Medical Billing Salary

Bismarck vs Mandan: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Bismarck, ND and Mandan, ND. All figures are 2026 estimates projected from BLS 2025 data.

Bismarck, ND
$27,727
$13.33/hr
Mandan, ND
$15,135
$7.27/hr

Side-by-Side Comparison

MetricBismarck, NDMandan, ND
Median Salary$27,727$15,135
Hourly Rate$13.33$7.27
Entry Level (P10)$23,893$12,205
25th Percentile$23,893$13,221
75th Percentile$36,616$18,822
Top Earner (P90)$51,963$22,757
Total Employed706
Side-by-side bar chart comparing Bismarck ($27,727) and Mandan ($15,135) medical billing and coding specialist salaries.BismarckMandanMedian Salary$27,727$15,135Entry Level (P10)$23,893$12,205Top Earner (P90)$51,963$22,757US Median $30,349

Verdict

Bismarck, ND offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Mandan.

The salary gap between Bismarck and Mandan is $12,592 (83.20%). Bismarck's median is -8.64% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bismarck spans $28,070,Mandan spans $10,552. Bismarck has a wider pay range, meaning more potential for high earners but also more variation.

Bismarck
P10 (Entry)$23,893
P25$23,893
Median$27,727
P75$36,616
P90 (Top)$51,963
Mandan
P10 (Entry)$12,205
P25$13,221
Median$15,135
P75$18,822
P90 (Top)$22,757

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Bismarck ($30,461 effective) pays 85.16% more than Mandan ($16,451 effective).

Bismarck
Nominal: $27,727
CoL Index: 91.024
Adjusted: $30,461
Mandan
Nominal: $15,135
CoL Index: 92
Adjusted: $16,451

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

Which City Is Right for You?

Choose Bismarck if…

  • Higher median salary ($27,727/year)
  • Better top-earner potential ($51,963)
  • Larger job market (70 employed)
  • Better purchasing power (CoL-adjusted: $30,461)
  • You prefer the North Dakota area and lifestyle

Choose Mandan if…

  • You prefer the North Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Bismarck grew -42.7% from 2021 to 2025, compared to -65.6% growth in Mandan over the same period.

Bismarck, ND

+-42.7%

$47,270 (2021) → $27,098 (2025)

Mandan, ND

+-65.6%

$42,993 (2024) → $14,792 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Bismarck or Mandan?

Bismarck has a higher median medical billing and coding specialist salary at $27,727/year, compared to Mandan at $15,135/year — a difference of $12,592 (83.20%).

What is the hourly rate difference between Bismarck and Mandan?

Bismarck medical billing and coding specialists earn $13.33/hr while Mandan hygienists earn $7.27/hr (2026 est.).

Should I relocate from Bismarck to Mandan as a medical billing and coding specialist?

Consider more than just salary when comparing Bismarck and Mandan. Factor in cost of living (CoL-adjusted: Bismarck = $30,461, Mandan = $16,451), job availability (70 vs 6 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Bismarck vs Mandan?

Entry-level (10th percentile) medical billing and coding specialists earn $23,893 in Bismarck and $12,205 in Mandan. The Bismarck 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