Medical Billing Salary

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

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

Des Moines, IA
$32,207
$15.48/hr
Waukee, IA
$28,227
$13.57/hr

Side-by-Side Comparison

MetricDes Moines, IAWaukee, IA
Median Salary$32,207$28,227
Hourly Rate$15.48$13.57
Entry Level (P10)$25,216$21,366
25th Percentile$28,522$24,369
75th Percentile$38,503$34,190
Top Earner (P90)$41,881$41,104
Total Employed4904
Side-by-side bar chart comparing Des Moines ($32,207) and Waukee ($28,227) medical billing and coding specialist salaries.Des MoinesWaukeeMedian Salary$32,207$28,227Entry Level (P10)$25,216$21,366Top Earner (P90)$41,881$41,104US Median $30,349

Verdict

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

The salary gap between Des Moines and Waukee is $3,980 (14.10%). 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,Waukee spans $19,738. Waukee 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
Waukee
P10 (Entry)$21,366
P25$24,369
Median$28,227
P75$34,190
P90 (Top)$41,104

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($35,122 effective) pays 12.48% more than Waukee ($31,225 effective).

Des Moines
Nominal: $32,207
CoL Index: 91.701
Adjusted: $35,122
Waukee
Nominal: $28,227
CoL Index: 90.4
Adjusted: $31,225

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)
  • Better top-earner potential ($41,881)
  • Larger job market (490 employed)
  • Better purchasing power (CoL-adjusted: $35,122)
  • You prefer the Iowa area and lifestyle

Choose Waukee if…

  • 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 Waukee over the same period.

Des Moines, IA

+-20.3%

$39,470 (2021) → $31,477 (2025)

Waukee, IA

+-30.7%

$39,785 (2024) → $27,587 (2025)

View Full Salary Data

Frequently Asked Questions

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

Des Moines has a higher median medical billing and coding specialist salary at $32,207/year, compared to Waukee at $28,227/year — a difference of $3,980 (14.10%).

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

Des Moines medical billing and coding specialists earn $15.48/hr while Waukee hygienists earn $13.57/hr (2026 est.).

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

Consider more than just salary when comparing Des Moines and Waukee. Factor in cost of living (CoL-adjusted: Des Moines = $35,122, Waukee = $31,225), job availability (490 vs 4 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $25,216 in Des Moines and $21,366 in Waukee. 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