Medical Billing Salary

Austin vs Harlingen: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Austin, TX and Harlingen, TX. All figures are 2026 estimates projected from BLS 2025 data.

Austin, TX
$29,073
$13.98/hr
Harlingen, TX
$23,436
$11.27/hr

Side-by-Side Comparison

MetricAustin, TXHarlingen, TX
Median Salary$29,073$23,436
Hourly Rate$13.98$11.27
Entry Level (P10)$15,364$16,772
25th Percentile$23,365$20,510
75th Percentile$38,041$29,280
Top Earner (P90)$47,298$36,306
Total Employed1,32014
Side-by-side bar chart comparing Austin ($29,073) and Harlingen ($23,436) medical billing and coding specialist salaries.AustinHarlingenMedian Salary$29,073$23,436Entry Level (P10)$15,364$16,772Top Earner (P90)$47,298$36,306US Median $30,349

Verdict

Austin, TX offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Harlingen.

The salary gap between Austin and Harlingen is $5,637 (24.05%). Austin's median is -4.20% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Austin spans $31,934,Harlingen spans $19,534. Austin has a wider pay range, meaning more potential for high earners but also more variation.

Austin
P10 (Entry)$15,364
P25$23,365
Median$29,073
P75$38,041
P90 (Top)$47,298
Harlingen
P10 (Entry)$16,772
P25$20,510
Median$23,436
P75$29,280
P90 (Top)$36,306

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Austin ($29,646 effective) pays 21.44% more than Harlingen ($24,413 effective).

Austin
Nominal: $29,073
CoL Index: 98.066
Adjusted: $29,646
Harlingen
Nominal: $23,436
CoL Index: 96
Adjusted: $24,413

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

Which City Is Right for You?

Choose Austin if…

  • Higher median salary ($29,073/year)
  • Better top-earner potential ($47,298)
  • Larger job market (1,320 employed)
  • Better purchasing power (CoL-adjusted: $29,646)
  • You prefer the Texas area and lifestyle

Choose Harlingen if…

  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Austin grew -38.5% from 2021 to 2025, compared to -52.6% growth in Harlingen over the same period.

Austin, TX

+-38.5%

$46,220 (2021) → $28,414 (2025)

Harlingen, TX

+-52.6%

$48,366 (2024) → $22,905 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Austin or Harlingen?

Austin has a higher median medical billing and coding specialist salary at $29,073/year, compared to Harlingen at $23,436/year — a difference of $5,637 (24.05%).

What is the hourly rate difference between Austin and Harlingen?

Austin medical billing and coding specialists earn $13.98/hr while Harlingen hygienists earn $11.27/hr (2026 est.).

Should I relocate from Austin to Harlingen as a medical billing and coding specialist?

Consider more than just salary when comparing Austin and Harlingen. Factor in cost of living (CoL-adjusted: Austin = $29,646, Harlingen = $24,413), job availability (1,320 vs 14 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Austin vs Harlingen?

Entry-level (10th percentile) medical billing and coding specialists earn $15,364 in Austin and $16,772 in Harlingen. The Harlingen area offers higher starting salaries.

Related Comparisons

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