Medical Billing Salary

Keene vs Nashua: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Keene, NH and Nashua, NH. All figures are 2026 estimates projected from BLS 2025 data.

Keene, NH
$18,095
$8.70/hr
Nashua, NH
$30,343
$14.59/hr

Side-by-Side Comparison

MetricKeene, NHNashua, NH
Median Salary$18,095$30,343
Hourly Rate$8.70$14.59
Entry Level (P10)$13,742$21,195
25th Percentile$15,654$25,007
75th Percentile$22,332$38,229
Top Earner (P90)$27,020$47,031
Total Employed521
Side-by-side bar chart comparing Keene ($18,095) and Nashua ($30,343) medical billing and coding specialist salaries.KeeneNashuaMedian Salary$18,095$30,343Entry Level (P10)$13,742$21,195Top Earner (P90)$27,020$47,031US Median $30,349

Verdict

Nashua, NH offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to Keene.

The salary gap between Keene and Nashua is $12,248 (67.69%). Nashua's median is -0.02% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Keene spans $13,278,Nashua spans $25,836. Nashua has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

Keene
P10 (Entry)$13,742
P25$15,654
Median$18,095
P75$22,332
P90 (Top)$27,020
Nashua
P10 (Entry)$21,195
P25$25,007
Median$30,343
P75$38,229
P90 (Top)$47,031

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Nashua ($28,279 effective) pays 67.69% more than Keene ($16,864 effective).

Keene
Nominal: $18,095
CoL Index: 107.3
Adjusted: $16,864
Nashua
Nominal: $30,343
CoL Index: 107.3
Adjusted: $28,279

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

Which City Is Right for You?

Choose Keene if…

  • You prefer the New Hampshire area and lifestyle

Choose Nashua if…

  • Higher median salary ($30,343/year)
  • Better top-earner potential ($47,031)
  • Larger job market (21 employed)
  • Better purchasing power (CoL-adjusted: $28,279)
  • You prefer the New Hampshire area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Keene grew -68.1% from 2024 to 2025, compared to -48.7% growth in Nashua over the same period.

Keene, NH

+-68.1%

$55,513 (2024) → $17,685 (2025)

Nashua, NH

+-48.7%

$57,769 (2024) → $29,655 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Keene or Nashua?

Nashua has a higher median medical billing and coding specialist salary at $30,343/year, compared to Keene at $18,095/year — a difference of $12,248 (67.69%).

What is the hourly rate difference between Keene and Nashua?

Keene medical billing and coding specialists earn $8.70/hr while Nashua hygienists earn $14.59/hr (2026 est.).

Should I relocate from Keene to Nashua as a medical billing and coding specialist?

Consider more than just salary when comparing Keene and Nashua. Factor in cost of living (CoL-adjusted: Keene = $16,864, Nashua = $28,279), job availability (5 vs 21 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Keene vs Nashua?

Entry-level (10th percentile) medical billing and coding specialists earn $13,742 in Keene and $21,195 in Nashua. The Nashua 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