Medical Billing Salary

League City vs San Antonio: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between League City, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.

League City, TX
$26,662
$12.82/hr
San Antonio, TX
$27,364
$13.16/hr

Side-by-Side Comparison

MetricLeague City, TXSan Antonio, TX
Median Salary$26,662$27,364
Hourly Rate$12.82$13.16
Entry Level (P10)$19,371$20,379
25th Percentile$22,681$23,085
75th Percentile$34,127$35,483
Top Earner (P90)$41,325$42,883
Total Employed221,670
Side-by-side bar chart comparing League City ($26,662) and San Antonio ($27,364) medical billing and coding specialist salaries.League CitySan AntonioMedian Salary$26,662$27,364Entry Level (P10)$19,371$20,379Top Earner (P90)$41,325$42,883US Median $30,349

Verdict

San Antonio, TX offers better overall compensation for medical billing and coding specialists, winning 4 out of 4 metrics compared to League City.

The salary gap between League City and San Antonio is $702 (2.63%). San Antonio's median is -9.84% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in League City spans $21,954,San Antonio spans $22,504. San Antonio has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.

League City
P10 (Entry)$19,371
P25$22,681
Median$26,662
P75$34,127
P90 (Top)$41,325
San Antonio
P10 (Entry)$20,379
P25$23,085
Median$27,364
P75$35,483
P90 (Top)$42,883

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Antonio ($28,891 effective) pays 4.02% more than League City ($27,773 effective).

League City
Nominal: $26,662
CoL Index: 96
Adjusted: $27,773
San Antonio
Nominal: $27,364
CoL Index: 94.716
Adjusted: $28,891

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

Which City Is Right for You?

Choose League City if…

  • You prefer the Texas area and lifestyle

Choose San Antonio if…

  • Higher median salary ($27,364/year)
  • Better top-earner potential ($42,883)
  • Larger job market (1,670 employed)
  • Better purchasing power (CoL-adjusted: $28,891)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in League City grew -45.5% from 2024 to 2025, compared to -33.6% growth in San Antonio over the same period.

League City, TX

+-45.5%

$47,815 (2024) → $26,057 (2025)

San Antonio, TX

+-33.6%

$40,250 (2021) → $26,744 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: League City or San Antonio?

San Antonio has a higher median medical billing and coding specialist salary at $27,364/year, compared to League City at $26,662/year — a difference of $702 (2.63%).

What is the hourly rate difference between League City and San Antonio?

League City medical billing and coding specialists earn $12.82/hr while San Antonio hygienists earn $13.16/hr (2026 est.).

Should I relocate from League City to San Antonio as a medical billing and coding specialist?

Consider more than just salary when comparing League City and San Antonio. Factor in cost of living (CoL-adjusted: League City = $27,773, San Antonio = $28,891), job availability (22 vs 1,670 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in League City vs San Antonio?

Entry-level (10th percentile) medical billing and coding specialists earn $19,371 in League City and $20,379 in San Antonio. The San Antonio 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