Medical Billing Salary

Durham vs Hickory: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Durham, NC and Hickory, NC. All figures are 2026 estimates projected from BLS 2025 data.

Durham, NC
$33,999
$16.34/hr
Hickory, NC
$23,679
$11.39/hr

Side-by-Side Comparison

MetricDurham, NCHickory, NC
Median Salary$33,999$23,679
Hourly Rate$16.34$11.39
Entry Level (P10)$24,171$18,498
25th Percentile$27,287$21,774
75th Percentile$42,254$29,014
Top Earner (P90)$48,687$35,156
Total Employed620150
Side-by-side bar chart comparing Durham ($33,999) and Hickory ($23,679) medical billing and coding specialist salaries.DurhamHickoryMedian Salary$33,999$23,679Entry Level (P10)$24,171$18,498Top Earner (P90)$48,687$35,156US Median $30,349

Verdict

Durham, NC offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Hickory.

The salary gap between Durham and Hickory is $10,320 (43.58%). Durham's median is +12.03% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Durham spans $24,516,Hickory spans $16,658. Durham has a wider pay range, meaning more potential for high earners but also more variation.

Durham
P10 (Entry)$24,171
P25$27,287
Median$33,999
P75$42,254
P90 (Top)$48,687
Hickory
P10 (Entry)$18,498
P25$21,774
Median$23,679
P75$29,014
P90 (Top)$35,156

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Durham ($34,845 effective) pays 30.21% more than Hickory ($26,760 effective).

Durham
Nominal: $33,999
CoL Index: 97.572
Adjusted: $34,845
Hickory
Nominal: $23,679
CoL Index: 88.486
Adjusted: $26,760

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

Which City Is Right for You?

Choose Durham if…

  • Higher median salary ($33,999/year)
  • Better top-earner potential ($48,687)
  • Larger job market (620 employed)
  • Better purchasing power (CoL-adjusted: $34,845)
  • You prefer the North Carolina area and lifestyle

Choose Hickory if…

  • You prefer the North Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Durham grew -29.7% from 2021 to 2025, compared to -37.0% growth in Hickory over the same period.

Durham, NC

+-29.7%

$47,270 (2021) → $33,228 (2025)

Hickory, NC

+-37.0%

$36,750 (2021) → $23,142 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Durham or Hickory?

Durham has a higher median medical billing and coding specialist salary at $33,999/year, compared to Hickory at $23,679/year — a difference of $10,320 (43.58%).

What is the hourly rate difference between Durham and Hickory?

Durham medical billing and coding specialists earn $16.34/hr while Hickory hygienists earn $11.39/hr (2026 est.).

Should I relocate from Durham to Hickory as a medical billing and coding specialist?

Consider more than just salary when comparing Durham and Hickory. Factor in cost of living (CoL-adjusted: Durham = $34,845, Hickory = $26,760), job availability (620 vs 150 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Durham vs Hickory?

Entry-level (10th percentile) medical billing and coding specialists earn $24,171 in Durham and $18,498 in Hickory. The Durham 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