Medical Billing and Coding Specialist Salary: Pay and Take-Home by State
The typical (median) medical billing and coding specialist in the US earns $24.59 an hour, or $51,140 a year, according to Bureau of Labor Statistics estimates for 194,720 jobs (May 2025, occupation: medical records specialists). The middle half earn between $43,490 and $64,820 a year, and the top 10% earn more than $81,150.
After federal income tax, Social Security and Medicare, the median salary leaves a single filer about $43,271 a year ($3,606 a month) in a state with no income tax. Using each state's own median pay for this job, take-home is highest in Washington ($51,358 a year) and lowest in Mississippi ($34,589).
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Medical Billing and Coding Specialist pay range
| Pay level | Hourly | Yearly | Take-home a year* |
|---|---|---|---|
| Bottom 10% earn less than | $17.79 | $37,000 | $31,910 |
| 25th percentile | $20.91 | $43,490 | $37,124 |
| Median (half earn more) | $24.59 | $51,140 | $43,271 |
| 75th percentile | $31.17 | $64,820 | $54,263 |
| Top 10% earn more than | $39.01 | $81,150 | $65,919 |
The average (mean) is $56,790 a year ($27.30 an hour), above the median because a minority of high earners pull it up. *Take-home after federal income tax, Social Security and Medicare for a single filer in a state with no income tax (2026). Source: BLS Occupational Employment and Wage Statistics, May 2025, occupation 29-2072. Source
Medical Billing and Coding Specialist salary by state
The highest median pay for medical billing and coding specialists is in District of Columbia ($72,030), Rhode Island ($63,960), Hawaii ($63,170), Washington ($62,280), California ($61,800). The lowest is in Mississippi ($41,500), Arkansas ($41,750), Alabama ($43,800).
The most medical billing and coding specialists work in Florida (21,490), California (18,700), Texas (17,210).
After each state's taxes, the most take-home at the local median is in Washington ($51,358), Alaska ($50,960), Rhode Island ($50,507), Hawaii ($49,347), California ($49,111). A state with no income tax can come out ahead of a state that pays more before tax.
Median pay in each state for this job (BLS, May 2025), and take-home at that pay. Take-home is after federal income tax, Social Security, Medicare and the state's income tax and payroll programs, for a single filer with a 2026 W-4 and no deductions. Local taxes are not included. *District of Columbia: federal taxes only (DC income tax is not modeled yet). Not shown, because BLS did not publish an estimate or it was flagged as unreliable: Vermont.
| State | Median hourly | Median yearly | Take-home a year | Jobs |
|---|---|---|---|---|
| Alabama | $21.06 | $43,800 | $35,577 | 2,330 |
| Alaska | $29.37 | $61,090 | $50,960 | 1,070 |
| Arizona | $22.90 | $47,630 | $39,498 | 3,750 |
| Arkansas | $20.07 | $41,750 | $34,670 | 1,920 |
| California | $29.71 | $61,800 | $49,111 | 18,700 |
| Colorado | $28.37 | $59,010 | $46,980 | 1,780 |
| Connecticut | $29.30 | $60,940 | $48,424 | 1,120 |
| Delaware | $26.95 | $56,060 | $44,566 | 610 |
| District of Columbia | $34.63 | $72,030 | $59,503* | 270 |
| Florida | $22.00 | $45,760 | $38,948 | 21,490 |
| Georgia | $24.78 | $51,540 | $41,769 | 5,930 |
| Hawaii | $30.37 | $63,170 | $49,347 | 400 |
| Idaho | $25.70 | $53,460 | $43,159 | 1,490 |
| Illinois | $27.14 | $56,450 | $44,888 | 5,740 |
| Indiana | $22.92 | $47,670 | $38,163 | 5,860 |
| Iowa | $24.35 | $50,650 | $41,487 | 2,250 |
| Kansas | $23.15 | $48,150 | $38,981 | 2,030 |
| Kentucky | $23.28 | $48,420 | $39,509 | 4,210 |
| Louisiana | $21.45 | $44,620 | $37,051 | 2,600 |
| Maine | $25.04 | $52,080 | $41,738 | 1,000 |
| Maryland | $26.07 | $54,230 | $41,967 | 2,440 |
| Massachusetts | $29.02 | $60,360 | $47,834 | 3,500 |
| Michigan | $23.13 | $48,110 | $39,042 | 4,890 |
| Minnesota | $29.58 | $61,530 | $47,967 | 3,150 |
| Mississippi | $19.95 | $41,500 | $34,589 | 2,310 |
| Missouri | $24.40 | $50,750 | $41,502 | 3,890 |
| Montana | $24.13 | $50,190 | $40,896 | 820 |
| Nebraska | $24.84 | $51,670 | $41,946 | 1,640 |
| Nevada | $24.19 | $50,320 | $42,612 | 2,350 |
| New Hampshire | $23.66 | $49,210 | $41,720 | 930 |
| New Jersey | $24.16 | $50,250 | $40,699 | 4,450 |
| New Mexico | $27.63 | $57,470 | $46,443 | 1,400 |
| New York | $29.67 | $61,710 | $48,699 | 9,080 |
| North Carolina | $23.86 | $49,630 | $40,550 | 6,760 |
| North Dakota | $22.25 | $46,280 | $39,366 | 520 |
| Ohio | $24.52 | $51,000 | $42,015 | 7,440 |
| Oklahoma | $25.70 | $53,460 | $43,263 | 2,480 |
| Oregon | $28.37 | $59,010 | $45,284 | 2,560 |
| Pennsylvania | $22.52 | $46,840 | $38,345 | 6,970 |
| Rhode Island | $30.75 | $63,960 | $50,507 | 650 |
| South Carolina | $26.10 | $54,290 | $43,827 | 2,750 |
