Medical Billing Salary

Los Angeles vs San Rafael: Medical Billing and Coding Specialist Salary (2026)

Compare medical billing and coding specialist salaries between Los Angeles, CA and San Rafael, CA. All figures are 2026 estimates projected from BLS 2025 data.

Los Angeles, CA
$35,079
$16.86/hr
San Rafael, CA
$35,591
$17.11/hr

Side-by-Side Comparison

MetricLos Angeles, CASan Rafael, CA
Median Salary$35,079$35,591
Hourly Rate$16.86$17.11
Entry Level (P10)$24,753$25,835
25th Percentile$28,427$30,091
75th Percentile$47,850$44,779
Top Earner (P90)$60,111$55,166
Total Employed7,24011
Side-by-side bar chart comparing Los Angeles ($35,079) and San Rafael ($35,591) medical billing and coding specialist salaries.Los AngelesSan RafaelMedian Salary$35,079$35,591Entry Level (P10)$24,753$25,835Top Earner (P90)$60,111$55,166US Median $30,349

Verdict

Los Angeles and San Rafael are closely matched on overall medical billing and coding specialist compensation, each winning on different metrics.

The salary gap between Los Angeles and San Rafael is $512 (1.46%). San Rafael's median is +17.27% compared to the US national median of $30,349.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Los Angeles spans $35,358,San Rafael spans $29,331. Los Angeles has a wider pay range, meaning more potential for high earners but also more variation.

Los Angeles
P10 (Entry)$24,753
P25$28,427
Median$35,079
P75$47,850
P90 (Top)$60,111
San Rafael
P10 (Entry)$25,835
P25$30,091
Median$35,591
P75$44,779
P90 (Top)$55,166

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Rafael ($31,469 effective) pays 1.88% more than Los Angeles ($30,889 effective).

Los Angeles
Nominal: $35,079
CoL Index: 113.566
Adjusted: $30,889
San Rafael
Nominal: $35,591
CoL Index: 113.1
Adjusted: $31,469

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

Which City Is Right for You?

Choose Los Angeles if…

  • Better top-earner potential ($60,111)
  • Larger job market (7,240 employed)
  • You prefer the California area and lifestyle

Choose San Rafael if…

  • Higher median salary ($35,591/year)
  • Better purchasing power (CoL-adjusted: $31,469)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical billing and coding specialist salaries in Los Angeles grew -29.8% from 2021 to 2025, compared to -54.1% growth in San Rafael over the same period.

Los Angeles, CA

+-29.8%

$48,810 (2021) → $34,284 (2025)

San Rafael, CA

+-54.1%

$75,735 (2024) → $34,784 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical billing and coding specialists more: Los Angeles or San Rafael?

San Rafael has a higher median medical billing and coding specialist salary at $35,591/year, compared to Los Angeles at $35,079/year — a difference of $512 (1.46%).

What is the hourly rate difference between Los Angeles and San Rafael?

Los Angeles medical billing and coding specialists earn $16.86/hr while San Rafael hygienists earn $17.11/hr (2026 est.).

Should I relocate from Los Angeles to San Rafael as a medical billing and coding specialist?

Consider more than just salary when comparing Los Angeles and San Rafael. Factor in cost of living (CoL-adjusted: Los Angeles = $30,889, San Rafael = $31,469), job availability (7,240 vs 11 employed), commute, and career growth potential.

What do entry-level medical billing and coding specialists earn in Los Angeles vs San Rafael?

Entry-level (10th percentile) medical billing and coding specialists earn $24,753 in Los Angeles and $25,835 in San Rafael. The San Rafael 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