Medical Billing Salary

Bellevue vs Spokane: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Bellevue, WA and Spokane, WA. All figures are 2026 estimates projected from BLS 2025 data.

Bellevue, WA
$39,269
$18.88/hr
Spokane, WA
$33,679
$16.20/hr

Side-by-Side Comparison

MetricBellevue, WASpokane, WA
Median Salary$39,269$33,679
Hourly Rate$18.88$16.20
Entry Level (P10)$26,901$24,029
25th Percentile$32,172$28,124
75th Percentile$50,036$41,678
Top Earner (P90)$60,867$48,693
Total Employed26420
Side-by-side bar chart comparing Bellevue ($39,269) and Spokane ($33,679) medical billing and coding specialist salaries.BellevueSpokaneMedian Salary$39,269$33,679Entry Level (P10)$26,901$24,029Top Earner (P90)$60,867$48,693US Median $30,349

Verdict

Bellevue, WA offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Spokane.

The salary gap between Bellevue and Spokane is $5,590 (16.60%). Bellevue's median is +29.39% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bellevue spans $33,966,Spokane spans $24,664. Bellevue has a wider pay range, meaning more potential for high earners but also more variation.

Bellevue
P10 (Entry)$26,901
P25$32,172
Median$39,269
P75$50,036
P90 (Top)$60,867
Spokane
P10 (Entry)$24,029
P25$28,124
Median$33,679
P75$41,678
P90 (Top)$48,693

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Bellevue ($36,563 effective) pays 8.94% more than Spokane ($33,563 effective).

Bellevue
Nominal: $39,269
CoL Index: 107.4
Adjusted: $36,563
Spokane
Nominal: $33,679
CoL Index: 100.346
Adjusted: $33,563

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

Which City Is Right for You?

Choose Bellevue if…

  • Higher median salary ($39,269/year)
  • Better top-earner potential ($60,867)
  • Better purchasing power (CoL-adjusted: $36,563)
  • You prefer the Washington area and lifestyle

Choose Spokane if…

  • Larger job market (420 employed)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Bellevue grew -43.5% from 2024 to 2025, compared to -28.8% growth in Spokane over the same period.

Bellevue, WA

+-43.5%

$67,913 (2024) → $38,379 (2025)

Spokane, WA

+-28.8%

$46,230 (2021) → $32,915 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Bellevue or Spokane?

Bellevue has a higher median medical billing and coding specialist salary at $39,269/year, compared to Spokane at $33,679/year — a difference of $5,590 (16.60%).

What is the hourly rate difference between Bellevue and Spokane?

Bellevue medical billing and coding specialists earn $18.88/hr while Spokane hygienists earn $16.20/hr (2026 est.).

Should I relocate from Bellevue to Spokane as a medical billing and coding specialist?

Consider more than just salary when comparing Bellevue and Spokane. Factor in cost of living (CoL-adjusted: Bellevue = $36,563, Spokane = $33,563), job availability (26 vs 420 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Bellevue vs Spokane?

Entry-level (10th percentile) medical billing and coding specialists earn $26,901 in Bellevue and $24,029 in Spokane. The Bellevue 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