Medical Billing Salary

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

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

Birmingham, AL
$27,590
$13.26/hr
Madison, AL
$25,520
$12.27/hr

Side-by-Side Comparison

MetricBirmingham, ALMadison, AL
Median Salary$27,590$25,520
Hourly Rate$13.26$12.27
Entry Level (P10)$19,779$18,959
25th Percentile$22,320$21,882
75th Percentile$33,454$32,405
Top Earner (P90)$39,755$39,556
Total Employed4909
Side-by-side bar chart comparing Birmingham ($27,590) and Madison ($25,520) medical billing and coding specialist salaries.BirminghamMadisonMedian Salary$27,590$25,520Entry Level (P10)$19,779$18,959Top Earner (P90)$39,755$39,556US Median $30,349

Verdict

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

The salary gap between Birmingham and Madison is $2,070 (8.11%). 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,Madison spans $20,597. Madison has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Birmingham
P10 (Entry)$19,779
P25$22,320
Median$27,590
P75$33,454
P90 (Top)$39,755
Madison
P10 (Entry)$18,959
P25$21,882
Median$25,520
P75$32,405
P90 (Top)$39,556

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Birmingham ($30,106 effective) pays 3.69% more than Madison ($29,033 effective).

Birmingham
Nominal: $27,590
CoL Index: 91.644
Adjusted: $30,106
Madison
Nominal: $25,520
CoL Index: 87.9
Adjusted: $29,033

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 Madison 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 -30.7% growth in Madison over the same period.

Birmingham, AL

+-28.2%

$37,530 (2021) → $26,964 (2025)

Madison, AL

+-30.7%

$35,995 (2024) → $24,941 (2025)

View Full Salary Data

Frequently Asked Questions

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

Birmingham has a higher median medical billing and coding specialist salary at $27,590/year, compared to Madison at $25,520/year — a difference of $2,070 (8.11%).

What is the hourly rate difference between Birmingham and Madison?

Birmingham medical billing and coding specialists earn $13.26/hr while Madison hygienists earn $12.27/hr (2026 est.).

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

Consider more than just salary when comparing Birmingham and Madison. Factor in cost of living (CoL-adjusted: Birmingham = $30,106, Madison = $29,033), job availability (490 vs 9 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $19,779 in Birmingham and $18,959 in Madison. 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