Franklin vs Nashville: Medical Billing and Coding Specialist Salary (2026)
Compare medical billing and coding specialist salaries between Franklin, TN and Nashville, TN. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Franklin, TN | Nashville, TN |
|---|---|---|
| Median Salary | $30,078 | $30,444▲ |
| Hourly Rate | $14.46 | $14.63▲ |
| Entry Level (P10) | $22,495 | $23,721▲ |
| 25th Percentile | $25,903▲ | $25,608 |
| 75th Percentile | $38,352▲ | $38,117 |
| Top Earner (P90) | $46,621 | $47,453▲ |
| Total Employed | 18 | 1,640▲ |
Verdict
Nashville, TN offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Franklin.
The salary gap between Franklin and Nashville is $366 (1.22%). Nashville's median is +0.31% compared to the US national median of $30,349.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Franklin spans $24,126,Nashville spans $23,732. Franklin has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Franklin ($32,765 effective) pays 3.68% more than Nashville ($31,601 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Franklin if…
- ✓Better purchasing power (CoL-adjusted: $32,765)
- ✓You prefer the Tennessee area and lifestyle
Choose Nashville if…
- ✓Higher median salary ($30,444/year)
- ✓Better top-earner potential ($47,453)
- ✓Larger job market (1,640 employed)
- ✓You prefer the Tennessee area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Franklin grew -25.6% from 2024 to 2025, compared to -36.2% growth in Nashville over the same period.
Franklin, TN
$39,507 (2024) → $29,396 (2025)
Nashville, TN
$46,660 (2021) → $29,754 (2025)
View Full Salary Data
Franklin, TN
Nashville, TN
Frequently Asked Questions
Which city pays medical billing and coding specialists more: Franklin or Nashville?
What is the hourly rate difference between Franklin and Nashville?
Should I relocate from Franklin to Nashville as a medical billing and coding specialist?
What do entry-level medical billing and coding specialists earn in Franklin vs Nashville?
Related Comparisons
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.
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