Medical Billing Salary

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

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

Dallas, TX
$30,943
$14.88/hr
San Antonio, TX
$27,364
$13.16/hr

Side-by-Side Comparison

MetricDallas, TXSan Antonio, TX
Median Salary$30,943$27,364
Hourly Rate$14.88$13.16
Entry Level (P10)$22,522$20,379
25th Percentile$27,127$23,085
75th Percentile$39,596$35,483
Top Earner (P90)$47,589$42,883
Total Employed5,2101,670
Side-by-side bar chart comparing Dallas ($30,943) and San Antonio ($27,364) medical billing and coding specialist salaries.DallasSan AntonioMedian Salary$30,943$27,364Entry Level (P10)$22,522$20,379Top Earner (P90)$47,589$42,883US Median $30,349

Verdict

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

The salary gap between Dallas and San Antonio is $3,579 (13.08%). 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,San Antonio spans $22,504. 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
San Antonio
P10 (Entry)$20,379
P25$23,085
Median$27,364
P75$35,483
P90 (Top)$42,883

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Dallas ($30,016 effective) pays 3.89% more than San Antonio ($28,891 effective).

Dallas
Nominal: $30,943
CoL Index: 103.09
Adjusted: $30,016
San Antonio
Nominal: $27,364
CoL Index: 94.716
Adjusted: $28,891

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 San Antonio 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 -33.6% growth in San Antonio over the same period.

Dallas, TX

+-35.2%

$46,660 (2021) → $30,241 (2025)

San Antonio, TX

+-33.6%

$40,250 (2021) → $26,744 (2025)

View Full Salary Data

Frequently Asked Questions

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

Dallas has a higher median medical billing and coding specialist salary at $30,943/year, compared to San Antonio at $27,364/year — a difference of $3,579 (13.08%).

What is the hourly rate difference between Dallas and San Antonio?

Dallas medical billing and coding specialists earn $14.88/hr while San Antonio hygienists earn $13.16/hr (2026 est.).

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

Consider more than just salary when comparing Dallas and San Antonio. Factor in cost of living (CoL-adjusted: Dallas = $30,016, San Antonio = $28,891), job availability (5,210 vs 1,670 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $22,522 in Dallas and $20,379 in San Antonio. 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