding
Average Annual Salary
Medical Assistant Average
Annual Salary
Difference
Number %
$54,797 $36,930 +$17,867 +48.38%


19. Is It Hard To Get A Medical Billing And Coding Job?

The medical billing and coding industry is becoming increasingly competitive. It is harder to find a job today than it was before the COVID-19 pandemic.