Medical Billing Salary

Des Moines vs Urbandale: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Des Moines, IA and Urbandale, IA. All figures are 2026 estimates projected from BLS 2025 data.

Des Moines, IA
$32,207
$15.48/hr
Urbandale, IA
$28,189
$13.56/hr

Side-by-Side Comparison

MetricDes Moines, IAUrbandale, IA
Median Salary$32,207$28,189
Hourly Rate$15.48$13.56
Entry Level (P10)$25,216$21,567
25th Percentile$28,522$24,548
75th Percentile$38,503$35,280
Top Earner (P90)$41,881$43,230
Total Employed49012
Side-by-side bar chart comparing Des Moines ($32,207) and Urbandale ($28,189) medical billing and coding specialist salaries.Des MoinesUrbandaleMedian Salary$32,207$28,189Entry Level (P10)$25,216$21,567Top Earner (P90)$41,881$43,230US Median $30,349

Verdict

Des Moines, IA offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Urbandale.

The salary gap between Des Moines and Urbandale is $4,018 (14.25%). Des Moines's median is +6.12% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Des Moines spans $16,665,Urbandale spans $21,663. Urbandale has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Des Moines
P10 (Entry)$25,216
P25$28,522
Median$32,207
P75$38,503
P90 (Top)$41,881
Urbandale
P10 (Entry)$21,567
P25$24,548
Median$28,189
P75$35,280
P90 (Top)$43,230

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($35,122 effective) pays 12.63% more than Urbandale ($31,183 effective).

Des Moines
Nominal: $32,207
CoL Index: 91.701
Adjusted: $35,122
Urbandale
Nominal: $28,189
CoL Index: 90.4
Adjusted: $31,183

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

Which City Is Right for You?

Choose Des Moines if…

  • Higher median salary ($32,207/year)
  • Larger job market (490 employed)
  • Better purchasing power (CoL-adjusted: $35,122)
  • You prefer the Iowa area and lifestyle

Choose Urbandale if…

  • Better top-earner potential ($43,230)
  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Des Moines grew -20.3% from 2021 to 2025, compared to -30.7% growth in Urbandale over the same period.

Des Moines, IA

+-20.3%

$39,470 (2021) → $31,477 (2025)

Urbandale, IA

+-30.7%

$39,731 (2024) → $27,550 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Des Moines or Urbandale?

Des Moines has a higher median medical billing and coding specialist salary at $32,207/year, compared to Urbandale at $28,189/year — a difference of $4,018 (14.25%).

What is the hourly rate difference between Des Moines and Urbandale?

Des Moines medical billing and coding specialists earn $15.48/hr while Urbandale hygienists earn $13.56/hr (2026 est.).

Should I relocate from Des Moines to Urbandale as a medical billing and coding specialist?

Consider more than just salary when comparing Des Moines and Urbandale. Factor in cost of living (CoL-adjusted: Des Moines = $35,122, Urbandale = $31,183), job availability (490 vs 12 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Des Moines vs Urbandale?

Entry-level (10th percentile) medical billing and coding specialists earn $25,216 in Des Moines and $21,567 in Urbandale. The Des Moines area offers higher starting salaries.
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