Medical Billing Salary

Boston vs Pittsfield: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Boston, MA and Pittsfield, MA. All figures are 2026 estimates projected from BLS 2025 data.

Boston, MA
$35,881
$17.25/hr
Pittsfield, MA
$29,620
$14.24/hr

Side-by-Side Comparison

MetricBoston, MAPittsfield, MA
Median Salary$35,881$29,620
Hourly Rate$17.25$14.24
Entry Level (P10)$27,026$25,264
25th Percentile$29,175$28,308
75th Percentile$44,806$36,574
Top Earner (P90)$48,818$39,785
Total Employed2,63080
Side-by-side bar chart comparing Boston ($35,881) and Pittsfield ($29,620) medical billing and coding specialist salaries.BostonPittsfieldMedian Salary$35,881$29,620Entry Level (P10)$27,026$25,264Top Earner (P90)$48,818$39,785US Median $30,349

Verdict

Boston, MA offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Pittsfield.

The salary gap between Boston and Pittsfield is $6,261 (21.14%). Boston's median is +18.23% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Boston spans $21,792,Pittsfield spans $14,521. Boston has a wider pay range, meaning more potential for high earners but also more variation.

Boston
P10 (Entry)$27,026
P25$29,175
Median$35,881
P75$44,806
P90 (Top)$48,818
Pittsfield
P10 (Entry)$25,264
P25$28,308
Median$29,620
P75$36,574
P90 (Top)$39,785

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Boston ($33,142 effective) pays 6.41% more than Pittsfield ($31,144 effective).

Boston
Nominal: $35,881
CoL Index: 108.266
Adjusted: $33,142
Pittsfield
Nominal: $29,620
CoL Index: 95.106
Adjusted: $31,144

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

Which City Is Right for You?

Choose Boston if…

  • Higher median salary ($35,881/year)
  • Better top-earner potential ($48,818)
  • Larger job market (2,630 employed)
  • Better purchasing power (CoL-adjusted: $33,142)
  • You prefer the Massachusetts area and lifestyle

Choose Pittsfield if…

  • You prefer the Massachusetts area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Boston grew -40.8% from 2021 to 2025, compared to -43.3% growth in Pittsfield over the same period.

Boston, MA

+-40.8%

$59,210 (2021) → $35,067 (2025)

Pittsfield, MA

+-43.3%

$51,090 (2023) → $28,948 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Boston or Pittsfield?

Boston has a higher median medical billing and coding specialist salary at $35,881/year, compared to Pittsfield at $29,620/year — a difference of $6,261 (21.14%).

What is the hourly rate difference between Boston and Pittsfield?

Boston medical billing and coding specialists earn $17.25/hr while Pittsfield hygienists earn $14.24/hr (2026 est.).

Should I relocate from Boston to Pittsfield as a medical billing and coding specialist?

Consider more than just salary when comparing Boston and Pittsfield. Factor in cost of living (CoL-adjusted: Boston = $33,142, Pittsfield = $31,144), job availability (2,630 vs 80 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Boston vs Pittsfield?

Entry-level (10th percentile) medical billing and coding specialists earn $27,026 in Boston and $25,264 in Pittsfield. The Boston area offers higher starting salaries.

Related Comparisons

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