Medical Billing Salary

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

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

Durham, NC
$33,999
$16.34/hr
Wilmington, NC
$25,477
$12.25/hr

Side-by-Side Comparison

MetricDurham, NCWilmington, NC
Median Salary$33,999$25,477
Hourly Rate$16.34$12.25
Entry Level (P10)$24,171$22,005
25th Percentile$27,287$23,751
75th Percentile$42,254$33,708
Top Earner (P90)$48,687$64,930
Total Employed620220
Side-by-side bar chart comparing Durham ($33,999) and Wilmington ($25,477) medical billing and coding specialist salaries.DurhamWilmingtonMedian Salary$33,999$25,477Entry Level (P10)$24,171$22,005Top Earner (P90)$48,687$64,930US Median $30,349

Verdict

Durham, NC offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Wilmington.

The salary gap between Durham and Wilmington is $8,522 (33.45%). 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,Wilmington spans $42,925. Wilmington has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Durham
P10 (Entry)$24,171
P25$27,287
Median$33,999
P75$42,254
P90 (Top)$48,687
Wilmington
P10 (Entry)$22,005
P25$23,751
Median$25,477
P75$33,708
P90 (Top)$64,930

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Durham ($34,845 effective) pays 31.88% more than Wilmington ($26,422 effective).

Durham
Nominal: $33,999
CoL Index: 97.572
Adjusted: $34,845
Wilmington
Nominal: $25,477
CoL Index: 96.422
Adjusted: $26,422

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)
  • Larger job market (620 employed)
  • Better purchasing power (CoL-adjusted: $34,845)
  • You prefer the North Carolina area and lifestyle

Choose Wilmington if…

  • Better top-earner potential ($64,930)
  • 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 -31.1% growth in Wilmington over the same period.

Durham, NC

+-29.7%

$47,270 (2021) → $33,228 (2025)

Wilmington, NC

+-31.1%

$36,130 (2021) → $24,899 (2025)

View Full Salary Data

Frequently Asked Questions

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

Durham has a higher median medical billing and coding specialist salary at $33,999/year, compared to Wilmington at $25,477/year — a difference of $8,522 (33.45%).

What is the hourly rate difference between Durham and Wilmington?

Durham medical billing and coding specialists earn $16.34/hr while Wilmington hygienists earn $12.25/hr (2026 est.).

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

Consider more than just salary when comparing Durham and Wilmington. Factor in cost of living (CoL-adjusted: Durham = $34,845, Wilmington = $26,422), job availability (620 vs 220 employed), commute, and career growth potential.

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

Entry-level (10th percentile) medical billing and coding specialists earn $24,171 in Durham and $22,005 in Wilmington. 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