Medical Billing Salary

Garland vs San Antonio: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Garland, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.

Garland, TX
$27,814
$13.37/hr
San Antonio, TX
$27,364
$13.16/hr

Side-by-Side Comparison

MetricGarland, TXSan Antonio, TX
Median Salary$27,814$27,364
Hourly Rate$13.37$13.16
Entry Level (P10)$18,580$20,379
25th Percentile$22,431$23,085
75th Percentile$35,346$35,483
Top Earner (P90)$43,112$42,883
Total Employed431,670
Side-by-side bar chart comparing Garland ($27,814) and San Antonio ($27,364) medical billing and coding specialist salaries.GarlandSan AntonioMedian Salary$27,814$27,364Entry Level (P10)$18,580$20,379Top Earner (P90)$43,112$42,883US Median $30,349

Verdict

Garland, TX offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to San Antonio.

The salary gap between Garland and San Antonio is $450 (1.64%). Garland's median is -8.35% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Garland spans $24,532,San Antonio spans $22,504. Garland has a wider pay range, meaning more potential for high earners but also more variation.

Garland
P10 (Entry)$18,580
P25$22,431
Median$27,814
P75$35,346
P90 (Top)$43,112
San Antonio
P10 (Entry)$20,379
P25$23,085
Median$27,364
P75$35,483
P90 (Top)$42,883

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Garland ($28,973 effective) pays 0.29% more than San Antonio ($28,891 effective).

Garland
Nominal: $27,814
CoL Index: 96
Adjusted: $28,973
San Antonio
Nominal: $27,364
CoL Index: 94.716
Adjusted: $28,891

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

Which City Is Right for You?

Choose Garland if…

  • Higher median salary ($27,814/year)
  • Better top-earner potential ($43,112)
  • Better purchasing power (CoL-adjusted: $28,973)
  • You prefer the Texas area and lifestyle

Choose San Antonio if…

  • Larger job market (1,670 employed)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Garland grew -45.5% from 2024 to 2025, compared to -33.6% growth in San Antonio over the same period.

Garland, TX

+-45.5%

$49,881 (2024) → $27,183 (2025)

San Antonio, TX

+-33.6%

$40,250 (2021) → $26,744 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Garland or San Antonio?

Garland has a higher median medical billing and coding specialist salary at $27,814/year, compared to San Antonio at $27,364/year — a difference of $450 (1.64%).

What is the hourly rate difference between Garland and San Antonio?

Garland medical billing and coding specialists earn $13.37/hr while San Antonio hygienists earn $13.16/hr (2026 est.).

Should I relocate from Garland to San Antonio as a medical billing and coding specialist?

Consider more than just salary when comparing Garland and San Antonio. Factor in cost of living (CoL-adjusted: Garland = $28,973, San Antonio = $28,891), job availability (43 vs 1,670 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Garland vs San Antonio?

Entry-level (10th percentile) medical billing and coding specialists earn $18,580 in Garland and $20,379 in San Antonio. The San Antonio 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