Medical Billing Salary

Kahului vs Urban Honolulu: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Kahului, HI and Urban Honolulu, HI. All figures are 2026 estimates projected from BLS 2025 data.

Kahului, HI
$19,958
$9.60/hr
Urban Honolulu, HI
$38,706
$18.61/hr

Side-by-Side Comparison

MetricKahului, HIUrban Honolulu, HI
Median Salary$19,958$38,706
Hourly Rate$9.60$18.61
Entry Level (P10)$15,035$27,246
25th Percentile$16,809$31,619
75th Percentile$24,840$47,483
Top Earner (P90)$30,455$54,390
Total Employed5310
Side-by-side bar chart comparing Kahului ($19,958) and Urban Honolulu ($38,706) medical billing and coding specialist salaries.KahuluiUrban HonoluluMedian Salary$19,958$38,706Entry Level (P10)$15,035$27,246Top Earner (P90)$30,455$54,390US Median $30,349

Verdict

Urban Honolulu, HI offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Kahului.

The salary gap between Kahului and Urban Honolulu is $18,748 (93.94%). Urban Honolulu's median is +27.54% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Kahului spans $15,420,Urban Honolulu spans $27,144. Urban Honolulu has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Kahului
P10 (Entry)$15,035
P25$16,809
Median$19,958
P75$24,840
P90 (Top)$30,455
Urban Honolulu
P10 (Entry)$27,246
P25$31,619
Median$38,706
P75$47,483
P90 (Top)$54,390

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Urban Honolulu ($34,883 effective) pays 108.51% more than Kahului ($16,729 effective).

Kahului
Nominal: $19,958
CoL Index: 119.3
Adjusted: $16,729
Urban Honolulu
Nominal: $38,706
CoL Index: 110.961
Adjusted: $34,883

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

Which City Is Right for You?

Choose Kahului if…

  • You prefer the Hawaii area and lifestyle

Choose Urban Honolulu if…

  • Higher median salary ($38,706/year)
  • Better top-earner potential ($54,390)
  • Larger job market (310 employed)
  • Better purchasing power (CoL-adjusted: $34,883)
  • You prefer the Hawaii area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Kahului grew -60.2% from 2022 to 2025, compared to -21.8% growth in Urban Honolulu over the same period.

Kahului, HI

+-60.2%

$48,950 (2022) → $19,505 (2025)

Urban Honolulu, HI

+-21.8%

$48,350 (2021) → $37,828 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Kahului or Urban Honolulu?

Urban Honolulu has a higher median medical billing and coding specialist salary at $38,706/year, compared to Kahului at $19,958/year — a difference of $18,748 (93.94%).

What is the hourly rate difference between Kahului and Urban Honolulu?

Kahului medical billing and coding specialists earn $9.60/hr while Urban Honolulu hygienists earn $18.61/hr (2026 est.).

Should I relocate from Kahului to Urban Honolulu as a medical billing and coding specialist?

Consider more than just salary when comparing Kahului and Urban Honolulu. Factor in cost of living (CoL-adjusted: Kahului = $16,729, Urban Honolulu = $34,883), job availability (5 vs 310 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Kahului vs Urban Honolulu?

Entry-level (10th percentile) medical billing and coding specialists earn $15,035 in Kahului and $27,246 in Urban Honolulu. The Urban Honolulu 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