Medical Billing Salary

Ames vs Iowa City: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Ames, IA and Iowa City, IA. All figures are 2026 estimates projected from BLS 2025 data.

Ames, IA
$29,584
$14.22/hr
Iowa City, IA
$39,370
$18.93/hr

Side-by-Side Comparison

MetricAmes, IAIowa City, IA
Median Salary$29,584$39,370
Hourly Rate$14.22$18.93
Entry Level (P10)$20,623$27,916
25th Percentile$24,338$32,290
75th Percentile$35,720$39,370
Top Earner (P90)$43,394$47,512
Total Employed70330
Side-by-side bar chart comparing Ames ($29,584) and Iowa City ($39,370) medical billing and coding specialist salaries.AmesIowa CityMedian Salary$29,584$39,370Entry Level (P10)$20,623$27,916Top Earner (P90)$43,394$47,512US Median $30,349

Verdict

Iowa City, IA offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Ames.

The salary gap between Ames and Iowa City is $9,786 (33.08%). Iowa City's median is +29.72% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Ames spans $22,771,Iowa City spans $19,596. Ames has a wider pay range, meaning more potential for high earners but also more variation.

Ames
P10 (Entry)$20,623
P25$24,338
Median$29,584
P75$35,720
P90 (Top)$43,394
Iowa City
P10 (Entry)$27,916
P25$32,290
Median$39,370
P75$39,370
P90 (Top)$47,512

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Iowa City ($43,023 effective) pays 29.18% more than Ames ($33,304 effective).

Ames
Nominal: $29,584
CoL Index: 88.83
Adjusted: $33,304
Iowa City
Nominal: $39,370
CoL Index: 91.509
Adjusted: $43,023

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

Which City Is Right for You?

Choose Ames if…

  • You prefer the Iowa area and lifestyle

Choose Iowa City if…

  • Higher median salary ($39,370/year)
  • Better top-earner potential ($47,512)
  • Larger job market (330 employed)
  • Better purchasing power (CoL-adjusted: $43,023)
  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Ames grew -23.6% from 2021 to 2025, compared to -36.9% growth in Iowa City over the same period.

Ames, IA

+-23.6%

$37,850 (2021) → $28,913 (2025)

Iowa City, IA

+-36.9%

$60,930 (2021) → $38,477 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Ames or Iowa City?

Iowa City has a higher median medical billing and coding specialist salary at $39,370/year, compared to Ames at $29,584/year — a difference of $9,786 (33.08%).

What is the hourly rate difference between Ames and Iowa City?

Ames medical billing and coding specialists earn $14.22/hr while Iowa City hygienists earn $18.93/hr (2026 est.).

Should I relocate from Ames to Iowa City as a medical billing and coding specialist?

Consider more than just salary when comparing Ames and Iowa City. Factor in cost of living (CoL-adjusted: Ames = $33,304, Iowa City = $43,023), job availability (70 vs 330 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Ames vs Iowa City?

Entry-level (10th percentile) medical billing and coding specialists earn $20,623 in Ames and $27,916 in Iowa City. The Iowa City 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