Medical Billing Salary

Alexandria vs Charlottesville: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Alexandria, VA and Charlottesville, VA. All figures are 2026 estimates projected from BLS 2025 data.

Alexandria, VA
$34,607
$16.64/hr
Charlottesville, VA
$37,150
$17.87/hr

Side-by-Side Comparison

MetricAlexandria, VACharlottesville, VA
Median Salary$34,607$37,150
Hourly Rate$16.64$17.87
Entry Level (P10)$25,535$23,507
25th Percentile$29,658$30,902
75th Percentile$44,296$39,091
Top Earner (P90)$53,640$44,681
Total Employed26220
Side-by-side bar chart comparing Alexandria ($34,607) and Charlottesville ($37,150) medical billing and coding specialist salaries.AlexandriaCharlottesvilleMedian Salary$34,607$37,150Entry Level (P10)$25,535$23,507Top Earner (P90)$53,640$44,681US Median $30,349

Verdict

Charlottesville, VA offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Alexandria.

The salary gap between Alexandria and Charlottesville is $2,543 (7.35%). Charlottesville's median is +22.41% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Alexandria spans $28,105,Charlottesville spans $21,174. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.

Alexandria
P10 (Entry)$25,535
P25$29,658
Median$34,607
P75$44,296
P90 (Top)$53,640
Charlottesville
P10 (Entry)$23,507
P25$30,902
Median$37,150
P75$39,091
P90 (Top)$44,681

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Charlottesville ($37,470 effective) pays 11.74% more than Alexandria ($33,534 effective).

Alexandria
Nominal: $34,607
CoL Index: 103.2
Adjusted: $33,534
Charlottesville
Nominal: $37,150
CoL Index: 99.146
Adjusted: $37,470

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Alexandria if…

  • Better top-earner potential ($53,640)
  • You prefer the Virginia area and lifestyle

Choose Charlottesville if…

  • Higher median salary ($37,150/year)
  • Larger job market (220 employed)
  • Better purchasing power (CoL-adjusted: $37,470)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Alexandria grew -37.1% from 2024 to 2025, compared to -24.1% growth in Charlottesville over the same period.

Alexandria, VA

+-37.1%

$53,743 (2024) → $33,822 (2025)

Charlottesville, VA

+-24.1%

$47,850 (2021) → $36,308 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Alexandria or Charlottesville?

Charlottesville has a higher median medical billing and coding specialist salary at $37,150/year, compared to Alexandria at $34,607/year — a difference of $2,543 (7.35%).

What is the hourly rate difference between Alexandria and Charlottesville?

Alexandria medical billing and coding specialists earn $16.64/hr while Charlottesville hygienists earn $17.87/hr (2026 est.).

Should I relocate from Alexandria to Charlottesville as a medical billing and coding specialist?

Consider more than just salary when comparing Alexandria and Charlottesville. Factor in cost of living (CoL-adjusted: Alexandria = $33,534, Charlottesville = $37,470), job availability (26 vs 220 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Alexandria vs Charlottesville?

Entry-level (10th percentile) medical billing and coding specialists earn $25,535 in Alexandria and $23,507 in Charlottesville. The Alexandria area offers higher starting salaries.
AP

Written by Amina Patel, CPC

Career Analyst

Amina has 10 years of experience in medical billing. She specializes in outpatient coding for multi-specialty practices.

Clinically reviewed by Liam Johnson, RHITData verified by Sofia Nguyen, CCS

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.32% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Amina Patel, CPC, a licensed medical billing and coding specialist with 10+ years of clinical experience. · View source data at BLS.gov