Medical Billing Salary

Brookings vs Rapid City: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Brookings, SD and Rapid City, SD. All figures are 2026 estimates projected from BLS 2025 data.

Brookings, SD
$15,091
$7.25/hr
Rapid City, SD
$30,943
$14.88/hr

Side-by-Side Comparison

MetricBrookings, SDRapid City, SD
Median Salary$15,091$30,943
Hourly Rate$7.25$14.88
Entry Level (P10)$11,875$21,199
25th Percentile$13,310$27,293
75th Percentile$18,543$37,773
Top Earner (P90)$22,403$46,129
Total Employed4100
Side-by-side bar chart comparing Brookings ($15,091) and Rapid City ($30,943) medical billing and coding specialist salaries.BrookingsRapid CityMedian Salary$15,091$30,943Entry Level (P10)$11,875$21,199Top Earner (P90)$22,403$46,129US Median $30,349

Verdict

Rapid City, SD offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Brookings.

The salary gap between Brookings and Rapid City is $15,852 (105.04%). Rapid City's median is +1.96% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Brookings spans $10,528,Rapid City spans $24,930. Rapid City has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Brookings
P10 (Entry)$11,875
P25$13,310
Median$15,091
P75$18,543
P90 (Top)$22,403
Rapid City
P10 (Entry)$21,199
P25$27,293
Median$30,943
P75$37,773
P90 (Top)$46,129

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rapid City ($34,705 effective) pays 113.41% more than Brookings ($16,262 effective).

Brookings
Nominal: $15,091
CoL Index: 92.8
Adjusted: $16,262
Rapid City
Nominal: $30,943
CoL Index: 89.16
Adjusted: $34,705

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

Which City Is Right for You?

Choose Brookings if…

  • You prefer the South Dakota area and lifestyle

Choose Rapid City if…

  • Higher median salary ($30,943/year)
  • Better top-earner potential ($46,129)
  • Larger job market (100 employed)
  • Better purchasing power (CoL-adjusted: $34,705)
  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Brookings grew -60.9% from 2024 to 2025, compared to -35.2% growth in Rapid City over the same period.

Brookings, SD

+-60.9%

$37,723 (2024) → $14,749 (2025)

Rapid City, SD

+-35.2%

$46,690 (2021) → $30,241 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Brookings or Rapid City?

Rapid City has a higher median medical billing and coding specialist salary at $30,943/year, compared to Brookings at $15,091/year — a difference of $15,852 (105.04%).

What is the hourly rate difference between Brookings and Rapid City?

Brookings medical billing and coding specialists earn $7.25/hr while Rapid City hygienists earn $14.88/hr (2026 est.).

Should I relocate from Brookings to Rapid City as a medical billing and coding specialist?

Consider more than just salary when comparing Brookings and Rapid City. Factor in cost of living (CoL-adjusted: Brookings = $16,262, Rapid City = $34,705), job availability (4 vs 100 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Brookings vs Rapid City?

Entry-level (10th percentile) medical billing and coding specialists earn $11,875 in Brookings and $21,199 in Rapid City. The Rapid City 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