Medical Billing Salary

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

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

Charlotte, NC
$30,332
$14.58/hr
Rocky Mount, NC
$23,952
$11.51/hr

Side-by-Side Comparison

MetricCharlotte, NCRocky Mount, NC
Median Salary$30,332$23,952
Hourly Rate$14.58$11.51
Entry Level (P10)$23,827$21,738
25th Percentile$26,913$23,240
75th Percentile$42,640$30,854
Top Earner (P90)$48,717$39,749
Total Employed1,45090
Side-by-side bar chart comparing Charlotte ($30,332) and Rocky Mount ($23,952) medical billing and coding specialist salaries.CharlotteRocky MountMedian Salary$30,332$23,952Entry Level (P10)$23,827$21,738Top Earner (P90)$48,717$39,749US Median $30,349

Verdict

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

The salary gap between Charlotte and Rocky Mount is $6,380 (26.64%). 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,Rocky Mount spans $18,011. 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
Rocky Mount
P10 (Entry)$21,738
P25$23,240
Median$23,952
P75$30,854
P90 (Top)$39,749

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Charlotte ($31,158 effective) pays 14.49% more than Rocky Mount ($27,214 effective).

Charlotte
Nominal: $30,332
CoL Index: 97.348
Adjusted: $31,158
Rocky Mount
Nominal: $23,952
CoL Index: 88.012
Adjusted: $27,214

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)
  • Better purchasing power (CoL-adjusted: $31,158)
  • You prefer the North Carolina area and lifestyle

Choose Rocky Mount if…

  • 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 -36.3% growth in Rocky Mount over the same period.

Charlotte, NC

+-29.8%

$42,250 (2021) → $29,644 (2025)

Rocky Mount, NC

+-36.3%

$36,770 (2021) → $23,409 (2025)

View Full Salary Data

Frequently Asked Questions

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

Charlotte has a higher median medical billing and coding specialist salary at $30,332/year, compared to Rocky Mount at $23,952/year — a difference of $6,380 (26.64%).

What is the hourly rate difference between Charlotte and Rocky Mount?

Charlotte medical billing and coding specialists earn $14.58/hr while Rocky Mount hygienists earn $11.51/hr (2026 est.).

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

Consider more than just salary when comparing Charlotte and Rocky Mount. Factor in cost of living (CoL-adjusted: Charlotte = $31,158, Rocky Mount = $27,214), job availability (1,450 vs 90 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $23,827 in Charlotte and $21,738 in Rocky Mount. 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