Medical Billing Salary

Dallas vs Houston: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Dallas, TX and Houston, TX. All figures are 2026 estimates projected from BLS 2025 data.

Dallas, TX
$30,943
$14.88/hr
Houston, TX
$30,415
$14.62/hr

Side-by-Side Comparison

MetricDallas, TXHouston, TX
Median Salary$30,943$30,415
Hourly Rate$14.88$14.62
Entry Level (P10)$22,522$22,640
25th Percentile$27,127$26,913
75th Percentile$39,596$38,960
Top Earner (P90)$47,589$47,779
Total Employed5,2103,680
Side-by-side bar chart comparing Dallas ($30,943) and Houston ($30,415) medical billing and coding specialist salaries.DallasHoustonMedian Salary$30,943$30,415Entry Level (P10)$22,522$22,640Top Earner (P90)$47,589$47,779US Median $30,349

Verdict

Dallas, TX offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Houston.

The salary gap between Dallas and Houston is $528 (1.74%). Dallas's median is +1.96% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Dallas spans $25,067,Houston spans $25,139. Houston has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Dallas
P10 (Entry)$22,522
P25$27,127
Median$30,943
P75$39,596
P90 (Top)$47,589
Houston
P10 (Entry)$22,640
P25$26,913
Median$30,415
P75$38,960
P90 (Top)$47,779

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Houston ($30,838 effective) pays 2.74% more than Dallas ($30,016 effective).

Dallas
Nominal: $30,943
CoL Index: 103.09
Adjusted: $30,016
Houston
Nominal: $30,415
CoL Index: 98.629
Adjusted: $30,838

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

Which City Is Right for You?

Choose Dallas if…

  • Higher median salary ($30,943/year)
  • Larger job market (5,210 employed)
  • You prefer the Texas area and lifestyle

Choose Houston if…

  • Better top-earner potential ($47,779)
  • Better purchasing power (CoL-adjusted: $30,838)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Dallas grew -35.2% from 2021 to 2025, compared to -32.5% growth in Houston over the same period.

Dallas, TX

+-35.2%

$46,660 (2021) → $30,241 (2025)

Houston, TX

+-32.5%

$44,010 (2021) → $29,725 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Dallas or Houston?

Dallas has a higher median medical billing and coding specialist salary at $30,943/year, compared to Houston at $30,415/year — a difference of $528 (1.74%).

What is the hourly rate difference between Dallas and Houston?

Dallas medical billing and coding specialists earn $14.88/hr while Houston hygienists earn $14.62/hr (2026 est.).

Should I relocate from Dallas to Houston as a medical billing and coding specialist?

Consider more than just salary when comparing Dallas and Houston. Factor in cost of living (CoL-adjusted: Dallas = $30,016, Houston = $30,838), job availability (5,210 vs 3,680 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Dallas vs Houston?

Entry-level (10th percentile) medical billing and coding specialists earn $22,522 in Dallas and $22,640 in Houston. The Houston 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