Medical Billing Salary

Charleston vs Columbia: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Charleston, SC and Columbia, SC. All figures are 2026 estimates projected from BLS 2025 data.

Charleston, SC
$36,765
$17.67/hr
Columbia, SC
$37,180
$17.88/hr

Side-by-Side Comparison

MetricCharleston, SCColumbia, SC
Median Salary$36,765$37,180
Hourly Rate$17.67$17.88
Entry Level (P10)$22,694$22,605
25th Percentile$28,789$29,109
75th Percentile$37,691$37,180
Top Earner (P90)$41,156$42,474
Total Employed460640
Side-by-side bar chart comparing Charleston ($36,765) and Columbia ($37,180) medical billing and coding specialist salaries.CharlestonColumbiaMedian Salary$36,765$37,180Entry Level (P10)$22,694$22,605Top Earner (P90)$41,156$42,474US Median $30,349

Verdict

Columbia, SC offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Charleston.

The salary gap between Charleston and Columbia is $415 (1.13%). Columbia's median is +22.51% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Charleston spans $18,462,Columbia spans $19,869. Columbia has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Charleston
P10 (Entry)$22,694
P25$28,789
Median$36,765
P75$37,691
P90 (Top)$41,156
Columbia
P10 (Entry)$22,605
P25$29,109
Median$37,180
P75$37,180
P90 (Top)$42,474

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Columbia ($39,696 effective) pays 9.01% more than Charleston ($36,415 effective).

Charleston
Nominal: $36,765
CoL Index: 100.962
Adjusted: $36,415
Columbia
Nominal: $37,180
CoL Index: 93.662
Adjusted: $39,696

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

Which City Is Right for You?

Choose Charleston if…

  • You prefer the South Carolina area and lifestyle

Choose Columbia if…

  • Higher median salary ($37,180/year)
  • Better top-earner potential ($42,474)
  • Larger job market (640 employed)
  • Better purchasing power (CoL-adjusted: $39,696)
  • You prefer the South Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Charleston grew -23.0% from 2021 to 2025, compared to -19.5% growth in Columbia over the same period.

Charleston, SC

+-23.0%

$46,640 (2021) → $35,931 (2025)

Columbia, SC

+-19.5%

$45,140 (2021) → $36,337 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Charleston or Columbia?

Columbia has a higher median medical billing and coding specialist salary at $37,180/year, compared to Charleston at $36,765/year — a difference of $415 (1.13%).

What is the hourly rate difference between Charleston and Columbia?

Charleston medical billing and coding specialists earn $17.67/hr while Columbia hygienists earn $17.88/hr (2026 est.).

Should I relocate from Charleston to Columbia as a medical billing and coding specialist?

Consider more than just salary when comparing Charleston and Columbia. Factor in cost of living (CoL-adjusted: Charleston = $36,415, Columbia = $39,696), job availability (460 vs 640 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Charleston vs Columbia?

Entry-level (10th percentile) medical billing and coding specialists earn $22,694 in Charleston and $22,605 in Columbia. The Charleston 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