Medical Billing Salary

Billings vs Missoula: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Billings, MT and Missoula, MT. All figures are 2026 estimates projected from BLS 2025 data.

Billings, MT
$29,785
$14.32/hr
Missoula, MT
$31,174
$14.99/hr

Side-by-Side Comparison

MetricBillings, MTMissoula, MT
Median Salary$29,785$31,174
Hourly Rate$14.32$14.99
Entry Level (P10)$24,071$22,984
25th Percentile$26,095$27,163
75th Percentile$35,524$34,972
Top Earner (P90)$37,281$39,145
Total Employed26090
Side-by-side bar chart comparing Billings ($29,785) and Missoula ($31,174) medical billing and coding specialist salaries.BillingsMissoulaMedian Salary$29,785$31,174Entry Level (P10)$24,071$22,984Top Earner (P90)$37,281$39,145US Median $30,349

Verdict

Missoula, MT offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Billings.

The salary gap between Billings and Missoula is $1,389 (4.66%). Missoula's median is +2.72% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Billings spans $13,210,Missoula spans $16,161. Missoula has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Billings
P10 (Entry)$24,071
P25$26,095
Median$29,785
P75$35,524
P90 (Top)$37,281
Missoula
P10 (Entry)$22,984
P25$27,163
Median$31,174
P75$34,972
P90 (Top)$39,145

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Missoula ($32,323 effective) pays 1.50% more than Billings ($31,847 effective).

Billings
Nominal: $29,785
CoL Index: 93.526
Adjusted: $31,847
Missoula
Nominal: $31,174
CoL Index: 96.445
Adjusted: $32,323

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

Which City Is Right for You?

Choose Billings if…

  • Larger job market (260 employed)
  • You prefer the Montana area and lifestyle

Choose Missoula if…

  • Higher median salary ($31,174/year)
  • Better top-earner potential ($39,145)
  • Better purchasing power (CoL-adjusted: $32,323)
  • You prefer the Montana area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Billings grew -39.4% from 2021 to 2025, compared to -34.9% growth in Missoula over the same period.

Billings, MT

+-39.4%

$48,070 (2021) → $29,110 (2025)

Missoula, MT

+-34.9%

$46,830 (2021) → $30,467 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Billings or Missoula?

Missoula has a higher median medical billing and coding specialist salary at $31,174/year, compared to Billings at $29,785/year — a difference of $1,389 (4.66%).

What is the hourly rate difference between Billings and Missoula?

Billings medical billing and coding specialists earn $14.32/hr while Missoula hygienists earn $14.99/hr (2026 est.).

Should I relocate from Billings to Missoula as a medical billing and coding specialist?

Consider more than just salary when comparing Billings and Missoula. Factor in cost of living (CoL-adjusted: Billings = $31,847, Missoula = $32,323), job availability (260 vs 90 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Billings vs Missoula?

Entry-level (10th percentile) medical billing and coding specialists earn $24,071 in Billings and $22,984 in Missoula. The Billings 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