Medical Billing Salary

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

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

Charlotte, NC
$30,332
$14.58/hr
Wilmington, NC
$25,477
$12.25/hr

Side-by-Side Comparison

MetricCharlotte, NCWilmington, NC
Median Salary$30,332$25,477
Hourly Rate$14.58$12.25
Entry Level (P10)$23,827$22,005
25th Percentile$26,913$23,751
75th Percentile$42,640$33,708
Top Earner (P90)$48,717$64,930
Total Employed1,450220
Side-by-side bar chart comparing Charlotte ($30,332) and Wilmington ($25,477) medical billing and coding specialist salaries.CharlotteWilmingtonMedian Salary$30,332$25,477Entry Level (P10)$23,827$22,005Top Earner (P90)$48,717$64,930US Median $30,349

Verdict

Charlotte, NC offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Wilmington.

The salary gap between Charlotte and Wilmington is $4,855 (19.06%). 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,Wilmington spans $42,925. Wilmington has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Charlotte
P10 (Entry)$23,827
P25$26,913
Median$30,332
P75$42,640
P90 (Top)$48,717
Wilmington
P10 (Entry)$22,005
P25$23,751
Median$25,477
P75$33,708
P90 (Top)$64,930

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Charlotte ($31,158 effective) pays 17.92% more than Wilmington ($26,422 effective).

Charlotte
Nominal: $30,332
CoL Index: 97.348
Adjusted: $31,158
Wilmington
Nominal: $25,477
CoL Index: 96.422
Adjusted: $26,422

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)
  • Larger job market (1,450 employed)
  • Better purchasing power (CoL-adjusted: $31,158)
  • You prefer the North Carolina area and lifestyle

Choose Wilmington if…

  • Better top-earner potential ($64,930)
  • 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 -31.1% growth in Wilmington over the same period.

Charlotte, NC

+-29.8%

$42,250 (2021) → $29,644 (2025)

Wilmington, NC

+-31.1%

$36,130 (2021) → $24,899 (2025)

View Full Salary Data

Frequently Asked Questions

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

Charlotte has a higher median medical billing and coding specialist salary at $30,332/year, compared to Wilmington at $25,477/year — a difference of $4,855 (19.06%).

What is the hourly rate difference between Charlotte and Wilmington?

Charlotte medical billing and coding specialists earn $14.58/hr while Wilmington hygienists earn $12.25/hr (2026 est.).

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

Consider more than just salary when comparing Charlotte and Wilmington. Factor in cost of living (CoL-adjusted: Charlotte = $31,158, Wilmington = $26,422), job availability (1,450 vs 220 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $23,827 in Charlotte and $22,005 in Wilmington. 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