| South Dakota | $24.81 | $51,600 | $43,640 | 900 |
| Tennessee | $23.45 | $48,780 | $41,375 | 4,440 |
| Texas | $23.49 | $48,860 | $41,439 | 17,210 |
| Utah | $25.42 | $52,870 | $42,321 | 1,910 |
| Virginia | $25.62 | $53,290 | $42,748 | 4,630 |
| Washington | $29.94 | $62,280 | $51,358 | 5,010 |
| West Virginia | $22.77 | $47,360 | $38,901 | 1,260 |
| Wisconsin | $28.98 | $60,280 | $47,834 | 2,870 |
| Wyoming | $26.06 | $54,200 | $45,730 | 280 |
Overtime and pay rules for medical billing and coding specialists
Medical billing and coding specialists who are paid by the hour are owed overtime at 1.5 times their regular rate for hours over 40 in a workweek under federal law, and some states also require daily overtime. Hospitals and residential care facilities may instead use the "8 and 80" system: overtime after 8 hours in a day or 80 hours in a fixed 14-day period, agreed with the employee in advance. Source The new no-tax-on-overtime deduction covers the extra half of time-and-a-half pay, up to $12,500 a year for a single filer. Only overtime that the federal Fair Labor Standards Act requires counts; overtime paid only under a contract, a state law or an employer policy does not. Source Estimate your deduction.
How the exemptions work across jobs: who gets overtime pay.
Taxes on a medical billing and coding specialist's pay
On the median $51,140, federal income tax, Social Security and Medicare take about 15.4% of pay for a single filer: $3,957 of income tax and $3,912 of Social Security and Medicare a year.
Tax bracket. After the $16,100 standard deduction, taxable income is $35,040, so the top federal rate is 12%. Each extra dollar from a raise or extra shifts is taxed at about 19.65% before state tax: 12% income tax plus 7.65% Social Security and Medicare. Source
401(k). Putting 5% ($2,557 a year) into a traditional 401(k) lowers federal income tax by about $307, so it costs about $2,250 of take-home pay.
Self-employed or contract work
BLS pay figures cover employees only; self-employed medical billing and coding specialists are not counted. If you work as a contractor (1099), you pay both halves of Social Security and Medicare (15.3% self-employment tax) and usually make quarterly estimated payments. Use the 1099 Tax Calculator to see what to set aside, and see 1099 vs W-2 take-home pay for how much more a contractor needs to earn.
Jobs with similar pay
| Job | Median yearly | Median hourly |
|---|---|---|
| Welder | $53,750 | $25.84 |
| Auto Mechanic | $50,620 | $24.34 |
| Dental Assistant | $48,070 | $23.11 |
| Sterile Processing Tech | $47,700 | $22.93 |
| Vet Tech | $47,380 | $22.78 |
For a full breakdown of a similar wage, see $25 an hour is how much a year.
Medical Billing and Coding Specialist salary questions
How much does a medical billing and coding specialist make?
The median pay is $24.59 an hour, or $51,140 a year (May 2025, Bureau of Labor Statistics). The bottom 10% earn less than $37,000 and the top 10% more than $81,150.
How much does a medical billing and coding specialist make after taxes?
About $43,271 a year, or $1,664 every two weeks, on the median salary for a single filer in a state with no income tax. In Mississippi, at that state's own median pay, it is about $34,589.
How much does a medical billing and coding specialist make a month?
About $4,262 a month before taxes at the median salary, and roughly $3,606 after federal taxes in a state with no income tax.
Which state pays medical billing and coding specialists the most?
District of Columbia, with a median of $72,030 a year ($34.63 an hour). Next are Rhode Island ($63,960) and Hawaii ($63,170). After state taxes, take-home at the local median is highest in Washington.
How much does a medical billing and coding specialist make an hour?
The median is $24.59 an hour. The middle half earn $20.91 to $31.17, and the top 10% more than $39.01.
Do medical billing and coding specialists get paid overtime?
Medical billing and coding specialists who are paid by the hour are owed overtime at 1.5 times their regular rate for hours over 40 in a workweek under federal law, and some states also require daily overtime. Hospitals and residential care facilities may instead use the "8 and 80" system: overtime after 8 hours in a day or 80 hours in a fixed 14-day period, agreed with the employee in advance. The new no-tax-on-overtime deduction covers the extra half of time-and-a-half pay, up to $12,500 a year for a single filer. Only overtime that the federal Fair Labor Standards Act requires counts; overtime paid only under a contract, a state law or an employer policy does not.
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All jobs · Hourly to salary chart. BLS data published 2026, reference period May 2025; tax figures checked Oct 26, 2026.