Medical Billing Salary

Falls Church vs Richmond: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Falls Church, VA and Richmond, VA. All figures are 2026 estimates projected from BLS 2025 data.

Falls Church, VA
$26,116
$12.55/hr
Richmond, VA
$30,486
$14.66/hr

Side-by-Side Comparison

MetricFalls Church, VARichmond, VA
Median Salary$26,116$30,486
Hourly Rate$12.55$14.66
Entry Level (P10)$20,466$22,801
25th Percentile$22,971$27,750
75th Percentile$32,032$37,447
Top Earner (P90)$38,675$45,162
Total Employed5740
Side-by-side bar chart comparing Falls Church ($26,116) and Richmond ($30,486) medical billing and coding specialist salaries.Falls ChurchRichmondMedian Salary$26,116$30,486Entry Level (P10)$20,466$22,801Top Earner (P90)$38,675$45,162US Median $30,349

Verdict

Richmond, VA offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Falls Church.

The salary gap between Falls Church and Richmond is $4,370 (16.73%). Richmond's median is +0.45% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Falls Church spans $18,209,Richmond spans $22,361. Richmond has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Falls Church
P10 (Entry)$20,466
P25$22,971
Median$26,116
P75$32,032
P90 (Top)$38,675
Richmond
P10 (Entry)$22,801
P25$27,750
Median$30,486
P75$37,447
P90 (Top)$45,162

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($31,153 effective) pays 23.11% more than Falls Church ($25,306 effective).

Falls Church
Nominal: $26,116
CoL Index: 103.2
Adjusted: $25,306
Richmond
Nominal: $30,486
CoL Index: 97.858
Adjusted: $31,153

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

Which City Is Right for You?

Choose Falls Church if…

  • You prefer the Virginia area and lifestyle

Choose Richmond if…

  • Higher median salary ($30,486/year)
  • Better top-earner potential ($45,162)
  • Larger job market (740 employed)
  • Better purchasing power (CoL-adjusted: $31,153)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Falls Church grew -48.4% from 2024 to 2025, compared to -36.5% growth in Richmond over the same period.

Falls Church, VA

+-48.4%

$49,482 (2024) → $25,524 (2025)

Richmond, VA

+-36.5%

$46,910 (2021) → $29,795 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Falls Church or Richmond?

Richmond has a higher median medical billing and coding specialist salary at $30,486/year, compared to Falls Church at $26,116/year — a difference of $4,370 (16.73%).

What is the hourly rate difference between Falls Church and Richmond?

Falls Church medical billing and coding specialists earn $12.55/hr while Richmond hygienists earn $14.66/hr (2026 est.).

Should I relocate from Falls Church to Richmond as a medical billing and coding specialist?

Consider more than just salary when comparing Falls Church and Richmond. Factor in cost of living (CoL-adjusted: Falls Church = $25,306, Richmond = $31,153), job availability (5 vs 740 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Falls Church vs Richmond?

Entry-level (10th percentile) medical billing and coding specialists earn $20,466 in Falls Church and $22,801 in Richmond. The Richmond 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