Medical Billing Salary

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

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

Birmingham, AL
$27,590
$13.26/hr
Montgomery, AL
$26,807
$12.89/hr

Side-by-Side Comparison

MetricBirmingham, ALMontgomery, AL
Median Salary$27,590$26,807
Hourly Rate$13.26$12.89
Entry Level (P10)$19,779$19,056
25th Percentile$22,320$22,379
75th Percentile$33,454$30,610
Top Earner (P90)$39,755$37,714
Total Employed490200
Side-by-side bar chart comparing Birmingham ($27,590) and Montgomery ($26,807) medical billing and coding specialist salaries.BirminghamMontgomeryMedian Salary$27,590$26,807Entry Level (P10)$19,779$19,056Top Earner (P90)$39,755$37,714US Median $30,349

Verdict

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

The salary gap between Birmingham and Montgomery is $783 (2.92%). 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,Montgomery spans $18,658. 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
Montgomery
P10 (Entry)$19,056
P25$22,379
Median$26,807
P75$30,610
P90 (Top)$37,714

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Birmingham ($30,106 effective) pays 0.72% more than Montgomery ($29,891 effective).

Birmingham
Nominal: $27,590
CoL Index: 91.644
Adjusted: $30,106
Montgomery
Nominal: $26,807
CoL Index: 89.682
Adjusted: $29,891

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 Montgomery 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 -29.8% growth in Montgomery over the same period.

Birmingham, AL

+-28.2%

$37,530 (2021) → $26,964 (2025)

Montgomery, AL

+-29.8%

$37,330 (2021) → $26,199 (2025)

View Full Salary Data

Frequently Asked Questions

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

Birmingham has a higher median medical billing and coding specialist salary at $27,590/year, compared to Montgomery at $26,807/year — a difference of $783 (2.92%).

What is the hourly rate difference between Birmingham and Montgomery?

Birmingham medical billing and coding specialists earn $13.26/hr while Montgomery hygienists earn $12.89/hr (2026 est.).

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

Consider more than just salary when comparing Birmingham and Montgomery. Factor in cost of living (CoL-adjusted: Birmingham = $30,106, Montgomery = $29,891), job availability (490 vs 200 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $19,779 in Birmingham and $19,056 in Montgomery. 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