Medical Billing Salary

Charlotte vs Gastonia: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Charlotte, NC and Gastonia, NC. All figures are 2026 estimates projected from BLS 2025 data.

Charlotte, NC
$30,332
$14.58/hr
Gastonia, NC
$29,685
$14.27/hr

Side-by-Side Comparison

MetricCharlotte, NCGastonia, NC
Median Salary$30,332$29,685
Hourly Rate$14.58$14.27
Entry Level (P10)$23,827$21,730
25th Percentile$26,913$25,234
75th Percentile$42,640$37,497
Top Earner (P90)$48,717$46,012
Total Employed1,45016
Side-by-side bar chart comparing Charlotte ($30,332) and Gastonia ($29,685) medical billing and coding specialist salaries.CharlotteGastoniaMedian Salary$30,332$29,685Entry Level (P10)$23,827$21,730Top Earner (P90)$48,717$46,012US Median $30,349

Verdict

Charlotte, NC offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Gastonia.

The salary gap between Charlotte and Gastonia is $647 (2.18%). Charlotte's median is -0.06% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Charlotte spans $24,890,Gastonia spans $24,282. Charlotte has a wider pay range, meaning more potential for high earners but also more variation.

Charlotte
P10 (Entry)$23,827
P25$26,913
Median$30,332
P75$42,640
P90 (Top)$48,717
Gastonia
P10 (Entry)$21,730
P25$25,234
Median$29,685
P75$37,497
P90 (Top)$46,012

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Gastonia ($31,715 effective) pays 1.79% more than Charlotte ($31,158 effective).

Charlotte
Nominal: $30,332
CoL Index: 97.348
Adjusted: $31,158
Gastonia
Nominal: $29,685
CoL Index: 93.6
Adjusted: $31,715

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

Which City Is Right for You?

Choose Charlotte if…

  • Higher median salary ($30,332/year)
  • Better top-earner potential ($48,717)
  • Larger job market (1,450 employed)
  • You prefer the North Carolina area and lifestyle

Choose Gastonia if…

  • Better purchasing power (CoL-adjusted: $31,715)
  • You prefer the North Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Charlotte grew -29.8% from 2021 to 2025, compared to -30.5% growth in Gastonia over the same period.

Charlotte, NC

+-29.8%

$42,250 (2021) → $29,644 (2025)

Gastonia, NC

+-30.5%

$41,717 (2024) → $29,012 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Charlotte or Gastonia?

Charlotte has a higher median medical billing and coding specialist salary at $30,332/year, compared to Gastonia at $29,685/year — a difference of $647 (2.18%).

What is the hourly rate difference between Charlotte and Gastonia?

Charlotte medical billing and coding specialists earn $14.58/hr while Gastonia hygienists earn $14.27/hr (2026 est.).

Should I relocate from Charlotte to Gastonia as a medical billing and coding specialist?

Consider more than just salary when comparing Charlotte and Gastonia. Factor in cost of living (CoL-adjusted: Charlotte = $31,158, Gastonia = $31,715), job availability (1,450 vs 16 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Charlotte vs Gastonia?

Entry-level (10th percentile) medical billing and coding specialists earn $23,827 in Charlotte and $21,730 in Gastonia. The Charlotte 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