Medical Billing Salary

Iowa City vs Sioux City: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Iowa City, IA and Sioux City, IA. All figures are 2026 estimates projected from BLS 2025 data.

Iowa City, IA
$39,370
$18.93/hr
Sioux City, IA
$27,376
$13.16/hr

Side-by-Side Comparison

MetricIowa City, IASioux City, IA
Median Salary$39,370$27,376
Hourly Rate$18.93$13.16
Entry Level (P10)$27,916$22,100
25th Percentile$32,290$23,637
75th Percentile$39,370$31,269
Top Earner (P90)$47,512$36,847
Total Employed33080
Side-by-side bar chart comparing Iowa City ($39,370) and Sioux City ($27,376) medical billing and coding specialist salaries.Iowa CitySioux CityMedian Salary$39,370$27,376Entry Level (P10)$27,916$22,100Top Earner (P90)$47,512$36,847US Median $30,349

Verdict

Iowa City, IA offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Sioux City.

The salary gap between Iowa City and Sioux City is $11,994 (43.81%). Iowa City's median is +29.72% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Iowa City spans $19,596,Sioux City spans $14,747. Iowa City has a wider pay range, meaning more potential for high earners but also more variation.

Iowa City
P10 (Entry)$27,916
P25$32,290
Median$39,370
P75$39,370
P90 (Top)$47,512
Sioux City
P10 (Entry)$22,100
P25$23,637
Median$27,376
P75$31,269
P90 (Top)$36,847

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Iowa City ($43,023 effective) pays 35.87% more than Sioux City ($31,665 effective).

Iowa City
Nominal: $39,370
CoL Index: 91.509
Adjusted: $43,023
Sioux City
Nominal: $27,376
CoL Index: 86.454
Adjusted: $31,665

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

Which City Is Right for You?

Choose Iowa City if…

  • Higher median salary ($39,370/year)
  • Better top-earner potential ($47,512)
  • Larger job market (330 employed)
  • Better purchasing power (CoL-adjusted: $43,023)
  • You prefer the Iowa area and lifestyle

Choose Sioux City if…

  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Iowa City grew -36.9% from 2021 to 2025, compared to -27.9% growth in Sioux City over the same period.

Iowa City, IA

+-36.9%

$60,930 (2021) → $38,477 (2025)

Sioux City, IA

+-27.9%

$37,100 (2021) → $26,755 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Iowa City or Sioux City?

Iowa City has a higher median medical billing and coding specialist salary at $39,370/year, compared to Sioux City at $27,376/year — a difference of $11,994 (43.81%).

What is the hourly rate difference between Iowa City and Sioux City?

Iowa City medical billing and coding specialists earn $18.93/hr while Sioux City hygienists earn $13.16/hr (2026 est.).

Should I relocate from Iowa City to Sioux City as a medical billing and coding specialist?

Consider more than just salary when comparing Iowa City and Sioux City. Factor in cost of living (CoL-adjusted: Iowa City = $43,023, Sioux City = $31,665), job availability (330 vs 80 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Iowa City vs Sioux City?

Entry-level (10th percentile) medical billing and coding specialists earn $27,916 in Iowa City and $22,100 in Sioux City. The Iowa City 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