Medical Billing Salary

Fayetteville vs Little Rock: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Fayetteville, AR and Little Rock, AR. All figures are 2026 estimates projected from BLS 2025 data.

Fayetteville, AR
$28,943
$13.92/hr
Little Rock, AR
$24,794
$11.92/hr

Side-by-Side Comparison

MetricFayetteville, ARLittle Rock, AR
Median Salary$28,943$24,794
Hourly Rate$13.92$11.92
Entry Level (P10)$20,890$20,699
25th Percentile$22,420$21,708
75th Percentile$35,406$29,507
Top Earner (P90)$38,676$39,393
Total Employed290670
Side-by-side bar chart comparing Fayetteville ($28,943) and Little Rock ($24,794) medical billing and coding specialist salaries.FayettevilleLittle RockMedian Salary$28,943$24,794Entry Level (P10)$20,890$20,699Top Earner (P90)$38,676$39,393US Median $30,349

Verdict

Fayetteville and Little Rock are closely matched on overall medical billing and coding specialist compensation, each winning on different metrics.

The salary gap between Fayetteville and Little Rock is $4,149 (16.73%). Fayetteville's median is -4.63% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fayetteville spans $17,786,Little Rock spans $18,694. Little Rock has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Fayetteville
P10 (Entry)$20,890
P25$22,420
Median$28,943
P75$35,406
P90 (Top)$38,676
Little Rock
P10 (Entry)$20,699
P25$21,708
Median$24,794
P75$29,507
P90 (Top)$39,393

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Fayetteville ($31,683 effective) pays 14.19% more than Little Rock ($27,745 effective).

Fayetteville
Nominal: $28,943
CoL Index: 91.353
Adjusted: $31,683
Little Rock
Nominal: $24,794
CoL Index: 89.364
Adjusted: $27,745

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

Which City Is Right for You?

Choose Fayetteville if…

  • Higher median salary ($28,943/year)
  • Better purchasing power (CoL-adjusted: $31,683)
  • You prefer the Arkansas area and lifestyle

Choose Little Rock if…

  • Better top-earner potential ($39,393)
  • Larger job market (670 employed)
  • You prefer the Arkansas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Fayetteville grew -24.1% from 2021 to 2025, compared to -47.1% growth in Little Rock over the same period.

Fayetteville, AR

+-24.1%

$37,270 (2021) → $28,287 (2025)

Little Rock, AR

+-47.1%

$45,840 (2021) → $24,232 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Fayetteville or Little Rock?

Fayetteville has a higher median medical billing and coding specialist salary at $28,943/year, compared to Little Rock at $24,794/year — a difference of $4,149 (16.73%).

What is the hourly rate difference between Fayetteville and Little Rock?

Fayetteville medical billing and coding specialists earn $13.92/hr while Little Rock hygienists earn $11.92/hr (2026 est.).

Should I relocate from Fayetteville to Little Rock as a medical billing and coding specialist?

Consider more than just salary when comparing Fayetteville and Little Rock. Factor in cost of living (CoL-adjusted: Fayetteville = $31,683, Little Rock = $27,745), job availability (290 vs 670 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Fayetteville vs Little Rock?

Entry-level (10th percentile) medical billing and coding specialists earn $20,890 in Fayetteville and $20,699 in Little Rock. The Fayetteville 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