Medical Billing Salary

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

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

Charleston, SC
$36,765
$17.67/hr
Florence, SC
$30,783
$14.81/hr

Side-by-Side Comparison

MetricCharleston, SCFlorence, SC
Median Salary$36,765$30,783
Hourly Rate$17.67$14.81
Entry Level (P10)$22,694$21,275
25th Percentile$28,789$25,608
75th Percentile$37,691$39,441
Top Earner (P90)$41,156$48,117
Total Employed460140
Side-by-side bar chart comparing Charleston ($36,765) and Florence ($30,783) medical billing and coding specialist salaries.CharlestonFlorenceMedian Salary$36,765$30,783Entry Level (P10)$22,694$21,275Top Earner (P90)$41,156$48,117US Median $30,349

Verdict

Charleston, SC offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Florence.

The salary gap between Charleston and Florence is $5,982 (19.43%). Charleston's median is +21.14% 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,Florence spans $26,842. Florence 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
Florence
P10 (Entry)$21,275
P25$25,608
Median$30,783
P75$39,441
P90 (Top)$48,117

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Charleston ($36,415 effective) pays 2.65% more than Florence ($35,475 effective).

Charleston
Nominal: $36,765
CoL Index: 100.962
Adjusted: $36,415
Florence
Nominal: $30,783
CoL Index: 86.774
Adjusted: $35,475

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

Which City Is Right for You?

Choose Charleston if…

  • Higher median salary ($36,765/year)
  • Larger job market (460 employed)
  • Better purchasing power (CoL-adjusted: $36,415)
  • You prefer the South Carolina area and lifestyle

Choose Florence if…

  • Better top-earner potential ($48,117)
  • 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 -29.2% growth in Florence over the same period.

Charleston, SC

+-23.0%

$46,640 (2021) → $35,931 (2025)

Florence, SC

+-29.2%

$42,500 (2021) → $30,085 (2025)

View Full Salary Data

Frequently Asked Questions

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

Charleston has a higher median medical billing and coding specialist salary at $36,765/year, compared to Florence at $30,783/year — a difference of $5,982 (19.43%).

What is the hourly rate difference between Charleston and Florence?

Charleston medical billing and coding specialists earn $17.67/hr while Florence hygienists earn $14.81/hr (2026 est.).

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

Consider more than just salary when comparing Charleston and Florence. Factor in cost of living (CoL-adjusted: Charleston = $36,415, Florence = $35,475), job availability (460 vs 140 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $22,694 in Charleston and $21,275 in Florence. 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