Medical Billing Salary

Birmingham vs Huntsville: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Birmingham, AL and Huntsville, AL. All figures are 2026 estimates projected from BLS 2025 data.

Birmingham, AL
$27,590
$13.26/hr
Huntsville, AL
$22,640
$10.89/hr

Side-by-Side Comparison

MetricBirmingham, ALHuntsville, AL
Median Salary$27,590$22,640
Hourly Rate$13.26$10.89
Entry Level (P10)$19,779$19,584
25th Percentile$22,320$21,911
75th Percentile$33,454$31,643
Top Earner (P90)$39,755$37,797
Total Employed490420
Side-by-side bar chart comparing Birmingham ($27,590) and Huntsville ($22,640) medical billing and coding specialist salaries.BirminghamHuntsvilleMedian Salary$27,590$22,640Entry Level (P10)$19,779$19,584Top Earner (P90)$39,755$37,797US Median $30,349

Verdict

Birmingham, AL offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Huntsville.

The salary gap between Birmingham and Huntsville is $4,950 (21.86%). Birmingham's median is -9.09% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Birmingham spans $19,976,Huntsville spans $18,213. Birmingham has a wider pay range, meaning more potential for high earners but also more variation.

Birmingham
P10 (Entry)$19,779
P25$22,320
Median$27,590
P75$33,454
P90 (Top)$39,755
Huntsville
P10 (Entry)$19,584
P25$21,911
Median$22,640
P75$31,643
P90 (Top)$37,797

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Birmingham ($30,106 effective) pays 23.76% more than Huntsville ($24,325 effective).

Birmingham
Nominal: $27,590
CoL Index: 91.644
Adjusted: $30,106
Huntsville
Nominal: $22,640
CoL Index: 93.072
Adjusted: $24,325

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

Which City Is Right for You?

Choose Birmingham if…

  • Higher median salary ($27,590/year)
  • Better top-earner potential ($39,755)
  • Larger job market (490 employed)
  • Better purchasing power (CoL-adjusted: $30,106)
  • You prefer the Alabama area and lifestyle

Choose Huntsville if…

  • You prefer the Alabama area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Birmingham grew -28.2% from 2021 to 2025, compared to -40.9% growth in Huntsville over the same period.

Birmingham, AL

+-28.2%

$37,530 (2021) → $26,964 (2025)

Huntsville, AL

+-40.9%

$37,440 (2021) → $22,127 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Birmingham or Huntsville?

Birmingham has a higher median medical billing and coding specialist salary at $27,590/year, compared to Huntsville at $22,640/year — a difference of $4,950 (21.86%).

What is the hourly rate difference between Birmingham and Huntsville?

Birmingham medical billing and coding specialists earn $13.26/hr while Huntsville hygienists earn $10.89/hr (2026 est.).

Should I relocate from Birmingham to Huntsville as a medical billing and coding specialist?

Consider more than just salary when comparing Birmingham and Huntsville. Factor in cost of living (CoL-adjusted: Birmingham = $30,106, Huntsville = $24,325), job availability (490 vs 420 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Birmingham vs Huntsville?

Entry-level (10th percentile) medical billing and coding specialists earn $19,779 in Birmingham and $19,584 in Huntsville. The Birmingham 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