Medical Billing Salary

Ankeny vs Des Moines: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Ankeny, IA and Des Moines, IA. All figures are 2026 estimates projected from BLS 2025 data.

Ankeny, IA
$28,673
$13.78/hr
Des Moines, IA
$32,207
$15.48/hr

Side-by-Side Comparison

MetricAnkeny, IADes Moines, IA
Median Salary$28,673$32,207
Hourly Rate$13.78$15.48
Entry Level (P10)$21,155$25,216
25th Percentile$24,476$28,522
75th Percentile$36,701$38,503
Top Earner (P90)$44,444$41,881
Total Employed16490
Side-by-side bar chart comparing Ankeny ($28,673) and Des Moines ($32,207) medical billing and coding specialist salaries.AnkenyDes MoinesMedian Salary$28,673$32,207Entry Level (P10)$21,155$25,216Top Earner (P90)$44,444$41,881US Median $30,349

Verdict

Des Moines, IA offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Ankeny.

The salary gap between Ankeny and Des Moines is $3,534 (12.33%). Des Moines's median is +6.12% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Ankeny spans $23,289,Des Moines spans $16,665. Ankeny has a wider pay range, meaning more potential for high earners but also more variation.

Ankeny
P10 (Entry)$21,155
P25$24,476
Median$28,673
P75$36,701
P90 (Top)$44,444
Des Moines
P10 (Entry)$25,216
P25$28,522
Median$32,207
P75$38,503
P90 (Top)$41,881

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($35,122 effective) pays 10.73% more than Ankeny ($31,718 effective).

Ankeny
Nominal: $28,673
CoL Index: 90.4
Adjusted: $31,718
Des Moines
Nominal: $32,207
CoL Index: 91.701
Adjusted: $35,122

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

Which City Is Right for You?

Choose Ankeny if…

  • Better top-earner potential ($44,444)
  • You prefer the Iowa area and lifestyle

Choose Des Moines if…

  • Higher median salary ($32,207/year)
  • Larger job market (490 employed)
  • Better purchasing power (CoL-adjusted: $35,122)
  • 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 Ankeny grew -30.7% from 2024 to 2025, compared to -20.3% growth in Des Moines over the same period.

Ankeny, IA

+-30.7%

$40,412 (2024) → $28,023 (2025)

Des Moines, IA

+-20.3%

$39,470 (2021) → $31,477 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Ankeny or Des Moines?

Des Moines has a higher median medical billing and coding specialist salary at $32,207/year, compared to Ankeny at $28,673/year — a difference of $3,534 (12.33%).

What is the hourly rate difference between Ankeny and Des Moines?

Ankeny medical billing and coding specialists earn $13.78/hr while Des Moines hygienists earn $15.48/hr (2026 est.).

Should I relocate from Ankeny to Des Moines as a medical billing and coding specialist?

Consider more than just salary when comparing Ankeny and Des Moines. Factor in cost of living (CoL-adjusted: Ankeny = $31,718, Des Moines = $35,122), job availability (16 vs 490 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Ankeny vs Des Moines?

Entry-level (10th percentile) medical billing and coding specialists earn $21,155 in Ankeny and $25,216 in Des Moines. The Des Moines 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