Medical Billing Salary

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

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

Dallas, TX
$30,943
$14.88/hr
San Marcos, TX
$29,752
$14.30/hr

Side-by-Side Comparison

MetricDallas, TXSan Marcos, TX
Median Salary$30,943$29,752
Hourly Rate$14.88$14.30
Entry Level (P10)$22,522$21,432
25th Percentile$27,127$25,100
75th Percentile$39,596$37,366
Top Earner (P90)$47,589$46,115
Total Employed5,21013
Side-by-side bar chart comparing Dallas ($30,943) and San Marcos ($29,752) medical billing and coding specialist salaries.DallasSan MarcosMedian Salary$30,943$29,752Entry Level (P10)$22,522$21,432Top Earner (P90)$47,589$46,115US 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 Marcos.

The salary gap between Dallas and San Marcos is $1,191 (4.00%). 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 Marcos spans $24,683. 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 Marcos
P10 (Entry)$21,432
P25$25,100
Median$29,752
P75$37,366
P90 (Top)$46,115

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Marcos ($30,992 effective) pays 3.25% more than Dallas ($30,016 effective).

Dallas
Nominal: $30,943
CoL Index: 103.09
Adjusted: $30,016
San Marcos
Nominal: $29,752
CoL Index: 96
Adjusted: $30,992

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)
  • You prefer the Texas area and lifestyle

Choose San Marcos if…

  • Better purchasing power (CoL-adjusted: $30,992)
  • 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 -40.2% growth in San Marcos over the same period.

Dallas, TX

+-35.2%

$46,660 (2021) → $30,241 (2025)

San Marcos, TX

+-40.2%

$48,628 (2024) → $29,077 (2025)

View Full Salary Data

Frequently Asked Questions

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

Dallas has a higher median medical billing and coding specialist salary at $30,943/year, compared to San Marcos at $29,752/year — a difference of $1,191 (4.00%).

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

Dallas medical billing and coding specialists earn $14.88/hr while San Marcos hygienists earn $14.30/hr (2026 est.).

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

Consider more than just salary when comparing Dallas and San Marcos. Factor in cost of living (CoL-adjusted: Dallas = $30,016, San Marcos = $30,992), job availability (5,210 vs 13 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $22,522 in Dallas and $21,432 in San Marcos. 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