Medical Billing Salary

Huntsville vs Madison: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Huntsville, AL and Madison, AL. All figures are 2026 estimates projected from BLS 2025 data.

Huntsville, AL
$22,640
$10.89/hr
Madison, AL
$25,520
$12.27/hr

Side-by-Side Comparison

MetricHuntsville, ALMadison, AL
Median Salary$22,640$25,520
Hourly Rate$10.89$12.27
Entry Level (P10)$19,584$18,959
25th Percentile$21,911$21,882
75th Percentile$31,643$32,405
Top Earner (P90)$37,797$39,556
Total Employed4209
Side-by-side bar chart comparing Huntsville ($22,640) and Madison ($25,520) medical billing and coding specialist salaries.HuntsvilleMadisonMedian Salary$22,640$25,520Entry Level (P10)$19,584$18,959Top Earner (P90)$37,797$39,556US Median $30,349

Verdict

Madison, AL offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Huntsville.

The salary gap between Huntsville and Madison is $2,880 (12.72%). Madison's median is -15.91% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Huntsville spans $18,213,Madison spans $20,597. Madison has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Huntsville
P10 (Entry)$19,584
P25$21,911
Median$22,640
P75$31,643
P90 (Top)$37,797
Madison
P10 (Entry)$18,959
P25$21,882
Median$25,520
P75$32,405
P90 (Top)$39,556

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Madison ($29,033 effective) pays 19.35% more than Huntsville ($24,325 effective).

Huntsville
Nominal: $22,640
CoL Index: 93.072
Adjusted: $24,325
Madison
Nominal: $25,520
CoL Index: 87.9
Adjusted: $29,033

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

Which City Is Right for You?

Choose Huntsville if…

  • Larger job market (420 employed)
  • You prefer the Alabama area and lifestyle

Choose Madison if…

  • Higher median salary ($25,520/year)
  • Better top-earner potential ($39,556)
  • Better purchasing power (CoL-adjusted: $29,033)
  • You prefer the Alabama area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Huntsville grew -40.9% from 2021 to 2025, compared to -30.7% growth in Madison over the same period.

Huntsville, AL

+-40.9%

$37,440 (2021) → $22,127 (2025)

Madison, AL

+-30.7%

$35,995 (2024) → $24,941 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Huntsville or Madison?

Madison has a higher median medical billing and coding specialist salary at $25,520/year, compared to Huntsville at $22,640/year — a difference of $2,880 (12.72%).

What is the hourly rate difference between Huntsville and Madison?

Huntsville medical billing and coding specialists earn $10.89/hr while Madison hygienists earn $12.27/hr (2026 est.).

Should I relocate from Huntsville to Madison as a medical billing and coding specialist?

Consider more than just salary when comparing Huntsville and Madison. Factor in cost of living (CoL-adjusted: Huntsville = $24,325, Madison = $29,033), job availability (420 vs 9 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Huntsville vs Madison?

Entry-level (10th percentile) medical billing and coding specialists earn $19,584 in Huntsville and $18,959 in Madison. The Huntsville 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