Austin vs San Antonio: Medical Billing and Coding Specialist Salary (2026)
Compare medical billing and coding specialist salaries between Austin, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Austin, TX | San Antonio, TX |
|---|---|---|
| Median Salary | $29,073▲ | $27,364 |
| Hourly Rate | $13.98▲ | $13.16 |
| Entry Level (P10) | $15,364 | $20,379▲ |
| 25th Percentile | $23,365▲ | $23,085 |
| 75th Percentile | $38,041▲ | $35,483 |
| Top Earner (P90) | $47,298▲ | $42,883 |
| Total Employed | 1,320 | 1,670▲ |
Verdict
Austin, TX offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to San Antonio.
The salary gap between Austin and San Antonio is $1,709 (6.25%). 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,San Antonio spans $22,504. Austin has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Austin ($29,646 effective) pays 2.62% more than San Antonio ($28,891 effective).
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)
- ✓Better purchasing power (CoL-adjusted: $29,646)
- ✓You prefer the Texas area and lifestyle
Choose San Antonio if…
- ✓Larger job market (1,670 employed)
- ✓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 -33.6% growth in San Antonio over the same period.
Austin, TX
$46,220 (2021) → $28,414 (2025)
San Antonio, TX
$40,250 (2021) → $26,744 (2025)
View Full Salary Data
Austin, TX
San Antonio, TX
Frequently Asked Questions
Which city pays medical billing and coding specialists more: Austin or San Antonio?
What is the hourly rate difference between Austin and San Antonio?
Should I relocate from Austin to San Antonio as a medical billing and coding specialist?
What do entry-level medical billing and coding specialists earn in Austin vs San Antonio?
Related Comparisons
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.
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