Medical Billing Salary

Hopkinsville vs Lexington: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Hopkinsville, KY and Lexington, KY. All figures are 2026 estimates projected from BLS 2025 data.

Hopkinsville, KY
$26,409
$12.70/hr
Lexington, KY
$29,531
$14.19/hr

Side-by-Side Comparison

MetricHopkinsville, KYLexington, KY
Median Salary$26,409$29,531
Hourly Rate$12.70$14.19
Entry Level (P10)$18,909$22,445
25th Percentile$22,019$26,302
75th Percentile$32,692$35,364
Top Earner (P90)$40,934$42,539
Total Employed6540
Side-by-side bar chart comparing Hopkinsville ($26,409) and Lexington ($29,531) medical billing and coding specialist salaries.HopkinsvilleLexingtonMedian Salary$26,409$29,531Entry Level (P10)$18,909$22,445Top Earner (P90)$40,934$42,539US Median $30,349

Verdict

Lexington, KY offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Hopkinsville.

The salary gap between Hopkinsville and Lexington is $3,122 (11.82%). Lexington's median is -2.70% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Hopkinsville spans $22,025,Lexington spans $20,094. Hopkinsville has a wider pay range, meaning more potential for high earners but also more variation.

Hopkinsville
P10 (Entry)$18,909
P25$22,019
Median$26,409
P75$32,692
P90 (Top)$40,934
Lexington
P10 (Entry)$22,445
P25$26,302
Median$29,531
P75$35,364
P90 (Top)$42,539

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Lexington ($31,792 effective) pays 7.50% more than Hopkinsville ($29,573 effective).

Hopkinsville
Nominal: $26,409
CoL Index: 89.3
Adjusted: $29,573
Lexington
Nominal: $29,531
CoL Index: 92.889
Adjusted: $31,792

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

Which City Is Right for You?

Choose Hopkinsville if…

  • You prefer the Kentucky area and lifestyle

Choose Lexington if…

  • Higher median salary ($29,531/year)
  • Better top-earner potential ($42,539)
  • Larger job market (540 employed)
  • Better purchasing power (CoL-adjusted: $31,792)
  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Hopkinsville grew -32.6% from 2024 to 2025, compared to -36.2% growth in Lexington over the same period.

Hopkinsville, KY

+-32.6%

$38,289 (2024) → $25,810 (2025)

Lexington, KY

+-36.2%

$45,250 (2021) → $28,861 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Hopkinsville or Lexington?

Lexington has a higher median medical billing and coding specialist salary at $29,531/year, compared to Hopkinsville at $26,409/year — a difference of $3,122 (11.82%).

What is the hourly rate difference between Hopkinsville and Lexington?

Hopkinsville medical billing and coding specialists earn $12.70/hr while Lexington hygienists earn $14.19/hr (2026 est.).

Should I relocate from Hopkinsville to Lexington as a medical billing and coding specialist?

Consider more than just salary when comparing Hopkinsville and Lexington. Factor in cost of living (CoL-adjusted: Hopkinsville = $29,573, Lexington = $31,792), job availability (6 vs 540 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Hopkinsville vs Lexington?

Entry-level (10th percentile) medical billing and coding specialists earn $18,909 in Hopkinsville and $22,445 in Lexington. The Lexington 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