Medical Billing Salary

Fremont vs San Diego: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Fremont, CA and San Diego, CA. All figures are 2026 estimates projected from BLS 2025 data.

Fremont, CA
$44,162
$21.23/hr
San Diego, CA
$36,485
$17.54/hr

Side-by-Side Comparison

MetricFremont, CASan Diego, CA
Median Salary$44,162$36,485
Hourly Rate$21.23$17.54
Entry Level (P10)$28,915$26,171
25th Percentile$37,750$29,162
75th Percentile$56,528$45,007
Top Earner (P90)$68,452$59,304
Total Employed431,600
Side-by-side bar chart comparing Fremont ($44,162) and San Diego ($36,485) medical billing and coding specialist salaries.FremontSan DiegoMedian Salary$44,162$36,485Entry Level (P10)$28,915$26,171Top Earner (P90)$68,452$59,304US Median $30,349

Verdict

Fremont, CA offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to San Diego.

The salary gap between Fremont and San Diego is $7,677 (21.04%). Fremont's median is +45.51% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fremont spans $39,537,San Diego spans $33,133. Fremont has a wider pay range, meaning more potential for high earners but also more variation.

Fremont
P10 (Entry)$28,915
P25$37,750
Median$44,162
P75$56,528
P90 (Top)$68,452
San Diego
P10 (Entry)$26,171
P25$29,162
Median$36,485
P75$45,007
P90 (Top)$59,304

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Fremont ($39,047 effective) pays 19.74% more than San Diego ($32,609 effective).

Fremont
Nominal: $44,162
CoL Index: 113.1
Adjusted: $39,047
San Diego
Nominal: $36,485
CoL Index: 111.887
Adjusted: $32,609

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

Which City Is Right for You?

Choose Fremont if…

  • Higher median salary ($44,162/year)
  • Better top-earner potential ($68,452)
  • Better purchasing power (CoL-adjusted: $39,047)
  • You prefer the California area and lifestyle

Choose San Diego if…

  • Larger job market (1,600 employed)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Fremont grew -43.9% from 2024 to 2025, compared to -26.0% growth in San Diego over the same period.

Fremont, CA

+-43.9%

$76,901 (2024) → $43,161 (2025)

San Diego, CA

+-26.0%

$48,190 (2021) → $35,658 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Fremont or San Diego?

Fremont has a higher median medical billing and coding specialist salary at $44,162/year, compared to San Diego at $36,485/year — a difference of $7,677 (21.04%).

What is the hourly rate difference between Fremont and San Diego?

Fremont medical billing and coding specialists earn $21.23/hr while San Diego hygienists earn $17.54/hr (2026 est.).

Should I relocate from Fremont to San Diego as a medical billing and coding specialist?

Consider more than just salary when comparing Fremont and San Diego. Factor in cost of living (CoL-adjusted: Fremont = $39,047, San Diego = $32,609), job availability (43 vs 1,600 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Fremont vs San Diego?

Entry-level (10th percentile) medical billing and coding specialists earn $28,915 in Fremont and $26,171 in San Diego. The Fremont 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