Medical Billing Salary

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

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

Dallas, TX
$30,943
$14.88/hr
Nacogdoches, TX
$25,402
$12.22/hr

Side-by-Side Comparison

MetricDallas, TXNacogdoches, TX
Median Salary$30,943$25,402
Hourly Rate$14.88$12.22
Entry Level (P10)$22,522$19,159
25th Percentile$27,127$21,353
75th Percentile$39,596$31,594
Top Earner (P90)$47,589$38,632
Total Employed5,2107
Side-by-side bar chart comparing Dallas ($30,943) and Nacogdoches ($25,402) medical billing and coding specialist salaries.DallasNacogdochesMedian Salary$30,943$25,402Entry Level (P10)$22,522$19,159Top Earner (P90)$47,589$38,632US Median $30,349

Verdict

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

The salary gap between Dallas and Nacogdoches is $5,541 (21.81%). 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,Nacogdoches spans $19,473. Dallas has a wider pay range, meaning more potential for high earners but also more variation.

Dallas
P10 (Entry)$22,522
P25$27,127
Median$30,943
P75$39,596
P90 (Top)$47,589
Nacogdoches
P10 (Entry)$19,159
P25$21,353
Median$25,402
P75$31,594
P90 (Top)$38,632

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Dallas ($30,016 effective) pays 13.44% more than Nacogdoches ($26,460 effective).

Dallas
Nominal: $30,943
CoL Index: 103.09
Adjusted: $30,016
Nacogdoches
Nominal: $25,402
CoL Index: 96
Adjusted: $26,460

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)
  • Better top-earner potential ($47,589)
  • Larger job market (5,210 employed)
  • Better purchasing power (CoL-adjusted: $30,016)
  • You prefer the Texas area and lifestyle

Choose Nacogdoches if…

  • 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 -45.5% growth in Nacogdoches over the same period.

Dallas, TX

+-35.2%

$46,660 (2021) → $30,241 (2025)

Nacogdoches, TX

+-45.5%

$45,556 (2024) → $24,826 (2025)

View Full Salary Data

Frequently Asked Questions

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

Dallas has a higher median medical billing and coding specialist salary at $30,943/year, compared to Nacogdoches at $25,402/year — a difference of $5,541 (21.81%).

What is the hourly rate difference between Dallas and Nacogdoches?

Dallas medical billing and coding specialists earn $14.88/hr while Nacogdoches hygienists earn $12.22/hr (2026 est.).

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

Consider more than just salary when comparing Dallas and Nacogdoches. Factor in cost of living (CoL-adjusted: Dallas = $30,016, Nacogdoches = $26,460), job availability (5,210 vs 7 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $22,522 in Dallas and $19,159 in Nacogdoches. The Dallas 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