Lexington vs Louisville: Medical Billing and Coding Specialist Salary (2026)
Compare medical billing and coding specialist salaries between Lexington, KY and Louisville, KY. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Lexington, KY | Louisville, KY |
|---|---|---|
| Median Salary | $29,531 | $29,546▲ |
| Hourly Rate | $14.19 | $14.20▲ |
| Entry Level (P10) | $22,445▲ | $19,733 |
| 25th Percentile | $26,302▲ | $23,847 |
| 75th Percentile | $35,364 | $37,818▲ |
| Top Earner (P90) | $42,539 | $45,796▲ |
| Total Employed | 540▲ | 132 |
Verdict
Louisville, KY offers better overall compensation for medical billing and coding specialists, winning 3 out of 4 metrics compared to Lexington.
The salary gap between Lexington and Louisville is $15 (0.05%). Louisville's median is -2.65% compared to the US national median of $30,349.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Lexington spans $20,094,Louisville spans $26,063. Louisville has a wider pay range, suggesting more variation in pay between entry-level and experienced medical billing and coding specialists.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Louisville ($33,086 effective) pays 4.07% more than Lexington ($31,792 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Lexington if…
- ✓Larger job market (540 employed)
- ✓You prefer the Kentucky area and lifestyle
Choose Louisville if…
- ✓Higher median salary ($29,546/year)
- ✓Better top-earner potential ($45,796)
- ✓Better purchasing power (CoL-adjusted: $33,086)
- ✓You prefer the Kentucky area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Lexington grew -36.2% from 2021 to 2025, compared to -32.6% growth in Louisville over the same period.
Lexington, KY
$45,250 (2021) → $28,861 (2025)
Louisville, KY
$42,838 (2024) → $28,876 (2025)
View Full Salary Data
Lexington, KY
Louisville, KY
Frequently Asked Questions
Which city pays medical billing and coding specialists more: Lexington or Louisville?
What is the hourly rate difference between Lexington and Louisville?
Should I relocate from Lexington to Louisville as a medical billing and coding specialist?
What do entry-level medical billing and coding specialists earn in Lexington vs Louisville?
Related Comparisons
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.
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