Medical Billing Salary

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

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

Des Moines, WA
$34,296
$16.48/hr
Olympia, WA
$30,610
$14.71/hr

Side-by-Side Comparison

MetricDes Moines, WAOlympia, WA
Median Salary$34,296$30,610
Hourly Rate$16.48$14.71
Entry Level (P10)$25,361$20,563
25th Percentile$29,297$26,854
75th Percentile$43,084$36,711
Top Earner (P90)$52,988$47,826
Total Employed7170
Side-by-side bar chart comparing Des Moines ($34,296) and Olympia ($30,610) medical billing and coding specialist salaries.Des MoinesOlympiaMedian Salary$34,296$30,610Entry Level (P10)$25,361$20,563Top Earner (P90)$52,988$47,826US Median $30,349

Verdict

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

The salary gap between Des Moines and Olympia is $3,686 (12.04%). Des Moines's median is +13.01% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Des Moines spans $27,627,Olympia spans $27,263. Des Moines has a wider pay range, meaning more potential for high earners but also more variation.

Des Moines
P10 (Entry)$25,361
P25$29,297
Median$34,296
P75$43,084
P90 (Top)$52,988
Olympia
P10 (Entry)$20,563
P25$26,854
Median$30,610
P75$36,711
P90 (Top)$47,826

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($31,933 effective) pays 8.15% more than Olympia ($29,526 effective).

Des Moines
Nominal: $34,296
CoL Index: 107.4
Adjusted: $31,933
Olympia
Nominal: $30,610
CoL Index: 103.67
Adjusted: $29,526

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 ($34,296/year)
  • Better top-earner potential ($52,988)
  • Better purchasing power (CoL-adjusted: $31,933)
  • You prefer the Washington area and lifestyle

Choose Olympia if…

  • Larger job market (170 employed)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Des Moines grew -49.2% from 2024 to 2025, compared to -36.2% growth in Olympia over the same period.

Des Moines, WA

+-49.2%

$65,973 (2024) → $33,518 (2025)

Olympia, WA

+-36.2%

$46,910 (2021) → $29,916 (2025)

View Full Salary Data

Frequently Asked Questions

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

Des Moines has a higher median medical billing and coding specialist salary at $34,296/year, compared to Olympia at $30,610/year — a difference of $3,686 (12.04%).

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

Des Moines medical billing and coding specialists earn $16.48/hr while Olympia hygienists earn $14.71/hr (2026 est.).

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

Consider more than just salary when comparing Des Moines and Olympia. Factor in cost of living (CoL-adjusted: Des Moines = $31,933, Olympia = $29,526), job availability (7 vs 170 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $25,361 in Des Moines and $20,563 in Olympia. The Des Moines 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