Medical Billing Salary

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

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

Charlotte, NC
$30,332
$14.58/hr
Winston, NC
$37,144
$17.85/hr

Side-by-Side Comparison

MetricCharlotte, NCWinston, NC
Median Salary$30,332$37,144
Hourly Rate$14.58$17.85
Entry Level (P10)$23,827$21,780
25th Percentile$26,913$25,150
75th Percentile$42,640$37,144
Top Earner (P90)$48,717$46,307
Total Employed1,450520
Side-by-side bar chart comparing Charlotte ($30,332) and Winston ($37,144) medical billing and coding specialist salaries.CharlotteWinstonMedian Salary$30,332$37,144Entry Level (P10)$23,827$21,780Top Earner (P90)$48,717$46,307US Median $30,349

Verdict

Charlotte and Winston are closely matched on overall medical billing and coding specialist compensation, each winning on different metrics.

The salary gap between Charlotte and Winston is $6,812 (22.46%). Winston's median is +22.39% 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,Winston spans $24,527. 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
Winston
P10 (Entry)$21,780
P25$25,150
Median$37,144
P75$37,144
P90 (Top)$46,307

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Winston ($40,355 effective) pays 29.52% more than Charlotte ($31,158 effective).

Charlotte
Nominal: $30,332
CoL Index: 97.348
Adjusted: $31,158
Winston
Nominal: $37,144
CoL Index: 92.043
Adjusted: $40,355

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

Which City Is Right for You?

Choose Charlotte if…

  • Better top-earner potential ($48,717)
  • Larger job market (1,450 employed)
  • You prefer the North Carolina area and lifestyle

Choose Winston if…

  • Higher median salary ($37,144/year)
  • Better purchasing power (CoL-adjusted: $40,355)
  • 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 -23.9% growth in Winston over the same period.

Charlotte, NC

+-29.8%

$42,250 (2021) → $29,644 (2025)

Winston, NC

+-23.9%

$47,690 (2021) → $36,302 (2025)

View Full Salary Data

Frequently Asked Questions

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

Winston has a higher median medical billing and coding specialist salary at $37,144/year, compared to Charlotte at $30,332/year — a difference of $6,812 (22.46%).

What is the hourly rate difference between Charlotte and Winston?

Charlotte medical billing and coding specialists earn $14.58/hr while Winston hygienists earn $17.85/hr (2026 est.).

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

Consider more than just salary when comparing Charlotte and Winston. Factor in cost of living (CoL-adjusted: Charlotte = $31,158, Winston = $40,355), job availability (1,450 vs 520 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $23,827 in Charlotte and $21,780 in Winston. 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